The Effectiveness of Domestic ally Made Hearing Aids for Initial Fitting in Middle-Aged and Elderly Hearing-Impaired Patients

YANG Yang; LI Ju; WANG Xiao-li; SONG Rong; LI Zhi-yue; TENG Bai-yu

doi:10.3969/j.issn.1672-4933.2024.05.006

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The Effectiveness of Domestic ally Made Hearing Aids for Initial Fitting in Middle-Aged and Elderly Hearing-Impaired Patients

Clinical Research | 更新时间：2024-09-05

- The Effectiveness of Domestic ally Made Hearing Aids for Initial Fitting in Middle-Aged and Elderly Hearing-Impaired Patients
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 22, Issue 5, Pages: 475-478(2024)
- 作者机构：
  
  1.中国听力语言康复研究中心北京 100029
  2.北京科弘悦医疗器械有限公司北京 100000
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.05.006
  CLC： R764.5
- Published：15 September 2024，
  
  Received：12 March 2024，
- 稿件说明：
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杨洋,李炬,王晓力等.中老年听障患者初次验配国产助听器效果评价[J].中国听力语言康复科学杂志,2024,22(05):475-478.

YANG Yang,LI Ju,WANG Xiao-li,et al.The Effectiveness of Domestic ally Made Hearing Aids for Initial Fitting in Middle-Aged and Elderly Hearing-Impaired Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):475-478.
杨洋,李炬,王晓力等.中老年听障患者初次验配国产助听器效果评价[J].中国听力语言康复科学杂志,2024,22(05):475-478. DOI： 10.3969/j.issn.1672-4933.2024.05.006.

YANG Yang,LI Ju,WANG Xiao-li,et al.The Effectiveness of Domestic ally Made Hearing Aids for Initial Fitting in Middle-Aged and Elderly Hearing-Impaired Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):475-478. DOI： 10.3969/j.issn.1672-4933.2024.05.006.

摘要

目的

评价中老年听障患者助听器初体验使用效果，探讨国产助听器的应用情况。

方法

招募86例中度至中重度感音神经性听力减退的50～80岁中老年人，参与助听器验配效果随机对照研究；交替配戴国产助听器与进口助听器。入组时采用纯音听阈测试、安静条件下的语句识别率等指标，比较两款助听器验配前后言语测试结果，使用助听器效果问卷评价两款助听器的助听效果。

结果

在验配国产助听器与进口助听器后，两款助听器均提升言语（语句）识别率，但两者呈显著差异（

=0.000）。对比两款助听器之间助听前后言语（语句）识别率差值，进口与国产助听器在助听语句识别效果有显著差异（

=0.000）。自评量表助听器效果问卷，两款助听器外观、音质有显著差异（

=0.000、

=0.008），而易操作性、清晰度、情绪及社交能力方面均无差异。

结论

国产助听器与进口助听器均可对中老年听障患者提供有效听力补偿，提高其言语识别能力。安静条件下进口助听器言语（语句）识别效果好于国产助听器。患者对助听器效果总体持肯定态度，但比较介意助听器外观对于个人外观形象的影响及音质的变化。

Abstract

Objective

Evaluating the initial experience of hearing aid use in middle-aged and elderly patients with hearing impairment

and discussion on the application status of domestic hearing aids.

Methods

86 middle-aged and elderly individuals aged 50 to 80 years with moderate to moderately-severe sensorineural hearing loss were recruited for a randomized controlled study evaluating the effectiveness of hearing aid fittings; they alternately wore domestic all made and imported hearing aids. Pure tone audiometry and sentence recognition rates under quiet conditions were used at the baseline to compare speech test evaluations before and after fitting with both types of hearing aids. A hearing aid effect questionnaire was employed to assess the performance of the two hearing aids.

Results

86 participants completed the trial. After fitting and imported hearing aids

both hearing aids improved speech (sentence) recognition rate

but they showed a significant difference (

=0.000). Comparing the difference in speech (sentence) recognition rates before and after using the two types of hearing aids

there was a significant difference between the imported and hearing aids in terms of aided sentence recognition effect (

=0.000). For self-assessment questionnaire for hearing aid effectiveness

two hearing aids have differences in appearance and sound quality (

=0.000

=0.008)

while there are no differences in ease of operation

clarity

emotion

and social skills.

