目的:本研究的目的是评估使用助听器(HA)的单侧听力损失(UHL)患者的听觉训练(AT)的疗效,将传统方法与涉及无线远程麦克风的新方法进行比较。
方法:该研究包括96名参与者,分成两组,年龄从42岁到64岁,包括男性和女性受试者。在我们机构进行了一项包括连续中度UHL患者的临床试验。对于研究小组来说,RogerPen在AT期间与声音衰减舱内的患者一起使用。控制遵循常规会话。专业的言语和语言病理学家进行了康复。测量了听力学结果,包括信噪比(SNR)为0dB的单词识别,+5dB,+10dB,以确定培训的有效性。测量还包括演讲,Spatial,和听力质量量表来评估感知的听觉能力。
结果:将46和50例UHL患者随机纳入研究组和对照组,分别。在性别方面没有发现差异,年龄,耳鸣的存在,听力损失的持续时间,纯音平均,和没有HA的语音噪声感知。在HA接头和AT之后,研究组观察到在嘈杂环境中识别语音的能力显著增强.这种改善在SNR为+5和+10时是显著的。在比较两组使用HA识别噪声中语音的能力时,据观察,在SNR为+5时,无线AT后的听力能力显示出显著的改善。只有研究组的总语音有了显著的改善,Spatial,训练后的听力量表评分和素质。
结论:在我们的UHL患者组中,当HA拟合之后是无线AT时,我们发现语音噪声感知明显更好。无线AT可以促进HA的使用,导致UHL患者的双耳听力。我们的发现表明,未来的干预措施可能会受益于将无线技术纳入AT计划。
OBJECTIVE: The purpose of this study was to evaluate the efficacy of auditory training (AT) in patients with unilateral hearing loss (UHL) using hearing aids (HAs), comparing traditional methods with a new approach involving a
wireless remote microphone.
METHODS: The study included 96 participants, divided into two groups, with ages ranging from 42 to 64 years, comprising both male and female subjects. A clinical trial including consecutive moderate UHL patients was performed at our institution. For the study group, a Roger Pen was used during AT with patients inside a sound-attenuating cabin. Controls followed conventional sessions. Professional speech and language pathologists performed the rehabilitation. Audiological outcomes were measured, including word recognition at signal-to-noise ratios (SNRs) of 0 dB, +5 dB, and +10 dB, to determine the effectiveness of the training. Measurements also included the Speech, Spatial, and Qualities of Hearing Scale to assess perceived auditory abilities.
RESULTS: A total of 46 and 50 UHL patients were randomly included in the study and control groups, respectively. No differences were found in terms of sex, age, presence of tinnitus, duration of hearing loss, pure tone average, and speech-in-noise perception without an HA. Following HA fitting and AT, a notable enhancement in the ability to identify speech in noisy environments was observed in the study group. This improvement was significant at SNRs of +5 and +10. When comparing the ability to identify speech in noise using HAs across both groups, it was observed that hearing capabilities post-
wireless AT showed a significant improvement at an SNR of +5. Only the study group had a significant improvement in the total Speech, Spatial, and Qualities of Hearing Scale score after the training.
CONCLUSIONS: In our group of UHL patients, we found significantly better speech-in-noise perception when HA fitting was followed by
wireless AT.
Wireless AT may facilitate usage of HAs, leading to binaural hearing in UHL patients. Our findings suggest that future interventions might benefit from incorporating
wireless technology in AT programs.