CAJ | 학술논문

目的：探讨单、双耳佩戴助听器对助听效果的影响。方法应用助听器效果国际性调查问卷（the in-ternational outcome inventory for hearing aids ，IOI-HA）和中等声强度（65 dB SPL）下的言语识别率测试，对26例单耳佩戴及21例双耳佩戴助听器的成年重度感音神经性聋患者进行助听效果评估。结果重度感音神经性聋患者佩戴助听器后，单耳佩戴者的单音节词、安静及噪声下语句识别率改善值分别为35．73％、43．15％、43．23％，双耳佩戴者分别为37．90％、51．33％、54．86％，且双耳佩戴者的言语识别率高于单耳佩戴者；单、双耳佩戴者IOI -HA整体得分分别为29．96±3．04和29．52±5．29分，对助听器使用效果满意度均较高，且两者间IOI -HA得分差异无统计学意义（P＞0．05）。结论双耳佩戴助听器的语句识别率高于单耳佩戴者，对双耳听力障碍者建议双耳选配助听器。
목적：탐토단、쌍이패대조은기대조은효과적영향。방법응용조은기효과국제성조사문권（the in-ternational outcome inventory for hearing aids ，IOI-HA）화중등성강도（65 dB SPL）하적언어식별솔측시，대26례단이패대급21례쌍이패대조은기적성년중도감음신경성롱환자진행조은효과평고。결과중도감음신경성롱환자패대조은기후，단이패대자적단음절사、안정급조성하어구식별솔개선치분별위35．73％、43．15％、43．23％，쌍이패대자분별위37．90％、51．33％、54．86％，차쌍이패대자적언어식별솔고우단이패대자；단、쌍이패대자IOI -HA정체득분분별위29．96±3．04화29．52±5．29분，대조은기사용효과만의도균교고，차량자간IOI -HA득분차이무통계학의의（P＞0．05）。결론쌍이패대조은기적어구식별솔고우단이패대자，대쌍이은력장애자건의쌍이선배조은기。
Objective To study the influence of unilateral and bilateral amplification on the effect of hearing aid evaluation .Methods Using the subjective method that International Outcome Inventory for Hearing Aids (IOI-HA) and objective method that medium acoustic intensity (65 dB SPL) word recognition score(WRS) to evaluate the effect of unilateral and bilateral hearing aid fitting of middle -aged severe sensorneural hearing loss .Results Hearing aid were used for severe sensorneural hearing loss and the improvement of monosyllables and sentences in quiet and noise test of unilateral were 35 .73% ,43 .15% ,43 .23% ;the improvement of monosyllables and sentences in quiet and noise test of bilateral were 37 .90% ,51 .33% ,54 .86% .The WRS of bilateral was higher than unilater-al .The score of IOI-HA was 15~37 ,meaning patients with severe sensorneural hearing loss were satisfied with hearing aid ,and there was no statistical significance between unilateral and bilateral fitting .Conclusion The bilat-eral hearing aid fitting was better than unilateral .Binaural hearing loss are recommended to fit bilaleral hearing aids .