老龄化和不对称的听力对言语歧视的影响
Koichiro Wasano1,2, Takashi Nakagawa3, Kimitaka Kaga4
1Department of Otolaryngology, Head and Neck Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan. wasano@tokai.ac.jp.
Communications medicine
|August 21, 2024
概括
语音歧视随着年龄和听力不对称性而恶化. 干预措施应考虑个体听力水平,年龄和耳朵差异,以获得更好的结果.
科学领域:
- 听力学 听力学是指听力学.
- 老年学是一门学科.
- 语音语言病理学 语音语言病理学
背景情况:
- 语音歧视 (SpD) 的下降与衰老和听力损失是常见的.
- 纯色音量计 (PTA) 和SpD在整个生命周期之间的相互作用尚未得到充分理解.
- 不对称听力 (左右PTA差异) 对SPD的影响需要进一步研究.
研究的目的:
- 为了研究时间学年龄,纯色声度测试 (PTA) 值和不同年龄组的语音歧视 (SpD) 之间的关系.
- 为了确定左右 (L-R) 听力不对称的严重程度是否会影响SpD.
- 提供针对个体听力特征量身定制的听力学干预措施的见解.
主要方法:
- 在日本对2760名患者 (10-99岁) 进行了回顾性横截面研究.
- 对个别耳朵的人口,SpD和PTA值数据的分析 (n=5508).
- 将L-R PTA不对称的分层分为四类 (<10dB至≥40dB的差异).
主要成果:
- 总体而言,随着年龄的增长,SpD显著下降 (p < 0.0001).
- 在中度至重度听力损伤的听力较差和听力较好耳朵之间观察到显著的SpD差异 (p < 0.0001).
- 对于具有≥20dBL-R听力差异的耳朵,SpD差异是显著的.
结论:
- 年龄和不对称的听力显著影响语音歧视能力.
- 听力学干预应该是个性化的,考虑到年龄,听力水平和L-R听力不对称.
- 对于那些经历了与年龄相关的听力变化和不对称的人来说,主动管理策略至关重要.
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