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听觉神经源性感音神经性听力损失患者的工作记忆是否受损?

Is Working Memory Compromised in Individuals with Sensorineural Hearing Loss with Auditory Neural Origin?

作者信息

Parthasarathy Sindhu, Shetty Hemanth Narayan, Apeksha Kumari

机构信息

Department of Speech and Hearing, J.S.S Institute of Speech and Hearing, Mysuru, Karnataka India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):3726-3732. doi: 10.1007/s12070-021-02527-7. Epub 2021 Mar 30.

Abstract

The study aimed to investigate the working memory and speech recognition in noise from individuals with Sensori Neural Hearing Loss (SNHL) with and without auditory neuropathy spectrum disorder (ANSD). The purpose of assessing working memory recommends for a potential intervention program to perceive speech. Twenty participants in the age range of 16-44 years, diagnosed as having mild to moderate SNHL were recruited for the study. The participants were divided into two groups based on the presence and absence of ANSD (10 in each group). The visual working memory was assessed in all the participants using the Operation Span Test, Reading Span Test and Visual Backward Test. Speech perception ability was assessed using the SNR 50 test. There was no significant difference between the scores of Operation Span, Reading Span, and Visual Backward Span for individuals with SNHL with and without ANSD. There was a significant difference between the scores of SNR 50 for individuals with SNHL with and without ANSD. The visual working memory in individuals with and without ANSD is similar. Speech perception in noise is significantly affected in ANSD than SNHL without ANSD. Thus, it is recommended to use speech reading, which utilizes visual working memory to interpret the message, as previous studies have reported that individuals with ANSD show limited benefit in auditory mode of rehabilitation alone.

摘要

该研究旨在调查患有和未患有听觉神经病谱系障碍(ANSD)的感音神经性听力损失(SNHL)患者的工作记忆和噪声中的语音识别能力。评估工作记忆的目的是为一种潜在的语音感知干预方案提供依据。招募了20名年龄在16至44岁之间、被诊断为轻度至中度SNHL的参与者进行该研究。参与者根据是否患有ANSD分为两组(每组10人)。使用运算广度测试、阅读广度测试和视觉倒序测试对所有参与者的视觉工作记忆进行评估。使用信噪比50测试评估语音感知能力。患有和未患有ANSD的SNHL患者在运算广度、阅读广度和视觉倒序广度得分上没有显著差异。患有和未患有ANSD的SNHL患者在信噪比50得分上存在显著差异。患有和未患有ANSD的个体的视觉工作记忆相似。与未患有ANSD的SNHL相比,ANSD患者在噪声中的语音感知受到的影响更大。因此,建议使用利用视觉工作记忆来解读信息的唇读,因为先前的研究报告称,仅靠听觉康复模式,ANSD患者受益有限。

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