助听器对噪声环境中听力困难患者的疗效：聚焦隐匿性听力损失
Efficacy of Hearing Aids in Patients with Hearing Difficulties in Noise: Focus on Hidden Hearing Loss.
作者信息
Boulet Marc, Veleur Marine, Chédeau Julie, Lefeuvre Jérôme, Fain Gérald, Paul Antoine, Alexandru Mihaela, Nevoux Jérôme
机构信息
Assistance Publique-Hôpitaux de Paris, Hôpital Bicêtre, Service d'Oto-Rhino-Laryngologie, 78 Rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France.
Audition Marc Boulet, 91200 Athis-Mons, France.
出版信息
J Clin Med. 2025 Jan 9;14(2):360. doi: 10.3390/jcm14020360.
Hearing aids (HAs) have been used for standard high-frequency hearing loss and tinnitus, but their effects on speech intelligibility in noise (SIN) in people with normal hearing, including hidden hearing loss (HHL), have been little explored. We included in a prospective cohort study patients who experience poor SIN and have normal pure tone average in quiet conditions or slight HL. We used open-fit HAs. The FraMatrix test was used to explore SIN. The benefit of HAs in daily situations and for tinnitus was evaluated. Forty patients were explored, including 12 with HHL. FraMatrix and quality of life improved significantly ( < 0.001) with HAs, especially in those with HHL (2.0 dB SNR of speech recognition threshold improvement). HAs also effectively suppress tinnitus. Participants used HAs 9.9 h per day. This study shows an improvement of SIN with HAs in patients with slight HL but more importantly in patients with HHL.
助听器（HAs）已被用于治疗标准的高频听力损失和耳鸣，但其对听力正常人群（包括隐匿性听力损失[HHL]）在噪声环境下言语清晰度（SIN）的影响鲜有研究。我们纳入了一项前瞻性队列研究，研究对象为在安静环境下纯音平均听阈正常或仅有轻度听力损失但在噪声环境下言语清晰度较差的患者。我们使用了开放式助听器。采用FraMatrix测试来探究言语清晰度。评估了助听器在日常情况下的益处以及对耳鸣的作用。共对40名患者进行了研究，其中包括12名隐匿性听力损失患者。使用助听器后，FraMatrix测试结果和生活质量显著改善（<0.001），尤其是隐匿性听力损失患者（言语识别阈改善2.0 dB信噪比）。助听器还能有效抑制耳鸣。参与者每天使用助听器9.9小时。这项研究表明，轻度听力损失患者使用助听器后言语清晰度有所改善，但更重要的是，隐匿性听力损失患者使用助听器后言语清晰度也得到了改善。
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