Eekhof J A, Burgers J S
Gezondheidscentrum Stevenshof te Leiden.
Ned Tijdschr Geneeskd. 1998 Aug 8;142(32):1813-6.
Hardness of hearing is a growing problem; toward the year 2000 there will be 1.5 to 2 million persons with hardness of hearing in the Netherlands. The Dutch College of General Practitioners has published a guideline 'Slechthorendheid' [hardness of hearing] with instructions for the diagnosis and treatment of patients with hardness of hearing in primary care. Many patients with hardness of hearing do not visit the GP (e.g. mentally handicapped). The whispered speech test or screening audiometry plays an important part in the diagnosis. In case a hearing loss > or = 30 dB is detected consultation of or referral to an ENT specialist is an option. In most cases a plug of earwax is the cause of the hardness of hearing.
听力障碍是一个日益严重的问题；到2000年，荷兰将有150万至200万人存在听力障碍。荷兰全科医生学院发布了一份“听力障碍”指南，其中包含了在初级保健中对听力障碍患者进行诊断和治疗的指导说明。许多听力障碍患者不去看全科医生（例如智障患者）。耳语测试或筛查听力测定在诊断中起着重要作用。如果检测到听力损失≥30分贝，可以选择咨询或转诊至耳鼻喉科专家。在大多数情况下，耳垢堵塞是听力障碍的原因。
