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严重听力损失的退伍军人患病率和特征:一项描述性研究
David R Friedmann1,2, Andrew Nicholson3, Colleen O'Brien-Russo2
1VA New York Harbor Healthcare System, New York, NY, USA.
Trends in hearing
|August 8, 2024
概括
许多退伍军人经历了严重的听力损失,影响了语音理解. 很大一部分人与不良的语音识别斗争,即使有放大,这表明需要像耳植入物这样的替代治疗方法.
科学领域:
- 听力学和语音语言病理学
- 退伍军人卫生管理局退伍军人卫生管理局
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 退伍军人中听力损失很普遍,退伍军人管理局 (VA) 提供大量的听力护理.
- 严重的听力损失带来了重要的沟通障碍,特别是在语音理解方面,标准放大可能无法完全解决这些障碍.
研究的目的:
- 在一大批退伍军人中调查听力损失严重程度和语音识别分数之间的关系.
- 为了确定严重或更严重的听力损失的退伍军人中不良的无助语音知觉的患病率,即使听力足够.
主要方法:
- 对137,500名两侧严重或更严重听力损失 (PTA>70dB HL) 的退伍军人进行VA听力测试库 (2005-2017) 数据分析.
- 从电子医疗记录中收集社会人口统计数据,并发症和自我报告的听力障碍.
- 听力损失严重程度与语音识别分数的相关性.
主要成果:
- 确定了137,500名退伍军人严重或更严重的听力损失队列,平均年龄为81.
- 30.5%的这些退伍军人表现出不良的语音识别分数 (<50%的单词).
- 较大的听力损失严重程度与较差的语音感知结果直接相关.
结论:
- 相当数量的退伍军人患有严重听力损失,语音识别不佳,这表明仅仅放大功率的益处有限.
- 语音感知的变化表明,一些退伍军人可能需要采用其他沟通策略.
- 对于由于听力损失而面临重大沟通挑战的退伍军人来说,需要考虑先进的干预措施,例如耳植入物.
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