痴呆症患者的听力损失和语言障碍之间是否存在关系? 一个系统的审查
L Lodeiro-Fernández1, A Maseda1, L Lorenzo-López1
1Universidade da Coruña, Gerontology & Geriatrics Research Group, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, 15071, A Coruña, Spain.
Archives of gerontology and geriatrics
|July 13, 2025
概括
听力损失与痴呆症患者的语言障碍有关,特别是影响理解能力. 解决听力损失可能有助于管理这些语言缺陷.
科学领域:
- 神经学 神经学
- 听力学 听力学是指听力学.
- 老年学是指老年学的学科.
背景情况:
- 听力损失 (HL) 和语言障碍在认知障碍中很常见.
- 研究了HL与认知衰退或痴呆风险之间的联系,但其对语言障碍的影响尚不清楚.
- 本综述侧重于HL与痴呆症语言障碍之间的关系.
研究的目的:
- 系统地审查关于痴呆患者听力损失和语言障碍之间的关联的文献.
- 了解听力损失对痴呆症患者语言缺陷的影响.
主要方法:
- 在Scopus,Web of Science和Medline数据库中进行系统的文献搜索,截至2024年5月.
- 遵守PRISMA关于文献选择和数据提取的指南.
- 在包含的研究中进行了方法质量评估,包括偏差风险.
主要成果:
- 14项研究符合767篇最初文章的纳入标准,涉及3676名老年人 (677名患有痴呆症).
- 在痴呆症患者中,听力损失和语言障碍之间发现了显著的关联.
- 这种关联在语言理解方面比生产方面更为强烈;没有发现因果关系的证据.
结论:
- 管理听力损失对于解决痴呆症语言缺陷可能很重要.
- 中央听觉处理和认知负载是痴呆症语言障碍的关键因素,可能比外围听力损失更重要.
- 需要进一步的纵向研究来澄清因果关系,并量化听力和语言障碍对痴呆症发展的影响.
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