年龄相关性听力损失患者配戴助听器效果分析

费樱平; 尹艳; 卢兢哲; 郑芸; 钟萍

doi:10.3969/j.issn.1672-4933.2026.04.011

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年龄相关性听力损失患者配戴助听器效果分析

临床研究 | 更新时间：2026-09-22

- 年龄相关性听力损失患者配戴助听器效果分析
- Analysis of Hearing Aid Effectiveness in Patients with Age-related Hearing Loss
- 中国听力语言康复科学杂志 2026年24卷第4期页码：384-387
- 作者机构：
  
  四川大学华西医院成都 610041
- 作者简介：
  
  费樱平博士主治医师；研究方向：听力康复研究
  郑芸，E-mail： 1141679315@qq.com
- 基金信息：
  
  四川大学华西医院临床研究项目“听损成人助听干预前后影响因素及康复效果研究”(HX-H2008159)
- DOI：10.3969/j.issn.1672-4933.2026.04.011
  中图分类号： R764.43
- 收稿：2025-09-17，
  
  修回：2026-05-28，
  
  录用：2026-06-30，
  
  纸质出版：2026-07-15
- 稿件说明：
移动端阅览
费樱平,尹艳,卢兢哲等.年龄相关性听力损失患者配戴助听器效果分析[J].中国听力语言康复科学杂志,2026,24(04):384-387.

FEI Ying-ping,YIN Yan,LU Jing-zhe,et al.Analysis of Hearing Aid Effectiveness in Patients with Age-related Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):384-387.
费樱平,尹艳,卢兢哲等.年龄相关性听力损失患者配戴助听器效果分析[J].中国听力语言康复科学杂志,2026,24(04):384-387. DOI： 10.3969/j.issn.1672-4933.2026.04.011.

FEI Ying-ping,YIN Yan,LU Jing-zhe,et al.Analysis of Hearing Aid Effectiveness in Patients with Age-related Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):384-387. DOI： 10.3969/j.issn.1672-4933.2026.04.011.

摘要

目的

探讨年龄相关性听力损失（age-related hearing loss，ARHL）患者双耳配戴助听器后裸耳听阈、助听听阈与助听后言语分辨率（word recognition score，WRS）的变化。

方法

选取2020年1月～2025年1月于四川大学华西医院耳鼻喉头颈外科听力中心验配助听器且在验配后≥3月至少进行1次复诊的91例ARHL患者。计量资料采用Kolmogorov-Smirnov进行数据正态性检验，符合正态分布采用

https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=118888857&type=

https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=118888880&type=

1.35466671

2.03200006

表示，非正态分布采用M（Q1，Q3）表示。纯音听阈比较采用两两配对

检验，WRS的变化采用秩和检验。以

0.05为差异有统计学意义。

结果

91例患者中，男性36例，女性55例，平均年龄71.47±10.67岁，中位听力下降病程7年，中位随访时间6.5个月。助听听阈（46.75±10.30 dB HL）较复诊时裸耳听阈（66.09±11.40 dB HL）显著改善（19.35±8.48 dB HL）（

＜0.01）。整体上，裸耳听阈（66.09±11.40 dB HL）较基线听阈（63.15±11.78 dB HL）显著提高（2.95±6.45 dB HL）（

＜0.05）。裸耳听阈较基线听阈降低＞5 dB HL有8耳（4.4%），降低≤5 dB HL124耳（68.13%），增加＞5 dB HL 50耳（27.47%）。基线、裸耳和助听后WRS分别为80%（48，88）、68%（48， 88）和76%（56，88），助听后与裸耳WRS有显著差异（

＜0.05）；裸耳与基线WRS、助听后与基线WRS的差异均无显著差异（

＞0.05）。

结论

双耳配戴助听器可显著补偿ARHL患者听阈，提高WRS，对听觉补偿和交流功能康复具有积极作用。

Abstract

Objective

To investigate the changes in unaided pure-tone thresholds

aided thresholds

and aided word recognition scores (WRS) in patients with age-related hearing loss (ARHL) after bilateral hearing aid fitting.

