Analysis of Hearing Aid Effectiveness in Patients with Age-related Hearing Loss

FEI Ying-ping; YIN Yan; LU Jing-zhe; ZHENG Yun; ZHONG Ping

doi:10.3969/j.issn.1672-4933.2026.04.011

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Analysis of Hearing Aid Effectiveness in Patients with Age-related Hearing Loss

Clinical Research | 更新时间：2026-09-22

- Analysis of Hearing Aid Effectiveness in Patients with Age-related Hearing Loss
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 24, Issue 4, Pages: 384-387(2026)
- 作者机构：
  
  四川大学华西医院成都 610041
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2026.04.011
  CLC： R764.43
- Received：17 September 2025，
  
  Revised：2026-05-28，
  
  Accepted：30 June 2026，
  
  Published：15 July 2026
- 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

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