助听器学习功能和真耳分析调试效果对比研究
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摘要
目的对助听器学习解析功能和验配师真耳分析调试的效果进行对比研究。方法选取20例双侧重度感音神经性听力损失,双耳(40耳)佩戴第三代学习功能助听器的患者,分别进行学习解析功能和真耳分析调试,助听器学习解析功能调试组为实验组,验配师真耳分析调试组为对照组。目标公式选用NAL-NL1,共2个周期,每个周期2周时间,每个周期结束后进行安静环境和65dB SPL白噪声的环境下言语识别阈(speech recognition thresh-old,SRT)测试,以及助听器效果缩略简表(Abbreviated profile of hearing aid benefit,APHAB)问卷填写。1个周期之后,实验组的用户和对照组的用户对调组别,重复上述过程。结果实验组安静环境和噪声环境下的SRT结果分别为58.8±9.dB SPL和63.3±8.3dB SPL,对照组安静环境和噪声环境下的SRT结果分别为54.9±9.dB SPL和59.7±8.4dB SPL,经统计学分析P<0.05(P为0.017和0.012),有统计学意义,对照组安静环境和噪声环境的SRT均低于实验组。APHAB问卷结果显示,就单项大声耐受力得分而言,实验组结果为341分,对照组结果为300分,有统计学意义,实验组舒适度更高。结论助听器初期佩戴者用真耳分析调试的方法来提高清晰度;长期佩戴者用助听器学习功能来提高舒适度。
Objective To compare trainable hearing aid fitting with audiologist fitting. Methods Twenty patients with bilateral severe sensorineural hearing loss(40 ears) and using bilateral hearing aids were enrolled in this study. Patients underwent one cycle(2 weeks) of fitting calibrated with Real Ear measurement(as control), and a cycle of trainable hearing aid analysis(the experiment phase), with the target formula selected for NAL-NL1. SRT under quiet as well as 65 dB SPL white noise environment and APHAB questionnaires were completed after each cycle. Results SRT results were 58.8 ± 9.0 d B SPL and 63.3 ± 8.3 d B SPL in quiet and noise environment, respectively for the experiment phase; and 54.9 ± 9.4 dB SPL and 59.7 ± 8.4 dB SPL, respectively, for the control(P <0.05, P = 0.017 and 0.012). The APHAB questionnaire score was 341 for the experiment phase and 300 for the control group(P<0.05), indicating higher level of comfort for the experiment phase. Conclusion Early hearing aid users can improve clarity with real ear analysis,while long term wearers can use trainable hearing aids to improve comfort.
Objective To compare trainable hearing aid fitting with audiologist fitting. Methods Twenty patients with bilateral severe sensorineural hearing loss(40 ears) and using bilateral hearing aids were enrolled in this study. Patients underwent one cycle(2 weeks) of fitting calibrated with Real Ear measurement(as control), and a cycle of trainable hearing aid analysis(the experiment phase), with the target formula selected for NAL-NL1. SRT under quiet as well as 65 dB SPL white noise environment and APHAB questionnaires were completed after each cycle. Results SRT results were 58.8 ± 9.0 d B SPL and 63.3 ± 8.3 d B SPL in quiet and noise environment, respectively for the experiment phase; and 54.9 ± 9.4 dB SPL and 59.7 ± 8.4 dB SPL, respectively, for the control(P <0.05, P = 0.017 and 0.012). The APHAB questionnaire score was 341 for the experiment phase and 300 for the control group(P<0.05), indicating higher level of comfort for the experiment phase. Conclusion Early hearing aid users can improve clarity with real ear analysis,while long term wearers can use trainable hearing aids to improve comfort.
引文
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3 Monique Boymans,Dreschler WA.Audiologist-Driven Versus Patient-Driven Fine Tuning of Hearing Instruments[J].Trends in Amplification,2012,16(1):49-58.
4郑芸,王恺.助听器效果评估简表的临床应用[J].听力学及言语疾病杂志,2005,13(6):460-462.Zheng Y,Wang K.Clinical Application of the Effect Assessment of Hearing Aids[J].Journal of Audiology and Speech Pathology,2005,13(6):460-462.
5孙喜斌,于丽玫,曲成毅,等.中国听力残疾构成特点及康复对策[J].中国听力语言康复科学杂志,2008,2(1):21-24.Sun XB,Yu LM,Qu CY,et al.An Epidemiological Study on the Hearing-impaired Population Identified in China and Proposed Intervention Strategies[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2008,2(1):21-24.
6许庆庆,周慧芳,张静,等.不同年龄段助听器佩戴效果及满意度的评估[J].临床耳鼻咽喉头颈外科杂志2012,26(10):436-438.Xu QQ,Zhou HF,Zhang J,et al.The Outcome Analysis of Different Age Paragraph Hearing Aid Users[J].Clin Otorhinolarngol Head Neck Surg,2012,26(10):436-438.
7尤金成,段吉茸,戴瑞邦,等.可训练助听器-自动优化增益、频响和增益[J].中国听力语言康复科学杂志2010,3:34-38.You JC,Duan JR,Dai RB,et al.The Trainable Hearing Aids:Automatic Optimization of Compression,frequency response and gain[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2010,3:34-38.
