用助听器治疗听力损失,以预防认知衰退和痴呆症
Lachlan Cribb1, Margarita Moreno-Betancur2,3, Matthew Paul Pase4
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Neurology
|January 14, 2026
概括
听力损失的老年人使用助听器可能会降低痴呆风险,尽管认知变化很小. 需要进一步的研究来证实这些发现,并探索助听器频率的影响.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 听力损失是老年人认知能力下降和痴呆症的重要危险因素.
- 助听器 (HA) 使用对认知障碍和痴呆症的潜在保护作用仍在调查中.
研究的目的:
- 调查助听器使用对听力障碍老年人认知功能和痴呆风险的影响.
- 模拟一个目标试验,以评估助听器使用在7年内对认知结果的因果关系.
主要方法:
- 使用来自ASPirin in Reducing Events in the Elderly (ASPREE) 研究数据的目标试验的模拟.
- 包括70岁以上的参与者,中度听力损失和以前没有使用HA.
- 用于估计HA处方和使用频率对认知和痴呆的治疗意图影响的参数g公式.
主要成果:
- 在7年内,在HA用户和非用户之间没有观察到总体认知评分的显著差异.
- 助听器的使用与7年内痴呆症 (风险比:0.67) 和认知障碍 (风险比:0.85) 的风险降低有关.
- 听力助听器使用频率增加与痴呆和认知障碍风险的反向关联.
结论:
- 听力障碍的老年人使用助听器可能会降低痴呆症的风险.
- 观察到的认知变化是不实质性的,不能排除残留混.
- 需要进一步进行长期随机对照试验,以确定助听器在预防痴呆症中的作用.
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