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感音神经性听力损失患者使用单耳助听器后颞部听觉处理及噪声环境下听力的变化:一项初步研究

Changes of Temporal Processing and Hearing in Noise after Use of a Monoaural Hearing Aid in Patients with Sensorineural Hearing Loss: A Preliminary Study.

作者信息

Kim Yehree, Yang Chan Joo, Yoo Myung Hoon, Song Chan Il, Chung Jong Woo

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Department of Otolaryngology, Hanil General Hospital, Seoul, Korea.

出版信息

J Audiol Otol. 2021 Jul;25(3):146-151. doi: 10.7874/jao.2021.00038. Epub 2021 Jul 10.

Abstract

BACKGROUND AND OBJECTIVES

The relationship between hearing aid (HA) use and improvement in cognitive function is not fully known. This study aimed to determine whether HAs could recover temporal resolution or hearing in noise functions. Materials and.

METHODS

We designed a prospective study with two groups: HA users and controls. Patients older than 45 years, with a pure tone average threshold of worse than 40 dB and a speech discrimination score better than 60% in both ears were eligible. Central auditory processing tests and hearing in noise tests (HINTs) were evaluated at the beginning of the study and 1, 3, 6, and 12 months after the use of a monaural HA in the HA group compared to the control group. The changes in the evaluation parameters were statistically analyzed using the linear mixed model.

RESULTS

A total of 26 participants (13 in the HA and 13 in the control group) were included in this study. The frequency (p<0.01) and duration test (p=0.02) scores showed significant improvements in the HA group after 1 year, while the HINT scores showed no significant change.

CONCLUSIONS

After using an HA for one year, patients performed better on temporal resolution tests. No improvement was documented with regard to hearing in noise.

摘要

背景与目的

助听器(HA)的使用与认知功能改善之间的关系尚未完全明确。本研究旨在确定助听器是否能够恢复时间分辨率或噪声环境下的听力功能。材料与方法:我们设计了一项前瞻性研究,分为两组:助听器使用者组和对照组。年龄大于45岁、纯音平均听阈大于40 dB且双耳言语辨别得分高于60%的患者符合条件。与对照组相比,在研究开始时以及助听器组单耳使用助听器后1、3、6和12个月时,对中枢听觉处理测试和噪声环境下听力测试(HINT)进行评估。使用线性混合模型对评估参数的变化进行统计学分析。结果:本研究共纳入26名参与者(助听器组13名,对照组13名)。一年后,助听器组的频率(p<0.01)和时长测试(p=0.02)得分有显著改善,而HINT得分无显著变化。结论:使用助听器一年后,患者在时间分辨率测试中的表现更佳。在噪声环境下听力方面未观察到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5b/8311061/b09d7d533c05/jao-2021-00038f1.jpg

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