老年性聋患者认知功能初探

赵春蓉; 杨森; 石敏; 税磊; 杨宇; 曹雷

doi:10.3969/j.issn.1672-4933.2024.05.005

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老年性聋患者认知功能初探

临床研究 | 更新时间：2024-09-05

- 老年性聋患者认知功能初探
- Preliminary Exploration of Cognitive Function in Elderly Patients with Deafness
- 中国听力语言康复科学杂志 2024年22卷第5期页码：471-474
- 作者机构：
  
  遂宁市中心医院耳遂宁 629000
- 作者简介：
  
  赵春蓉硕士主治医师；研究方向：耳鼻咽喉科常见疾病的基础研究及诊疗
  曹雷，E-mail：893256788@qq.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.05.005
  中图分类号： R764.43+6
- 纸质出版日期：2024-09-15，
  
  收稿日期：2024-03-10，
- 稿件说明：
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赵春蓉,杨森,石敏等.老年性聋患者认知功能初探[J].中国听力语言康复科学杂志,2024,22(05):471-474.

ZHAO Chun-rong,YANG Sen,SHI Min,et al.Preliminary Exploration of Cognitive Function in Elderly Patients with Deafness[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):471-474.
赵春蓉,杨森,石敏等.老年性聋患者认知功能初探[J].中国听力语言康复科学杂志,2024,22(05):471-474. DOI： 10.3969/j.issn.1672-4933.2024.05.005.

ZHAO Chun-rong,YANG Sen,SHI Min,et al.Preliminary Exploration of Cognitive Function in Elderly Patients with Deafness[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):471-474. DOI： 10.3969/j.issn.1672-4933.2024.05.005.

摘要

目的

探究老年性聋患者的听力异常与认知功能是否具有相关性，为认知功能减退的听力学干预提供参考。

方法

本研究纳入100名老年性聋患者，均进行纯音测听、言语识别能力评估后行简易精神智能状态量表（mini-mental stateexamination，MMSE）评估。

结果

本研究中，男性46例，女性54例，患者平均年龄为71.20±6.86岁，60～69岁组MMSE得分27.64±2.57；70～79岁组26.56±2.14，≥80岁组23.1±2.12，3组之间比较均具有统计学意义（

0.05），其中每两组之间比较均具有显著差异（

0.05）。轻度听力损失组MMSE得分28.50±2.38，中度听力损失组26.29±2.60，中重度听力损失组26.13±3.06，重度听力损失组27.17±2.59，极重度听力损失组26.25±2.55，各组之间比较无统计学差异（

0.05）。低言语识别能力组24.25±2.51，高言语识别能力组26.34±2.73。老年性聋患者言语识别能力越低，其MMSE得分越低，且两组之间差异具有显著性（

0.05）。

结论

年龄越大、听力损失程度越重以及言语识别能力越低下，老年性聋患者的认知功能越容易受到影响。

Abstract

Objective

To explore the correlation between hearing abnormalities and cognitive functions in elderly patients with hearing loss

and provide reference for audiological intervention in cognitive decline.

Method

This study included 100 elderly patients with deafness

all of whom underwent pure tone audiometry and speech recognition ability assessment before receiving the Mini Mental State Examination (MMSE).

Results

In this study

there were 46 males and 54 females

with an average age of 71.20 ± 6.86 years. The MMSE score for the 60-69 age group was 27.64 ± 2.57; the MMSE score of the 70-79 age group was 26.56 ± 2.14

and the MMSE score of the ≥ 80 age group was 23.1 ± 2.12. The comparison among the three groups was statistically significant (

0.05)

with significant differences in MMSE scores between each two groups (

0.05). The MMSE score for the mild hearing loss group was 28.50 ± 2.38

for the moderate hearing loss group it was 26.29 ± 2.60

for the moderate to severe hearing loss group it was 26.13 ± 3.06

for the severe hearing loss group it was 27.17 ± 2.59

and the MMSE score for the extremely severe hearing loss group it was 26.25 ± 2.55. There was no significant statistical difference among the groups (

0.05). The MMSE score of the low speech recognition ability group was 24.25 ± 2.51

while the MMSE score of the high speech recognition ability group was 26.34 ± 2.73. The lower the speech recognition ability of elderly deaf patients

the lower their MMSE score

and the difference between the two groups was significant (

0.05).

Conclusion

The older the age

the more severe the hearing loss

and the lower the speech recognition ability

the more susceptible the cognitive function of elderly deaf patients is to be affected.

关键词

老年性聋听力损失程度言语识别能力认知功能

Keywords

Elderly deafnessThe degree of hearing lossSpeech recognition abilityCognitive function

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