8 Sung Hoon Yoon,Kyoung Won Nam,Sunhyun Yook,et al.A Trainable Hearing Aid Algorithm Reflecting Individual Preferences for Degree of Noise-Suppression,Input Sound Level,and Listening Situation[J].Clinical and Experimental Otorhinolaryngology,2016:1-10.
9 Zakis JA,Dillon HMcDermott HJ.The Design and Evaluation of a Hearing Aid with Trainable Amplification Parameters[J].Ear Hear.2007,28(6):812-30.
10 Keidser G,Alamudi K.Real-life Efficacy and Reliability of Training a Hearing Aid[J].Ear Hear.2013,34(5):619-29.
11 Els Walravens,Gitte Keidser,Hickson L.Provision,Perception and Use of Trainable Hearing Aids in Australia:A Survey of Clinicians and Hearing Impaired Adults[J].International Journal of Audiology,2016,55:787-795.
12张敏,Catherine.增益训练功能开启时间对助听器选配效果的影响[J].中国听力语言康复科学杂志,2015,6(13):412-413.Zhang M,Catherine V.Timing Considerations in Trainable Hearing Aids[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2015,6(13):412-413.
13 Mueller HG,Hornsby BW,Weber JE.Using Trainable Hearing Aids to Examine Real-world Preferred Gain[J].Journal of the American Academy of Audiology,2008,19(10):758-773.
14 Chalupper J,Kr?mer B.Data Learning:Eine Neue Methode zur Feinanpassung der Verst?rkung.H?rakustik,2007,1:20rica
15 Boymans M,Dreschler WA.Audiologist-Driven Versus Patient-Driven Fine Tuning of Hearing Instruments[J].Trends in Amplification,2012,16(1):49-58.
2 Dreschler WA,Keidser G,Convery E,et al.Client-based Adjustments of Hearing Aid Gain:The Effect of Different Control Configurations[J].Ear Hear.,2008,29(2):214-27.
3 Monique Boymans,Dreschler WA.Audiologist-Driven Versus Patient-Driven Fine Tuning of Hearing Instruments[J].Trends in Amplification,2012,16(1):49-58.
4郑芸,王恺.助听器效果评估简表的临床应用[J].听力学及言语疾病杂志,2005,13(6):460-462.Zheng Y,Wang K.Clinical Application of the Effect Assessment of Hearing Aids[J].Journal of Audiology and Speech Pathology,2005,13(6):460-462.
5孙喜斌,于丽玫,曲成毅,等.中国听力残疾构成特点及康复对策[J].中国听力语言康复科学杂志,2008,2(1):21-24.Sun XB,Yu LM,Qu CY,et al.An Epidemiological Study on the Hearing-impaired Population Identified in China and Proposed Intervention Strategies[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2008,2(1):21-24.
6许庆庆,周慧芳,张静,等.不同年龄段助听器佩戴效果及满意度的评估[J].临床耳鼻咽喉头颈外科杂志2012,26(10):436-438.Xu QQ,Zhou HF,Zhang J,et al.The Outcome Analysis of Different Age Paragraph Hearing Aid Users[J].Clin Otorhinolarngol Head Neck Surg,2012,26(10):436-438.
7尤金成,段吉茸,戴瑞邦,等.可训练助听器-自动优化增益、频响和增益[J].中国听力语言康复科学杂志2010,3:34-38.You JC,Duan JR,Dai RB,et al.The Trainable Hearing Aids:Automatic Optimization of Compression,frequency response and gain[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2010,3:34-38.
8 Sung Hoon Yoon,Kyoung Won Nam,Sunhyun Yook,et al.A Trainable Hearing Aid Algorithm Reflecting Individual Preferences for Degree of Noise-Suppression,Input Sound Level,and Listening Situation[J].Clinical and Experimental Otorhinolaryngology,2016:1-10.
9 Zakis JA,Dillon HMcDermott HJ.The Design and Evaluation of a Hearing Aid with Trainable Amplification Parameters[J].Ear Hear.2007,28(6):812-30.
10 Keidser G,Alamudi K.Real-life Efficacy and Reliability of Training a Hearing Aid[J].Ear Hear.2013,34(5):619-29.
11 Els Walravens,Gitte Keidser,Hickson L.Provision,Perception and Use of Trainable Hearing Aids in Australia:A Survey of Clinicians and Hearing Impaired Adults[J].International Journal of Audiology,2016,55:787-795.
12张敏,Catherine.增益训练功能开启时间对助听器选配效果的影响[J].中国听力语言康复科学杂志,2015,6(13):412-413.Zhang M,Catherine V.Timing Considerations in Trainable Hearing Aids[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2015,6(13):412-413.
13 Mueller HG,Hornsby BW,Weber JE.Using Trainable Hearing Aids to Examine Real-world Preferred Gain[J].Journal of the American Academy of Audiology,2008,19(10):758-773.
14 Chalupper J,Kr?mer B.Data Learning:Eine Neue Methode zur Feinanpassung der Verst?rkung.H?rakustik,2007,1:20rica
15 Boymans M,Dreschler WA.Audiologist-Driven Versus Patient-Driven Fine Tuning of Hearing Instruments[J].Trends in Amplification,2012,16(1):49-58.