CAJ | 학술논문

背景:言语测听在助听器的选配中有决定性的作用,但中国临床应用较少. 目的:通过言语测听了解耳内式助听器和耳背式助听器的使用者在言语分辨率上的差别.设计:配对对照实验.单位:解放军第四一四医院听力中心,江苏省听力康复中心.对象:选择就诊于解放军第四一四医院听力中心,江苏省听力康复中心耳聋患者62例.32例(耳)使用耳内式助听器耳聋患者中,平均听力损失(500,1 000,2 000,4 000 Hz)＜85 dB,年龄16～60岁.30例(耳)使用耳背式助听器耳聋患者中,平均听力损失(500,1 000,2 000,4 000 Hz)＜85 dB,年龄16-60岁.对实验均知情同意.方法:采用开放法和闭合法,分别对耳内式、耳背式助听器使用者,进行单耳聆听条件下的言语测试.言语信号类型选用单音节词和双音节词,每耳测听单音节词和双音节词各为20个.主要观察指标:耳内式、耳背式助听器对单、双音节词测听比较.结果:耳内式、耳背式助听器使用者的使用效果相比,在言语分辨率上无论开放式、闭合式对双音节词、单音节词的分辨率差异均无显著性意义(P＞0.05);双音节词和单音节词的分辨率比较,开放式的状态下,差异有显著性意义(P＜0.05);闭合式的状态下,差异无显著性意义(P＞0.05).结论:在助听器选配中言语测听的实际实施受诸多因素影响.
배경:언어측은재조은기적선배중유결정성적작용,단중국림상응용교소. 목적:통과언어측은료해이내식조은기화이배식조은기적사용자재언어분변솔상적차별.설계:배대대조실험.단위:해방군제사일사의원은력중심,강소성은력강복중심.대상:선택취진우해방군제사일사의원은력중심,강소성은력강복중심이롱환자62례.32례(이)사용이내식조은기이롱환자중,평균은력손실(500,1 000,2 000,4 000 Hz)＜85 dB,년령16～60세.30례(이)사용이배식조은기이롱환자중,평균은력손실(500,1 000,2 000,4 000 Hz)＜85 dB,년령16-60세.대실험균지정동의.방법:채용개방법화폐합법,분별대이내식、이배식조은기사용자,진행단이령은조건하적언어측시.언어신호류형선용단음절사화쌍음절사,매이측은단음절사화쌍음절사각위20개.주요관찰지표:이내식、이배식조은기대단、쌍음절사측은비교.결과:이내식、이배식조은기사용자적사용효과상비,재언어분변솔상무론개방식、폐합식대쌍음절사、단음절사적분변솔차이균무현저성의의(P＞0.05);쌍음절사화단음절사적분변솔비교,개방식적상태하,차이유현저성의의(P＜0.05);폐합식적상태하,차이무현저성의의(P＞0.05).결론:재조은기선배중언어측은적실제실시수제다인소영향.
BACKGROUND: Speech audiometry is decisive in selecting hearing aid,but it is seldom used in clinic in China.OBJECTIVE: To understand the differences in the speech resolution with speech audiometry between in-the-ear (ITE) and behind-the-ear (BTE)hearing aids.DESIGN: Paired controlled study.SETTING: Auditory Center of the 414 Hospital of Chinese PLA, Auditory Rehabilitation Center of Jiangsu Province.PARTICIPANTS: A total of 62 patients with auditory disability were selected from the Auditory Center of the 414 Hospital of Chinese PLA and Auditory Rehabilitation Center of Jiangsu Province. Among 32 ITE hearing aid users, average hearing loss at 500, 1 000, 2 000 and 4 000 Hz, was less than 85 dB, and the patients were aged from 16 to 60 years. Among 30 BTE hearing aid users, average hearing loss at 500, 1 000, 2 000 and 4 000 Hz, was also less than 85 dB, and the patients were aged from 16 to 60 years. All patients were consent.METHODS: Open and close methods were adopted for speech audiometry among ITE and BTE hearing aids users. Monosyllabic and disyllabic words were chosen as the type of speech and 20 words were given to one ear, respectively.MAIN OUTCOME MEASURES: Comparison of speech resolution with monosyllabic and disyllabic words test between ITE and BTE hearing aid.RESULTS: In aspect of the effect of ITE and BTE hearing aids, there were no significant differences of both monosyllabic and disyllabic words no matter through open or close method (P ＞ 0.05). At the opening state, there were significant differences in resolution of monosyllabic and disyllabic words (P ＜ 0.05); while, there were no significant differences (P ＞ 0.05) at the closing state.CONCLUSION: Carrying out speech audiometry in the selection hearing aid is influenced by many factors.