听障患者认知功能特点及影响因素分析

张南; 郑洁; 王欢

doi:10.3969/j.issn.1672-4933.2025.05.021

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听障患者认知功能特点及影响因素分析

康复教育 | 更新时间：2026-07-11

- 听障患者认知功能特点及影响因素分析
- An Analysis of Characteristics of Cognitive Functions of Patients with Hearing Impairment and Influencing Factors
- 中国听力语言康复科学杂志 2025年23卷第5期页码：539-541
- 作者机构：
  
  沧州市人民医院耳鼻喉科沧州 061000
- 作者简介：
  
  张南本科主管护师；研究方向：耳鼻喉科患者围术期、突发性耳聋
  郑洁，E-mail：907424501@qq.com
- 基金信息：
  
  2022年度河北省医学科学研究课题“前庭检查及康复训练在前庭性眩晕的临床应用分析”(20220305)
- DOI：10.3969/j.issn.1672-4933.2025.05.021
  中图分类号： G762
- 收稿：2025-02-23，
  
  纸质出版：2025-09-15
- 稿件说明：
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张南,郑洁,王欢.听障患者认知功能特点及影响因素分析[J].中国听力语言康复科学杂志,2025,23(05):539-541.

ZHANG Nan,ZHENG Jie,WANG Huan.An Analysis of Characteristics of Cognitive Functions of Patients with Hearing Impairment and Influencing Factors[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(05):539-541.
张南,郑洁,王欢.听障患者认知功能特点及影响因素分析[J].中国听力语言康复科学杂志,2025,23(05):539-541. DOI： 10.3969/j.issn.1672-4933.2025.05.021.

ZHANG Nan,ZHENG Jie,WANG Huan.An Analysis of Characteristics of Cognitive Functions of Patients with Hearing Impairment and Influencing Factors[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(05):539-541. DOI： 10.3969/j.issn.1672-4933.2025.05.021.

摘要

目的

探究听障患者认知功能特点及影响因素，为临床干预提供依据。

方法

选取2021年3月～2024 年6月本院听障患者120例作为观察组，同期健康体检者120例作为对照组。收集所有研究对象临床资料，评估其认知功能，分析认知功能特点及影响因素。

结果

观察组患者的年龄、纯音听阈及成人听力障碍筛查量表（hearing handicap identification assessment-screening，HHIA-S）得分较高，受教育年限较低，简易精神状态检查表（mini-mental state examination，MMSE）总分及各分项得分均较低，差异具有统计学意义（

＜0.05）。Logistic回归分析，受教育年限（OR=0.836，95%CI：0.715～0.978，

=0.024）是影响听障患者出现认知功能障碍的保护因素，纯音听阈（OR=1.051，95%CI：1.008～1.096，

=0.023）和HHIA-S量表评分（OR=1.094，95%CI：1.022～1.169，

=0.011）是认知障碍的独立危险因素。

结论

听障患者存在显著认知功能缺陷，受教育年限长是影响其出现认知功能障碍的保护因素，纯音听阈和HHIA-S量表评分增高是影响其出现认知功能障碍的危险因素，临床应重视评估，合理制订干预方案。

Abstract

Objective

To investigate the cognitive function characteristics of patients with hearing impairment

analyze their influencing factors

and provide the basis for clinical intervention.

Methods

120 hearing impaired patients were selected from March 2021 to June 2024 as the observation group

and 120 healthy people as the control group. Clinical data of all the study subjects were collected

cognitive functions were assessed

and cognitive function characteristics and influencing factors were analyzed.

Results

Inter-group comparisons showed that patients in the observation group had significantly higher age

pure-tone average thresholds

and Hearing Handicap Identific

ation Assessment-Screening (HHIA-S) scale scores

but fewer years of education. In contrast

the total scores of the Mini-Mental State Examination (MMSE) and scores of all its sub-items were significantly lower in the observation group. All these differences were statistically significant (

0.05). Logistic regression analysis indicated that the number of years of education (OR=0.836

95%CI:0.715-0.978

=0.024) was a protective factor for cognitive impairment in patients with hearing impairment. Meanwhile

pure-tone average thresholds (OR=1.051

95%CI:1.008-1.096

=0.023) and HHIA-S scale scores (OR=1.094

95%CI:1.022-1.169

=0.011) were identified as independent risk factors.

Conclusion

Patients with hearing impairment exhibit significant cognitive deficits. Longer years of education serve as a protective factor against cognitive impairment in these patients

while higher pure-tone average thresholds and HHIA-S scale scores are risk factors. Clinicians should attach great importance to comprehensive assessment to facilitate the formulation of reasonable intervention strategies.

关键词

Keywords

references

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