真耳分析在成人助听器精准验配中的应用
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摘要
真耳分析作为一项助听器精准调节的评估手段在临床上得到越来越广泛的应用。对于成人听障患者而言,它不仅可以精准测试助听器增益,还可以进行降噪、方向性、移频等高级功能的测试,同时,临床上难以解决的堵耳效应、响度重振等问题在精准量化后进行针对性的调节,能够有效提高成人使用助听器的满意度和舒适度。
Real-ear measure as a means of accurate adjustment of hearing aids is more and more widely used clinically. For adults with hearing impairment, not only can it accurately test the hearing aid gain, but also can carry out advanced functions such as noise reduction, directionality, frequency shift and other tests. At the same time, clinical problems such as plugging ear effect, loudness reverberation and so on, can be adjusted after precise quantification, which can effectively improve the satisfaction and comfort of hearing aids for adults.
Real-ear measure as a means of accurate adjustment of hearing aids is more and more widely used clinically. For adults with hearing impairment, not only can it accurately test the hearing aid gain, but also can carry out advanced functions such as noise reduction, directionality, frequency shift and other tests. At the same time, clinical problems such as plugging ear effect, loudness reverberation and so on, can be adjusted after precise quantification, which can effectively improve the satisfaction and comfort of hearing aids for adults.
引文
[1]韩德民,许时昂.听力学基础与临床[M].北京:科学技术文献出版社,2005,523-527.
[2]张桂敏.真耳分析在助听器效果评估及选配中的应用[D].天津:天津医科大学,2003.
[3]Mueller H,Picou E.Survey examines popularity of real-ear probe-microphone measures[J].The Hearing Journal,2010,63(63):27-27.
[4]段吉茸,黄画.现代助听器验配、评估中的真耳测试[J].听力学及言语疾病杂志,2015,23(2):195-198.
[5]张国军.真耳测试评估助听器方向性麦克风降噪效果[J].听力学及言语疾病杂志,2016,24(1):71-74.
[6]Koehler ED.Fast and easy fitting and verification with integrated real-ear measurement[J].Hearing Review,2014,21(10):36-36.
[7]Munro K,Davis J.Deriving the real-ear SPL of audiometric data using the“coupler-to-dial”and the“real-ear-tocoupler difference”[J].Ear Hear,2003,24(2):100-110.
[8]Seewald RC,Scollie ST.Infants are not average adults:Implications for audiometric testing.Hearing Journal,1999,52(10):64-72.
[9]刘平,王恺,郑芸.鼓膜穿孔患者真耳耦合腔差(RECD)的测量和应用[J].中国听力语言康复科学杂志,2005,11(4):27-29.
[10]曾子临.方向性麦克风技术在助听器中的应用[J].中国听力语言康复科学杂志,2006,17(4):50-53.
[11]胡旭君,史靓,田宏斌.助听器言语增强降噪方法的客观测试[J].中国听力语言康复科学杂志,2007,25(6):23-26.
[12]Ricketts TA.Directional hearing aids:Then and now[J].Journal of Rehabilitation Research&Development,2005,42(4suppl 2):133-144.
[13]Miller H,Denise R.Evaluating the Benefit of Speech Recoding Hearing Aids in Children[J].American Journal of Audiology,2003,12(2):39-44.
[14]Hogan CA,Turner CW.High-frequency audibility:Benefits for hearing impaired listeners[J].JASA,1998,104(1):432-441.
[15]屠理强,仇毅,陈菊香,等.移频助听器在极重度听力损失耳中的应用[J].中国听力语言康复科学杂志,2006,16(3):59-60.
[16]王超,蓝国赞.移频助听器的验配体会[J].中国听力语言康复科学杂志,2006,4(3):55.
[17]梁勇.移频助听技术与移频助听器[J].中国听力语言康复科学杂志,2005,3(3):25.
[18]Turner C.The limits of high frequency amplification[J].Hear Jour,1999,52(2):10-14.
[19]Beasley D,Mersen M.Use of frequency shifted/timecompressed speech with hearing impaired children[J].Audiology.1976,15(5):395-406.
[20]Baguley DM.Hyperacusis[J].JR Soc Med,2003,96(12):582-585.
[21]龚树生,吴倩.听觉过敏及其干预[J].中国医学文摘耳鼻咽喉科学,2010,25(5):279-282.
[22]伍丽东.伴有重振听力障碍者的助听器验配[J].中国听力语言康复科学杂志,2007,5(1):17-17.
[23]郗昕,薛伟,张微,等.助听器耳模的堵耳效应及解决方案[J].中国耳科学杂志,2004,2(1):8-11.
[24]Tharpe AM,Sladen D,Huta HM,et al.Practical considerations of real-ear-to-coupler difference measures in infants[J].Am J Audio,2001,10(1):41-49.
[25]王丽燕.0-3岁儿童真耳-耦合腔差值(RECD)参考标准的建立及在助听器验配中的应用研究[D].上海:华东师范大学,2017.
[26]潘世恺,王正敏,江晔,等.开放式鼓室成形术的外耳道声学特性[J].中华耳鼻咽喉科杂志,1995,30(4):239-242.
