从诊所到现实:整合声场测试和听力质量测量在耳植入物使用者的听力质量测量
Marta Álvarez-Cendrero1, Manuel Lazo-Maestre2, Serafín Sánchez-Gómez2
1Department of Otolaryngology, Head and Neck Surgery, De La Merced University Hospital, 41640 Osuna, Spain.
Journal of clinical medicine
|December 11, 2025
概括
耳植入物 (CI) 用户在杂的环境中难以理解语音和声音定位,与正常听力的人不同. 标准的听力测试不能捕捉这些真实世界的听力挑战CI用户.
科学领域:
- 听力学 听力学是指听力学.
- 神经科学是一个神经科学.
- 语音和听力科学 语言和听力科学
背景情况:
- 传统的听力学评估不足以反映耳植入物 (CI) 用户在复杂的声学环境中的困难.
- CI使用者通常在语音识别和声音定位方面表现出持续的缺陷,即使有良好的听力测试结果.
研究的目的:
- 评估声环境复杂性如何影响CI用户的语音识别和声音定位,与正常听力 (NH) 个体相比.
- 通过在CI用户和NH个体中使用验证的问卷来评估主观的听觉表现.
主要方法:
- 34名单边CI用户和50名NH参与者使用8个扬声器360度阵列进行了测试.
- 评估纯色调平均值 (PTA),在安静和噪音中识别单词的分数 (WRS),声音定位,以及SSQ-12问卷.
- 使用相关性,回归和MANOVA分析来检查客观和主观结果.
主要成果:
- 与NH参与者相比,CI使用者表现出明显较低的WRS,较差的声音定位和较低的SSQ-12分数,在复杂噪声中性能恶化.
- 植入前PTA是植入后语音识别的最强预测因素.
- 在SSQ-12问卷显示与客观措施的相关性,表明临床相关性.
结论:
- 在现实的听力条件下,CI使用者经历了持续的缺陷,而标准听力测量却忽略了这些缺陷.
- 整合声现场测试和听力质量调查问卷,为个性化CI康复和编程提供了更全面的评估.
相关概念视频
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