老年听障患者助听器配戴效果与听力损失程度及身体衰弱的相关性

赵丽娜; 杨蕾; 和嘉雨

doi:10.3969/j.issn.1672-4933.2025.04.013

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老年听障患者助听器配戴效果与听力损失程度及身体衰弱的相关性

临床研究 | 更新时间：2026-07-11

- 老年听障患者助听器配戴效果与听力损失程度及身体衰弱的相关性
- The Correlation of the Wearing Effect of Hearing Aids with Hearing Loss Degree and Asthenia in Elderly Patients with Hearing Impairment
- 中国听力语言康复科学杂志 2025年23卷第4期页码：413-416
- 作者机构：
  
  1.海淀第二十退休干部休养所门诊部北京 100195
  2.海淀第十四退休干部休养所门诊部北京 100094
  3.解放军总医院第六医学中心耳鼻咽喉头颈医学部北京100048
- 作者简介：
  
  赵丽娜本科护师；研究方向：老年听力学
  杨蕾，E-mail：981770441@qq.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.04.013
  中图分类号： G762
- 收稿：2025-02-12，
  
  纸质出版：2025-07-15
- 稿件说明：
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赵丽娜,杨蕾,和嘉雨.老年听障患者助听器配戴效果与听力损失程度及身体衰弱的相关性[J].中国听力语言康复科学杂志,2025,23(04):413-416.

ZHAO Li-na,YANG Lei,HE Jia-yu.The Correlation of the Wearing Effect of Hearing Aids with Hearing Loss Degree and Asthenia in Elderly Patients with Hearing Impairment[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):413-416.
赵丽娜,杨蕾,和嘉雨.老年听障患者助听器配戴效果与听力损失程度及身体衰弱的相关性[J].中国听力语言康复科学杂志,2025,23(04):413-416. DOI： 10.3969/j.issn.1672-4933.2025.04.013.

ZHAO Li-na,YANG Lei,HE Jia-yu.The Correlation of the Wearing Effect of Hearing Aids with Hearing Loss Degree and Asthenia in Elderly Patients with Hearing Impairment[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):413-416. DOI： 10.3969/j.issn.1672-4933.2025.04.013.

摘要

目的

分析老年听障患者助听器配戴效果与听力损失程度及身体衰弱的相关性。

方法

纳入2022年6月～2024年6月我院收治的150例老年性聋患者，对一般资料、助听器配戴效果、听力损失程度、身体衰弱情况、认知能力进行评估，比较不同听力损失程度患者助听器配戴效果和认知能力，以及不同身体衰弱患者助听器配戴效果、认知能力、言语识别率。采用Spearman相关性分析患者助听器配戴效果、认知能力与听力损失程度、身体衰弱的相关性，多因素回归分析患者助听器配戴效果的影响因素。

结果

150例老年听障患者助听器效果国际性调查问卷（international outcome inventory for hearing aid， IOI-HA）得分为24.56±3.22分；听力损失轻度82例，中度48例，重度20例；无衰弱者85例，衰弱前期43例，衰弱22例；不同听力损失程度患者简易精神状况检查量表（mini mental state evaluation， MMSE）评分无显著差异，重度听力损失患者IOI-HA、MMSE评分明显低于轻度听力损失患者，不同衰弱情况者IOI-HA、MMSE评分、言语识别率比较有显著差异，衰弱的老年听障患者IOI-HA、MMSE评分、言语识别率明显低于无衰弱者（

＜0.05）；老年听障患者助听器配戴效果、认知能力与听力损失程度、衰弱程度呈显著负相关（

＜0.05）；听力损失程度、衰弱是老年听障患者助听器配戴效果的影响因素（

＜0.05）。

结论

听力损失程度较重、衰弱的老年听障患者助听器配戴效果较差，听力损失程度与衰弱是老年听障患者助听器配戴效果的影响因素。

Abstract

Objective

To analyze the correlation of the wearing effect of hearing aids and the degree of hearing loss and asthenia in elderly patients with hearing impairment.

Methods

150 elderly patients with hearing impairment admitted to our hospital from June 2022 to June 2024 were included as research objects. General information of patients

wearing effects of hearing aids [International Outcome Inventory for Hearing Aid (IOI-HA)]

hearing loss degrees frailty and cognitive ability [Mini Mental State Evaluation (MMSE)] were compared. The wearing effect and cognitive ability of hearing aids with different degrees of hearing loss and the wearing effect

cognitive ability and speech recognition rate of hearing aids with different weakening elderly patients with hearing impairment were compared. Spearman correlation analysis was conducted to study the correlation of the wearing effect of hearing aids and cognitive ability with degree of hearing loss and asthenia. Multivariate regression analysis was used to study the influence factors of the wearing effect hearing aids in elderly patients with hearing impairment.

Results

The IOI-HA score of 150 elderly patients with hearing impairment was 24.56±3.22. The degrees of hearing loss were mild in 82 cases

moderate in 48 cases

and severe in 20 cases. There were 85 cases without asthenia

43 cases asthenia at early stage

22 cases asthenia. There were significant differences in MMSE scores among patients with different degrees of hearing loss. The IOI-HA and MMSE score of elderly patients with severe hearing loss was significantly lower than that of those with mild hearing loss

and the IOI-HA

MMSE and speech recognition rate of elderly patients with asthenia was significantly different

and the scores of IOI-HA

MMSE and speech recognition rate of frailty elderly patients with hearing impairment were significantly lower than those without frailty (

0.05).The wearing effect and cognitive ability of hearing aids was negatively correlated with the degree of hearing loss and asthenia (

0.05).The degree of hearing loss and asthenia were the factors influencing the wearing effect of hearing aids (

0.05).

Conclusion

Elderly patients with severe hearing loss and asthenia hearing impairment have poor wearing effects

which is related to the wearing effect of hearing aids. The degree of hearing loss and asthenia are the factors affecting the wearing effect of hearing aids in elderly patients with hearing impairment.

关键词

Keywords

references

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