[27]刘平,陈淑飞,郑周数.鼓膜穿孔对真耳-耦合腔差的影响[J].临床耳鼻咽喉头颈外科杂志,2008,22(7):303-305.
[28][28]Alexandra W,Matthias L,Inga H.Open Versus Closed Hearing-Aid Fittings:A Literature Review of Both Fitting Approaches[J].Trends in Hearing,2016,20:1-13.
[29]Mueller H.Open-canal fitting:Ten Take-home tips[J].Hearing Journal,2006,59(11):24-24.
[30]Hallenbeck S,Groth J.Thin tube and receiver-in-canal devices:There is positive feedback on both[J].Hearing Journal,2008,61(1):28-28.
[2]张桂敏.真耳分析在助听器效果评估及选配中的应用[D].天津:天津医科大学,2003.
[3]Mueller H,Picou E.Survey examines popularity of real-ear probe-microphone measures[J].The Hearing Journal,2010,63(63):27-27.
[4]段吉茸,黄画.现代助听器验配、评估中的真耳测试[J].听力学及言语疾病杂志,2015,23(2):195-198.
[5]张国军.真耳测试评估助听器方向性麦克风降噪效果[J].听力学及言语疾病杂志,2016,24(1):71-74.
[6]Koehler ED.Fast and easy fitting and verification with integrated real-ear measurement[J].Hearing Review,2014,21(10):36-36.
[7]Munro K,Davis J.Deriving the real-ear SPL of audiometric data using the“coupler-to-dial”and the“real-ear-tocoupler difference”[J].Ear Hear,2003,24(2):100-110.
[8]Seewald RC,Scollie ST.Infants are not average adults:Implications for audiometric testing.Hearing Journal,1999,52(10):64-72.
[9]刘平,王恺,郑芸.鼓膜穿孔患者真耳耦合腔差(RECD)的测量和应用[J].中国听力语言康复科学杂志,2005,11(4):27-29.
[10]曾子临.方向性麦克风技术在助听器中的应用[J].中国听力语言康复科学杂志,2006,17(4):50-53.
[11]胡旭君,史靓,田宏斌.助听器言语增强降噪方法的客观测试[J].中国听力语言康复科学杂志,2007,25(6):23-26.
[12]Ricketts TA.Directional hearing aids:Then and now[J].Journal of Rehabilitation Research&Development,2005,42(4suppl 2):133-144.
[13]Miller H,Denise R.Evaluating the Benefit of Speech Recoding Hearing Aids in Children[J].American Journal of Audiology,2003,12(2):39-44.
[14]Hogan CA,Turner CW.High-frequency audibility:Benefits for hearing impaired listeners[J].JASA,1998,104(1):432-441.
[15]屠理强,仇毅,陈菊香,等.移频助听器在极重度听力损失耳中的应用[J].中国听力语言康复科学杂志,2006,16(3):59-60.
[16]王超,蓝国赞.移频助听器的验配体会[J].中国听力语言康复科学杂志,2006,4(3):55.
[17]梁勇.移频助听技术与移频助听器[J].中国听力语言康复科学杂志,2005,3(3):25.
[18]Turner C.The limits of high frequency amplification[J].Hear Jour,1999,52(2):10-14.
[19]Beasley D,Mersen M.Use of frequency shifted/timecompressed speech with hearing impaired children[J].Audiology.1976,15(5):395-406.
[20]Baguley DM.Hyperacusis[J].JR Soc Med,2003,96(12):582-585.
[21]龚树生,吴倩.听觉过敏及其干预[J].中国医学文摘耳鼻咽喉科学,2010,25(5):279-282.
[22]伍丽东.伴有重振听力障碍者的助听器验配[J].中国听力语言康复科学杂志,2007,5(1):17-17.
[23]郗昕,薛伟,张微,等.助听器耳模的堵耳效应及解决方案[J].中国耳科学杂志,2004,2(1):8-11.
[24]Tharpe AM,Sladen D,Huta HM,et al.Practical considerations of real-ear-to-coupler difference measures in infants[J].Am J Audio,2001,10(1):41-49.
[25]王丽燕.0-3岁儿童真耳-耦合腔差值(RECD)参考标准的建立及在助听器验配中的应用研究[D].上海:华东师范大学,2017.
[26]潘世恺,王正敏,江晔,等.开放式鼓室成形术的外耳道声学特性[J].中华耳鼻咽喉科杂志,1995,30(4):239-242.
[27]刘平,陈淑飞,郑周数.鼓膜穿孔对真耳-耦合腔差的影响[J].临床耳鼻咽喉头颈外科杂志,2008,22(7):303-305.
[28][28]Alexandra W,Matthias L,Inga H.Open Versus Closed Hearing-Aid Fittings:A Literature Review of Both Fitting Approaches[J].Trends in Hearing,2016,20:1-13.
[29]Mueller H.Open-canal fitting:Ten Take-home tips[J].Hearing Journal,2006,59(11):24-24.
[30]Hallenbeck S,Groth J.Thin tube and receiver-in-canal devices:There is positive feedback on both[J].Hearing Journal,2008,61(1):28-28.