Methods

This retrospective study included 91 ARHL patients who underwent hearing aid fitting at the Hearing Center of the Department of Otorhinolaryngology-Head and Neck Surgery in our hospital between January 2020 and January 2025 and attended at least one follow-up visit at ≥3 months post-fitting. The Kolmogorov-Smirnov test was used to test the normality of data distribution. Normally distributed data were expressed as mean ± standard deviation (

https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=118888891&type=

https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=118888890&type=

1.35466671

2.03200006

)

while non-normall

y distributed data were expressed as median (Q1

Q3). Paired t-tests were used to compare pure-tone thresholds

and the Wilcoxon signed-rank test was used to analyze changes in WRS. A P-value

0.05 was considered statistically significant.

Results

Among the 91 patients

36 were male and 55 female

with a mean age of 71.47±10.67 years. The median duration of hearing loss was 7 years. The median follow-up time was 6.5 months. The aided pure-tone threshold was (46.75±10.30 dB HL)

representing a mean improvement of (19.35±8.48 dB HL) compared with the unaided threshold at follow-up (66.09±11.40 dB HL). This difference was statistically significant (

0.01). Overall

the unaided threshold at follow-up (66.09±11.40 dB HL) showed a mean increase of (2.95±6.45 dB HL) compared with the baseline threshold (63.15±11.78 dB HL). This difference was also statistically significant (

0.05). Specifically

compared with baseline

unaided thresholds decreased by more than 5 dB HL in 8 ears (4.4%)

remained within ±5 dB HL in 124 ears (68.13%)

and increased by more than 5 dB HL in 50 ears (27.47%). The WRS at baseline

unaided (follow-up)

and aided were 80 (48

88) %

68 (48

88) %

and 76 (56

88) %

respectively. The difference in WRS between aided and unaided conditions was statistically significant(

0.05). No statistically significant differences were observed between unaided and baseline WRS

nor between aided and baseline WRS(

0.05).

Conclusion

Bilateral hearing aid fitting significantly compensates for pure-tone hearing loss and improves speech discrimination ability in ARHL patients

playing a positive role in auditory compensation and restoration of communication function.

关键词

Keywords

references

Tsai Do BS , Bush ML , Weinreich HM , et al . Clinical Practice Guideline: Age-Related Hearing Loss [J ] . Otolaryngol Head Neck Surg , 2024 , 170 ( Suppl 2 ): S1 - S54

Homans , Nienke C , Metselaar R , et al . Prevalence of Age-Related Hearing Loss, Including Sex Differences,in Older Adults in a Large Cohort Study [J ] . The Laryngoscope , 2017 , 127 ( 3 ): 725 - 730 .

宋蒙涛 , 王大勇 , 王秋菊 . 年龄相关性听力损失的危险因素与发病机制的研究进展 [J ] . 中华医学杂志 , 2025 , 105 ( 48 ): 4536 - 4540 .

Guo D , Zhang A , Zou T , et al . The influence of metabolic syndrome on age-related hearing loss from the perspective of mitochondrial dysfunction [J ] . Front Aging Neurosci , 2022 , 29 ( 14 ): 930105 .

张婷 , 毛彦文 , 黄巧宇 , 等 . 中国年龄相关性和其他听力损失疾病负担分析及趋势预测 [J ] . 现代预防医学 , 2025 , 52 ( 24 ): 4450 - 4456,4465 .

胡向阳 , 郑晓瑛 , 马芙蓉 , 等 . 我国四省听力障碍流行现况调查 [J ] . 中华耳鼻咽喉头颈外科杂志 , 2016 , 51 ( 11 ): 819 - 825 .

于丽玫 , 孙喜斌 , 魏志云 , 等 . 全国老年听力残疾人群现状调查研究 [J ] . 中国听力语言康复科学杂志 , 2008 , 6 ( 3 ): 63 - 65 .

Huang AR , Jiang K , Lin FR , et al . Hearing Loss and Dementia Prevalence in Older Adults in the US [J ] . JAMA , 2023 , 329 ( 2 ): 171 - 173 .

赵世程 , 王文广 , 公俊杰 , 等 . 年龄相关性听力损失与阿尔茨海默病相关性 [J ] . 中华老年医学杂志 , 2026 , 45 ( 1 ): 31 - 37 .

房海旭 , 刘淑云 , 殷泽登 . 年龄相关性听力损失与老年抑郁症相关性的研究进展 [J ] . 中华耳科学杂志 , 2025 , 23 ( 4 ): 581 - 586 .

Cunningham LL,Tucci DL Hearing Loss in Adults [J ] . N Engl J Med , 2017 , 377 ( 25 ): 2465 - 2473 .

