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助听器使用者在噪声环境中的言语理解及其频谱-时间分辨能力的研究。

Investigation of hearing aid users' speech understanding in noise and their spectral-temporal resolution skills.

作者信息

Kılıç Mert, Kara Eyyup

机构信息

Istanbul University-Cerrahpaşa, Institute of Graduate Studies, Department of Audiology, Istanbul, Turkey.

Istanbul University-Cerrahpaşa, Faculty of Health Sciences, Department of Audiology, Istanbul, Turkey.

出版信息

J Otol. 2023 Jul;18(3):146-151. doi: 10.1016/j.joto.2023.04.001. Epub 2023 Apr 30.

Abstract

PURPOSE

Our study aims to compare speech understanding in noise and spectral- temporal resolution skills with regard to the degree of hearing loss, age, hearing aid use experience and gender of hearing aid users.

METHODS

Our study included sixty-eight hearing aid users aged between 40-70 years, with bilateral mild and moderate symmetrical sensorineural hearing loss. Random gap detection test, Turkish matrix test and spectral-temporally modulated ripple test were implemented on the participants with bilateral hearing aids. The test results acquired were compared statistically according to different variables and the correlations were examined.

RESULTS

No statistically significant differences were observed for speech-in-noise recognition, spectral-temporal resolution among older and younger adults in hearing aid users (p>0.05). There wasn't found a statistically significant difference among test outcomes as regards different hearing loss degrees (p>0.05). Higher performances were obtained in terms of temporal resolution in male participants and participants with more hearing aid use experience (p<0.05). Significant correlations were obtained between the results of speech-in-noise recognition, temporal resolution and spectral resolution tests performed with hearing aids (p<0.05).

CONCLUSION

Our study findings emphasized the importance of regular hearing aid use and it showed that some auditory skills can be improved with hearing aids. Observation of correlations among the speech-in-noise recognition, temporal resolution and spectral resolution tests have revealed that these skills should be evaluated as a whole to maximize the patient's communication abilities.

摘要

目的

我们的研究旨在比较助听器使用者在噪声环境下的言语理解能力以及频谱-时间分辨率技能,涉及听力损失程度、年龄、助听器使用经验和性别等因素。

方法

我们的研究纳入了68名年龄在40至70岁之间的助听器使用者,他们均患有双侧轻度和中度对称性感音神经性听力损失。对佩戴双侧助听器的参与者进行了随机间隙检测测试、土耳其矩阵测试和频谱-时间调制波纹测试。根据不同变量对获得的测试结果进行统计学比较,并检查相关性。

结果

在助听器使用者中,年龄较大和较小的成年人在噪声中的言语识别、频谱-时间分辨率方面未观察到统计学显著差异(p>0.05)。不同听力损失程度的测试结果之间未发现统计学显著差异(p>0.05)。男性参与者和助听器使用经验较多的参与者在时间分辨率方面表现更高(p<0.05)。使用助听器进行的噪声中言语识别、时间分辨率和频谱分辨率测试结果之间存在显著相关性(p<0.05)。

结论

我们的研究结果强调了定期使用助听器的重要性,并且表明使用助听器可以改善一些听觉技能。对噪声中言语识别、时间分辨率和频谱分辨率测试之间相关性的观察表明,应将这些技能作为一个整体进行评估,以最大限度地提高患者的沟通能力。

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