关键词: Gap detection Sound therapy Speech recognition Sudden sensorineural hearing loss

Mesh : Humans Audiometry, Pure-Tone Auditory Threshold / physiology Hearing Hearing Loss, Sensorineural / drug therapy Hearing Loss, Sudden / drug therapy Prospective Studies

来  源:   DOI:10.1007/s12325-022-02312-0

Abstract:
This study investigated the effect of sound therapy combined with drug therapy (SDT) on gap detection threshold and speech recognition scores in patients with sudden sensorineural hearing loss (SSNHL).
Patients with SSNHL were grouped randomly into SDT and drug therapy (DT) groups. All patients received standard drug treatment and patients in the SDT group additionally received sound stimulation for the affected ears for 6 days. Pure tone audiogram, speech recognition scores at normal and time-compressed rates under quiet and noisy conditions, and the gap detection threshold of the SDT and DT groups before treatment and on day 6 and 30 after treatment were compared.
There were 20 patients in the SDT group and 24 in the DT group. The pure tone thresholds of affected ears were significantly lower in the SDT group on day 6 after treatment than those in the DT group at 125 and 250 Hz. Significantly lower gap detection thresholds and higher speech recognition scores under noisy conditions were observed at the normal and time-compressed rates in the SDT group than those in the DT group on day 6 and 30 after treatment. Significant correlations were observed between the gap thresholds and speech recognition scores in a noisy environment at normal and time-compressed rates on day 6 and 30.
SDT may improve the recovery of hearing abilities, such as the gap in noise thresholds and speech recognition in noise, in the case of SSNHL.
ChiCTR-IOR-17012262.
摘要:
本研究调查了声音治疗联合药物治疗(SDT)对突发性感音神经性耳聋(SSNHL)患者的间隙检测阈值和语音识别得分的影响。
将SSNHL患者随机分为SDT和药物治疗(DT)组。所有患者均接受标准药物治疗,SDT组患者对患耳额外接受声音刺激6天。纯音听力图,在安静和嘈杂的条件下,以正常和时间压缩的速率进行语音识别得分,比较SDT和DT组治疗前及治疗后第6天和第30天的间隙检测阈值。
SDT组20例,DT组24例。在125和250Hz时,SDT组在治疗后第6天的受影响耳朵的纯音阈值显着低于DT组。在治疗后第6天和第30天,在正常和时间压缩速率下,SDT组比DT组观察到明显更低的间隙检测阈值和更高的语音识别分数。在第6天和第30天以正常和时间压缩的速率在嘈杂的环境中观察到间隙阈值与语音识别得分之间的显着相关性。
SDT可以改善听力恢复,例如噪声阈值的差距和噪声中的语音识别,在SSNHL的情况下。
ChiCTR-IOR-17012262。
公众号