1例听阈正常伴感音神经性听力损失症状患者的临床干预

西品香; 马佳; 李媛媛; 孔立时; 张建一

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1例听阈正常伴感音神经性听力损失症状患者的临床干预

病例报道 | 更新时间：2026-10-28

- 1例听阈正常伴感音神经性听力损失症状患者的临床干预
- Clinical Intervention of Hearing Aids in a Patient with Normal Hearing Thresholds with Symptoms of Sensory Hearing Loss
- 中国听力语言康复科学杂志 2022年20卷第5期页码：383-385
- 作者机构：
  
  北京协丹听力中心
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R764.43
- 纸质出版：2022
- 稿件说明：
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西品香, 马佳, 李媛媛, 等. 1例听阈正常伴感音神经性听力损失症状患者的临床干预[J]. 中国听力语言康复科学杂志, 2022,20(5):383-385.

西品香, 马佳, 李媛媛, et al. Clinical Intervention of Hearing Aids in a Patient with Normal Hearing Thresholds with Symptoms of Sensory Hearing Loss[J]. 2022, 20(5): 383-385.
西品香, 马佳, 李媛媛, 等. 1例听阈正常伴感音神经性听力损失症状患者的临床干预[J]. 中国听力语言康复科学杂志, 2022,20(5):383-385. DOI：

西品香, 马佳, 李媛媛, et al. Clinical Intervention of Hearing Aids in a Patient with Normal Hearing Thresholds with Symptoms of Sensory Hearing Loss[J]. 2022, 20(5): 383-385. DOI：

摘要

本文对1例听阈正常但伴有感音神经性听力损失症状（噪声下言语分辨力下降、听觉过敏、耳鸣、声源定位困难等）的患者使用助听器干预，以改善听觉过敏、声源定位等症状为切入点，结合多项主、客观评估检测，适时调整助听器的调试方案，并全程辅助心理疏导，有效改善了患者的临床症状。此类隐性(不典型)听力损失患者诊断、干预较困难，没有可借鉴的临床案例，希望通过本案例对医生和听力师提供借鉴经验，以引发更多的重视和思考。

Abstract

In this case

a patient with normal hearing threshold but symptoms of sensory hearing loss（decreased speech resolution in noisy situations

auditory hypersensitivity tinnitus

sound source localization disorders

etc.） was intervened by hearing aids. With the improvement of symptoms such as hypersensitivity and sound source localization as the starting point

combined with a number of subjective and objective assessment and detection

the debugging scheme of the hearing aid was adjusted in a timely manner

and the psychological counseling was assisted throughout the process

which effectively improved the clinical symptoms of the patient. For patients with such manifestations

some scholars have proposed the concept of hidden（atypical） hearing loss. Due to the difficulty of diagnosis and intervention（treatment

application of auxiliary equipment）

there are no clinical cases to learn from. It is hoped that through this case

doctors and audiologists will provide experience that can be learned from

and arouse more attention and thinking.

关键词

Keywords

references

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张建一,西品香,马佳,李媛媛,孔立时.不舒适阈与临界带宽等相关性探讨[J].中国听力语言康复科学杂志,2018(02).

Liberman M Charles,Epstein Michael J,Cleveland Sandra S,Wang Haobing,Maison Stéphane F.Toward a Differential Diagnosis of Hidden Hearing Loss in Humans.[J].PloS one,2016.

Megan Kobel,Colleen G. Le Prell,Jennifer Liu,John W. Hawks,Jianxin Bao.Noise-induced cochlear synaptopathy: Past findings and future studies[J].Hearing Research,2016.

Ann E. Hickox,Erik Larsen,Michael G. Heinz,Leslie Shinobu,Jonathon P. Whitton.Translational issues in cochlear synaptopathy[J].Hearing Research,2016.

Mehraei Golbarg,Hickox Ann E,Bharadwaj Hari M,Goldberg Hannah,Verhulst Sarah,Liberman M Charles,Shinn-Cunningham Barbara G.Auditory Brainstem Response Latency in Noise as a Marker of Cochlear Synaptopathy.[J].The Journal of neuroscience : the official journal of the Society for Neuroscience,2016.

Liberman M Charles.HIDDEN HEARING LOSS.[J].Scientific American,2015.

Christopher J. Plack,Daphne Barker,Garreth Prendergast.Perceptual Consequences of “Hidden” Hearing Loss[J].Trends in Hearing,2014.

Goldstein,Shulman.Tinnitus - Hyperacusis and the Loudness Discomfort Level Test - A Preliminary Report.[J].The international tinnitus journal,1996.

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