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痴呆与听力损失:相互关系及治疗考量

Dementia and Hearing Loss: Interrelationships and Treatment Considerations.

作者信息

Hubbard H Isabel, Mamo Sara K, Hopper Tammy

机构信息

Communication Sciences and Disorders, University of Alberta, Edmonton, Alberta, Canada.

Communication Disorders Department, University of Massachusetts, Amherst, Massachusetts.

出版信息

Semin Speech Lang. 2018 Jul;39(3):197-210. doi: 10.1055/s-0038-1660779. Epub 2018 Jun 22.

DOI:10.1055/s-0038-1660779
PMID:29933487
Abstract

Hearing loss is common among typically aging older adults and those with dementia. In recent years, there has been a renewed interest in the relationship between hearing and cognition among older adults, and in hearing loss as a modifiable risk factor for dementia. However, relatively less attention has been focused on the management of hearing loss among individuals with dementia and the key roles of speech-language pathologists and audiologists in providing such care. In this article, the authors review the literature on hearing loss and dementia, and analyze the research evidence for treatment of hearing loss in the context of major neurocognitive disorders, such as Alzheimer's disease. This article provides an up-to-date review of research evidence for hearing interventions, as well as recommendations for speech-language pathologists and audiologists to work together to ensure access to hearing health care and increased opportunities for meaningful life engagement for people with dementia and hearing loss.

摘要

听力损失在正常衰老的老年人以及患有痴呆症的人群中很常见。近年来,老年人听力与认知之间的关系以及听力损失作为痴呆症的一个可改变风险因素重新引起了人们的关注。然而,相对较少的注意力集中在痴呆症患者听力损失的管理以及言语语言病理学家和听力学家在提供此类护理方面的关键作用。在本文中,作者回顾了关于听力损失和痴呆症的文献,并分析了在主要神经认知障碍(如阿尔茨海默病)背景下治疗听力损失的研究证据。本文提供了听力干预研究证据的最新综述,以及言语语言病理学家和听力学家共同努力的建议,以确保痴呆症和听力损失患者能够获得听力保健服务并增加有意义生活参与的机会。

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引用本文的文献

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Healthcare (Basel). 2025 Aug 11;13(16):1964. doi: 10.3390/healthcare13161964.
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Exploring the Link: Unraveling the Connection Between Hearing Loss and Psychiatric Disorders.探索关联:揭示听力损失与精神疾病之间的联系。
Cureus. 2025 Apr 29;17(4):e83223. doi: 10.7759/cureus.83223. eCollection 2025 Apr.
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Hearing Screening for Older Adults With Cognitive Impairment: A Systematic Review.
认知障碍老年人的听力筛查:一项系统评价
J Audiol Otol. 2024 Oct;28(4):260-270. doi: 10.7874/jao.2023.00507. Epub 2024 Jul 9.
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Care for Hearing Loss and Best Principles of Dementia Care: The Time is Right for Inclusion.关注听力损失和痴呆症护理的最佳原则:纳入的时机已经成熟。
J Am Med Dir Assoc. 2022 Dec;23(12):e13-e14. doi: 10.1016/j.jamda.2022.10.003. Epub 2022 Nov 5.
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A Mixed Methods Study of Hearing Loss, Communication, and Social Engagement in a Group Care Setting for Older Adults.一项针对老年人集体照护环境中听力损失、沟通及社会参与度的混合方法研究
Perspect ASHA Spec Interest Groups. 2022 Apr;7(2):592-609. doi: 10.1044/2021_persp-21-00218. Epub 2022 Feb 22.
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Hearing Loss and Cognition: What We Know and Where We Need to Go.听力损失与认知:我们所知与所需探索之处
Front Aging Neurosci. 2022 Feb 28;13:769405. doi: 10.3389/fnagi.2021.769405. eCollection 2021.
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Age-Related Disparities in the Treatment of Borderline/Mild Hearing Loss in the United States.美国边缘性/轻度听力损失治疗中的年龄差异
OTO Open. 2022 Mar 4;6(1):2473974X221083092. doi: 10.1177/2473974X221083092. eCollection 2022 Jan-Mar.
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Pure Tone Audiometry and Hearing Loss in Alzheimer's Disease: A Meta-Analysis.阿尔茨海默病中的纯音听力测定与听力损失:一项荟萃分析
Front Psychol. 2022 Jan 21;12:788045. doi: 10.3389/fpsyg.2021.788045. eCollection 2021.
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