中老年听力障碍者听器验配特点.docVIP

中老年听力障碍者助听器验配特点 作者：吴立新 范淑敏 尚小领 【摘要】 目的：通过分析90例50岁以上听力障碍患者的纯音听阈测试及助听器验配情况，探讨中老年听力障碍者听力特点及助听器选配特点。方法：感音神经性聋患者90例，以10岁为一年龄组，统计他们250～8 000Hz的纯音听阈，根据听力情况验配瑞声达助听器，记录最终验配情况并了解未验配的原因。结果：各年龄段就诊的中老年聋者总体听力水平大致相仿，均为中重度感音神经性聋，纯音听阈测试表现多为下降型听阈曲线。就诊者以60～岁年龄段者最多，最终接受助听器者以70岁以下年龄段者最多。70岁以上者多因戴助听器效果不理想或经济原因拒绝验配，以农村患者为多；60岁以下拒绝验配者则主要担心社会影响。结论：中老年感音神经性聋患者的纯音听阈曲线主要为下降型，早诊查、早干预有助于提高生活质量。 【关键词】 听觉丧失/感音神经性； 助听器；测听法/纯音 【ABSTRACT】 Objective:To investigate the characteristics of hearing aid fitting for elderly patients through 90 cases．Methods：90 cases of elderly people suffered from presbycusis were divided into 4 groups at an interval of every 10 years in age．The pure tone thresholds of 250 to 8 000Hz were examined,and hearing aids of GN Resound were selected based on their hearing conditions,the final results were recorded and reasons of rejecting to wear hearing aid were studied．Results：The average hearing condition for each group was found no difference．Patients over 60 were willing to go to see a doctor,those under 70 were likely to accept hearing aids．The elderly over 70 rejected to wearing hearing aid due to discomfort and financial reasons,some peple who came from countryside thought presbycusis was normal when one was older,while those under 60 rejected to wear hearing aid due to social influence reason．Conclusion：In order to improve the living quality,more attention should be paid to educate the elderly on the effective use of hearing aids． 【KEY WORDS】 Hearing Loss/Sensorineural,Hearing Aids,Audiometry/Pure-Tone 中国的老龄人口持续增长，伴随机体衰老出现的听力障碍日益严重地影响着中老年人的生活质量，最为简便有效的解决办法是配戴助听器。我们分析了近2年来诊查的90例中老年听力障碍者的纯音听阈特点及其助听器验配的特点，报告如下。 1 资料与方法 1．１ 一般资料 2006-04—2008-04月间因听力障碍就诊的中老年患者90例，年龄50～89岁，平均68.5岁；其中男58例，女32例。通过详细询问病史，听力学检查并检查鼓膜均诊断为感音神经性聋。听障者年龄及性别情况为：男：50岁～，11人；60岁～，30人；70岁～，12人；80岁～，5人。女：50岁～，7人；60岁～，11人；70岁～，10人；80岁～，4人。 1．2 听力测试及助听器验配 在标准隔声室内采用 Ｍadsen OB822纯音听力计进行250～8 000Hz的气骨导纯音听阈测试，了解听力情况，患者试戴助听器，并根据其反应调节助听器参数至效果达到理想。未选配助听器者，填写调查问卷，问卷内容主要为：效果不满意，经济原因，担心负面社会影响，继续考察市场。 2 结果 2．1