Conclusion

The both and imported hearing aids can provide effective auditory compensation for middle-aged and elderly patients with hearing impairments

improving their speech recognition capabilities. Under quiet conditions

imported hearing aids show better post-fitting speech (sentence) recognition than domestic ones. Patients generally have a positive attitude towards the effectiveness of hearing aids

but still have concerns about the impact of the appearance of the hearing aids on personal image and changes in sound quality.

关键词

助听器验配言语识别助听器效果问卷助听效果

Keywords

Hearing aid fittingSpeech recognitionHearing aid effectiveness questionnaireHearing aid effectiveness

references

郗昕,崔梦茜,周颖,等. 自主验配与常规验配助听器的短期效果对比研究[J]. 听力学及言语疾病杂志,2023,31(3):226-231.

杨建宏,鲁秀玲,吴婷婷,等.关于社区听障老年人对国产助听器第一印象的调查研究[J].中国听力语言康复科学杂志,2023,21(6):590-596.

郗昕.成人言语测听的基本内容及其临床价值[J].临床耳鼻咽喉头颈外科杂志,2013,27(7):337-339.

徐朝霞,孙晓萍,郭爱萍.言语测听在助听器选配中的作用[J].包头医学院学报,2010,26(6):76-77.

Knoetze M, Manchaiah V, Mothemeta B, et al. Factors Influencing Hearing Help-Seeking and Hearing Aid Uptake in Adults: A Systematic Review of the Past Decade[J]. Trends Hear, 2023,27:23312165231157255.

Knudsen LV, Oberg M, Nielsen C, et al. Factors influencing help seeking, hearing aid uptake, hearing aid use and satisfaction with hearing aids: a review of the literature[J]. Trends Amplif, 2010, 14(3): 127-154.

Zhao F, Manchaiah V, Claire LS,et al.Exploring the influence of culture on hearing help-seeking and hearing-aid uptake[J].International Journal of Audiology, 2015, 54(7):1-9.

Ping H, Xu W, Xiangyang H, et al. Hearing Aid Acquisition in Chinese Older Adults With Hearing Loss[J].American journal of public health,2018,108(2):241-247.

贺建风.统计调查中无回答问题研究[J].市场研究,2009,(6):30-32.

唐艺芬,韩艳艳,李芳,等.152例老年性耳聋选配助听器效果分析[J].新疆医学,2014,44(8):154-156.

Nilsson M, Soli SD, Sullivan JA. Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise[J].Journal of the Acoustical Society of America, 1994, 95(2):1085-1099.

任丹丹,陈振声.40例成人助听器配戴效果分析[J].中国听力语言康复科学杂志,2020,18(4):275-277.

李玉玲,张华,张建一,等.日常生活助听满意度问卷中文版复测信度评估[J].临床耳鼻咽喉头颈外科杂志,2013,27(16):874-876,880.

Souza, Pamela E,Arehart,et al.Exploring the Limits of Frequency Lowering[J]. Journal of Speech, Language & Hearing Research, 2013,56(5):1349-1363.

Parsa V, Scollie S, Glista D,et al. Nonlinear frequency compression: effects on sound quality ratings of speech and music[J].Trends in Amplification, 2013, 17(1):54-68.

Leek Marjorie R, Molis Michelle R .Beyond Audibility: Hearing Loss and the Perception of Speech[J].The ASHA Leader,2009,14(14):14-17.

刘海红,张华,刘莎,等.助听器效果自我评估模板的建立[J].听力学及言语疾病杂志,2014,22(2):174-179.

李炬,李红涛,苑伟,等.听力损失患者配戴智能眼镜后的效果评价[J].中国听力语言康复科学杂志,2022,20(6):430-433.

陈继跃.听神经病患者人工耳蜗植入后听觉言语能力影响因素的分析和客观评估指标的研究[D].中国人民解放军医学院,2021.

Berger A, Maly F.Prototype of a Smart Google Glass Solution for Deaf (and Hearing Impaired) People[C].International Conference on Mobile Web and Intelligent Information Systems.Faculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czech Republic, 2018.

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