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长期佩戴型助听器:一项比较性的初步研究。

Extended wear hearing aids: a comparative, pilot study.

作者信息

Gazia Francesco, Portelli Daniele, Lo Vano Martina, Ciodaro Francesco, Galletti Bruno, Bruno Rocco, Freni Francesco, Alberti Giuseppe, Galletti Francesco

机构信息

Unit of Otorhinolaryngology, Department of Adult and Development Age Human Pathology "Gaetano Barresi", Policlinico G. Martino, University of Messina, Via Consolare Valeria 1, 98125, Messina, ME, Italy.

出版信息

Eur Arch Otorhinolaryngol. 2022 Nov;279(11):5415-5422. doi: 10.1007/s00405-022-07445-0. Epub 2022 Jun 29.

Abstract

PURPOSE

The study evaluated if there were differences between three types of hearing aids, Lyric extended wear (EW), receiver-in-the-ear canal (RITE), completely-in-the-canal (CIC) hearing aids in terms of audiological and psychosocial outcomes.

METHODS

Fifteen patients were selected.

INCLUSION CRITERIA

Pure-Tone Average (PTA) air conduction range of hearing threshold at 500, 1000, and 2000 Hz from 15 dB HL to 75 dB HL. Patients were assigned in three groups according to the hearing aid used: Extended wear, RITE, and CIC. Pure-tone audiometry, speech audiometry, free-field pure-tone and speech audiometry with hearing aids, and Matrix sentence test were performed. The Satisfaction with Amplification in Daily Life (SADL) questionnaire and the Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire were used to assess the psychosocial and audiological benefits provided by hearing aids.

RESULTS

No differences were demonstrated in the Matrix sentence test between the groups. A statistically significant difference was present between the "Personal image" of patients with EW and RITE with a p value of 0.01 (better outcome using EW). For the APHAB questionnaire, a significant difference was present in the "Aversiveness" of the patients with EW in comparison to CIC and RITE with a p value of 0.01 (higher aversiveness of sound using EW).

CONCLUSION

In terms of audiological advantage, extended ear hearing aids are similar to RITE and CIC as demonstrated from the Matrix speech reception threshold. The result was confirmed using the APHAB questionnaire. Extended wear devices are better than daily hearing aids concerning the "personal image".

摘要

目的

本研究评估了三种类型的助听器,即Lyric长期佩戴式(EW)、耳道式受话器(RITE)、全耳道式(CIC)助听器在听力学和心理社会结果方面是否存在差异。

方法

选取了15名患者。

纳入标准

500、1000和2000赫兹纯音平均(PTA)气导听力阈值范围为15分贝听力级(dB HL)至75分贝听力级。根据所使用的助听器,将患者分为三组:长期佩戴式、耳道式受话器式和全耳道式。进行了纯音听力测试、言语听力测试、佩戴助听器时的自由场纯音和言语听力测试以及矩阵句子测试。使用日常生活中对放大效果的满意度(SADL)问卷和助听器益处简要概况(APHAB)问卷来评估助听器提供的心理社会和听力学益处。

结果

各组之间在矩阵句子测试中未显示出差异。EW组和RITE组患者在“个人形象”方面存在统计学显著差异,p值为0.01(使用EW效果更好)。对于APHAB问卷,EW组患者在“厌恶感”方面与CIC组和RITE组相比存在显著差异,p值为0.01(使用EW时对声音的厌恶感更高)。

结论

从矩阵言语接受阈值来看,就听力学优势而言,长期佩戴式助听器与耳道式受话器式和全耳道式助听器相似。使用APHAB问卷证实了这一结果。在“个人形象”方面,长期佩戴式设备优于日常使用的助听器。

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