Jiwon Choi, Taeho Kim, Sunhong Kim, Yoonho Kim, Dong-Kee Kim
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引用次数: 3
Abstract
Background and objectives: The aim of this study was to investigate the factors associated with decrease in speech discrimination ability seen in patients with presbycusis and whether aging has a significant effect on the observed decline.
Subjects and methods: We retrospectively analyzed the medical records of patients aged >40 years who had undergone pure-tone audiometry, speech audiometry, and auditory brainstem response for hearing loss at our hospital from January 2019 to June 2021, and investigated the factors that correlated with speech discrimination score.
Results: We enrolled 103 patients with 120 ears, with a mean age of 65.8±11.9 years. The pure-tone average of the patients' thresholds at 0.5, 1, 2, and 4 kHz was 37.2±27.7 dB HL, and their mean speech discrimination score was 82.5%± 22.3%. A correlation analysis revealed a significant negative correlation between the patients' speech discrimination scores and age. In addition, all variables of pure-tone audiometry and the patients' auditory brainstem responses were significantly correlated with the speech discrimination scores. The pure-tone average had the strongest negative correlation. On analyzing the significant predictors of lower speech discrimination scores, using a multiple linear regression analysis, pure-tone average and age showed significant results.
Conclusions: The speech discrimination ability of older patients with hearing loss significantly decreases with increasing pure-tone average and age.
背景与目的:本研究的目的是探讨老年性耳聋患者言语辨别能力下降的相关因素，以及年龄是否对观察到的言语辨别能力下降有显著影响。对象与方法:回顾性分析2019年1月至2021年6月在我院接受纯音听力学、言语听力学和听觉脑干反应治疗的听力损失患者的病历，探讨与言语辨别评分相关的因素。结果:纳入103例患者，120耳，平均年龄65.8±11.9岁。患者在0.5、1、2、4 kHz的纯音阈值平均值为37.2±27.7 dB HL，平均言语辨别评分为82.5%±22.3%。相关分析显示，患者言语辨别得分与年龄呈显著负相关。此外，纯音听力学的所有变量和患者的听觉脑干反应均与言语辨别得分显著相关。纯色平均值负相关最强。在分析言语辨别分数较低的显著预测因子时，采用多元线性回归分析，纯音平均值和年龄具有显著性结果。结论:老年听力损失患者的言语辨别能力随纯音平均值和年龄的增加而明显下降。
期刊介绍：
Journal of Audiology and Otology (JAO) (formerly known as Korean Journal of Audiology) aims to publish the most advanced findings for all aspects of the auditory and vestibular system and diseases of the ear using state-of-the-art techniques and analyses. The journal covers recent trends related to the topics of audiology, otology, and neurotology conducted by professionals, with the goal of providing better possible treatment to people of all ages, from infants to the elderly, who suffer from auditory and/or vestibular disorders and thus, improving their quality of life. This journal encourages the submission of review papers about current professional issues, research papers presenting a scientific base and clinical application, and case papers with unique reports or clinical trials. We also invite letters to the editor and papers related to the manufacture and distribution of medical devices. This journal provides integrated views from otologists, audiologists, and other healthcare practitioners, offering readers high quality scientific and clinical information. This peer-reviewed and open access journal has been the official journal of the Korean Audiological Society since 1997 and of both the Korean Audiological Society and the Korean Otological Society since 2017. It is published in English four times a year in January, April, July, and October.
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