全国防聋治聋技术指导组 , 中华医学会耳鼻咽喉头颈外科学分会 , 中华耳鼻咽喉头颈外科杂志编辑委员会 , 等 . 老年听力损失诊断与干预专家共识(2019) [J ] . 中华耳鼻咽喉头颈外科杂志 , 2019 , 54 ( 3 ): 166 - 173 .

卜行宽 , 刘铤 . 世界卫生组织预防聋和听力减退工作情况介绍 [J ] . 中华耳鼻咽喉科杂志 , 2000 , 35 ( 3 ): 237 - 239 .

赵宇 . 临床听力学检测及康复技术 [M ] . 北京 : 人民卫生出版社 , 2025 . 122 - 124 .

张华 . 助听器验配师基础知识 [M ] . 北京 : 人民卫生出版社 , 2016 . 117 - 131 .

刁聪 , 王强 , 刘敏 , 等 . 年龄相关性听力损失与认知功能评估横断面研究:言语识别率与纯音听阈的预测价值 [J ] . 听力学及言语疾病杂志 , 2024 , 32 ( 1 ): 1 - 6 .

Knoetze M , Manchaiah V , Mothemela B , et al . Factors Influencing Hearing Help-Seeking and Hearing Aid Uptake in Adults: A Systematic Review of the Past Decade [J ] . Trends Hear , 2023 , 27 ( 1 ): 1 - 24 .

尹艳 , 李刚 , 郑芸 , 等 . 双侧中或重度感音神经性听力损失成人助听器验配成功率及影响因素 [J ] . 听力学及言语疾病杂志 , 2022 , 30 ( 4 ): 429 - 431 .

Heo Y , Cho YS . Deterioration of Hearing Due to Hearing Aids [J ] . Clin Exp Otorhinolaryngol . 2024 , 17 ( 2 ): 109 - 115 .

Goel AR , Bruce HA , Williams N , et al . Long-Term Effects of Hearing Aids on Hearing Ability in Patients with Sensorineural Hearing Loss [J ] . J Am Acad Audiol , 2021 , 32 ( 6 ): 374 - 378 .

Dolan TG , Maurer JF . Noise exposure associated with hearing aid use in industry [J ] . J Speech Hear Res , 1996 , 39 ( 2 ): 251 - 260 .

Song JE , Tanaka SM , Pinto JM , et al . Long-term effects of hearing aids on word recognition scores [J ] . Ann Otol Rhinol Laryngol , 2011 , 120 ( 5 ): 314 - 319 .

Hoppe U , Hocke T , Iro H . Age-Related Decline of Speech Perception [J ] . Front Aging Neurosci , 2022 , 22 ( 14 ): 191 - 202 .

Grant KJ , Parthasarathy A , Vasilkov V , et al . Predicting neural deficits in sensorineural hearing loss from word recognition scores [J ] . Sci Rep , 2022 , 12 ( 1 ): 8929 - 8945 .

Fullgrabe C , Moore BC , Stone MA . Age-group differences in speech identification despite matched audiometrically normal hearing: Contributions from auditory temporal processing and cognition [J ] . Front. Aging Neurosci , 2014 , 21 ( 6 ): 347 - 352 .

彭珊 , 李刚 , 郑芸 . 言语分辨率测试的研究进展 [J ] . 听力学及言语疾病杂志 , 2020 , 28 ( 3 ): 351 - 354 .

姜汶伶 , 黄美萍 , 周嵌 , 等 . 言语测听与助听器干预及效果评估 [J ] . 中国眼耳鼻喉科杂志 , 2024 , 24 ( 1 ): 16 - 20 .

Wang X , Zheng Y , Liu Y , et al . Effects of demographic, audiologic, and hearing-aid-related variables on the outcomes of using hearing aids [J ] . Eur Arch Otorhinolaryngol , 2022 , 279 ( 8 ): 3857 - 3865 .

Ahn J , Lim J , Kang M , Cho YS . Associations between aided speech audiometry and subjective assessment of hearing aid outcomes [J ] . Int J Audiol , 2023 , 62 ( 10 ): 955 - 963 .

田宏斌 . 助听器远程验配调试及临床应用 [J ] . 中国听力语言康复科学杂志 , 2023 , 21 ( 2 ): 134 - 137 .

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