本文選題：老年性聾　切入點(diǎn)：助聽(tīng)器　出處：《福建中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的 分析老年性耳聾患者助聽(tīng)器使用效果的相關(guān)影響因素,對(duì)患者在臨床上聽(tīng)力康復(fù)采取相應(yīng)的干預(yù)方式提供理論依據(jù),并對(duì)老年性耳聾助聽(tīng)器使用患者進(jìn)行耳聾的中醫(yī)辨證,探討其腎精虧損證、肝火上擾證的臨床聽(tīng)力學(xué)特征及兩大證型與助聽(tīng)器效果間的相關(guān)性。 方法 采用日常生活助聽(tīng)滿意度量表對(duì)120例接受助聽(tīng)器驗(yàn)配的老年性耳聾患者進(jìn)行調(diào)查,統(tǒng)計(jì)資料中每位患者各項(xiàng)得分、總均分,并根據(jù)患者年齡、性別、教育程度、平均聽(tīng)力閾值、助聽(tīng)器類(lèi)型、佩戴方式、佩戴時(shí)長(zhǎng)、每日使用時(shí)長(zhǎng)、自感聽(tīng)力下降時(shí)長(zhǎng)等9個(gè)因素進(jìn)行分組,采用單因素分析及逐步多元回歸分析進(jìn)行統(tǒng)計(jì)處理,篩選影響助聽(tīng)效果的主要因素。分析可能影響助聽(tīng)器使用效果的相關(guān)因素,并進(jìn)行中醫(yī)辨證分型,比較分析臨床常見(jiàn)的證型聽(tīng)力學(xué)特征及差異,分析證型與使用助聽(tīng)器效果的關(guān)系。 結(jié)果 教育程度越高、每日佩戴時(shí)間越長(zhǎng)、雙耳佩戴者得分高于教育程度低、每日佩戴時(shí)間短、單耳佩戴(P0.01)；自感聽(tīng)力下降時(shí)長(zhǎng)短者得分高于自感聽(tīng)力下降時(shí)長(zhǎng)長(zhǎng)者(P0.01)；總體滿意度方面教育程度越高、每日佩戴時(shí)間越長(zhǎng)者得分高于教育程度低、每日佩戴時(shí)間短(P0.01),其中性別對(duì)助聽(tīng)效果無(wú)影響。中醫(yī)兩組證型相關(guān)因素比較,年齡方面,腎精虧損證組較肝火上擾證組高,SADL分值方面,腎精虧損證組較肝火上擾證組低,耳鳴頻率方面,腎精虧損證集中在中高頻,肝火上擾證集中在中頻,以上資料統(tǒng)計(jì)分析均有顯著性差異(P0.05),而在自感聽(tīng)力下降時(shí)長(zhǎng)、純音聽(tīng)閾、每日佩戴時(shí)長(zhǎng)、佩戴時(shí)長(zhǎng)、鼓室圖、外耳道容積、聲順值、振幅方面資料比較無(wú)統(tǒng)計(jì)差異(P0.05)。 結(jié)論 影響助聽(tīng)器效果的因素較多,其中教育程度、每日佩戴時(shí)長(zhǎng)是主要因素,兩者聯(lián)合可獲得助聽(tīng)效果最大化,雙耳佩戴、自感聽(tīng)力下降時(shí)間短助聽(tīng)效果滿意度高,而性別對(duì)助聽(tīng)效果無(wú)明顯影響。老年性耳聾患者中腎精虧損證與肝火上擾證相比,患者在年齡、SADL分值、耳鳴頻率方面有顯著統(tǒng)計(jì)差異(P0.05)。在自感聽(tīng)力下降時(shí)長(zhǎng)、純音聽(tīng)閾、每日佩戴時(shí)長(zhǎng)、佩戴時(shí)長(zhǎng)、鼓室圖、外耳道容積、聲順值、振幅資料比較中無(wú)統(tǒng)計(jì)差異(P0.05),佩戴助聽(tīng)器助聽(tīng)效果較差的老年性耳聾患者可能與腎虛程度相關(guān),與肝火上擾證老年聾患者相比,其助聽(tīng)滿意度量表SADL分值相對(duì)較低。
[Abstract]:PurposeTo analyze the influencing factors of the effect of hearing aid in the patients with presbycusis, to provide the theoretical basis for the corresponding intervention in clinical hearing rehabilitation, and to differentiate the symptoms and signs of deafness in the patients with presbycusis hearing aids.To explore the clinical audiological characteristics of kidney essence deficiency syndrome, liver fire disturbance syndrome and the correlation between the two syndrome types and hearing aid effect.MethodA total of 120 patients with presbycusis who received hearing aids were investigated with the daily living hearing satisfaction scale. The scores of each patient in the statistical data, the total average score, and the average hearing threshold according to the patient's age, sex, educational level and level of education, were investigated.Nine factors, such as type of hearing aid, way of wearing, duration of wearing, duration of daily use, length of time of self-induced hearing loss, were divided into 9 groups. Single factor analysis and stepwise multiple regression analysis were used for statistical analysis.To screen the main factors affecting the effect of hearing aid.To analyze the related factors that may affect the effect of hearing aid use, and to carry out TCM syndrome differentiation and classification, to compare and analyze the characteristics and differences of hearing mechanics of common clinical syndromes, and to analyze the relationship between syndromes and the effect of hearing aid use.ResultThe higher the education level, the longer the daily wear time, the higher the score of the binaural wearer than the lower the education level, the shorter the daily wear time.The longer the hearing loss was, the higher the score was, the higher the education level was, the higher the education level was, the higher the score was higher than the lower the education level.The short daily wear time (P0.01) had no effect on hearing aid.Comparing the related factors of TCM two groups, age, kidney essence deficit syndrome group has higher SADL score than liver fire upper disturbance syndrome group, kidney essence deficit syndrome group is lower than liver fire upper disturbance syndrome group, tinnitus frequency, kidney essence deficiency syndrome is concentrated in middle and high frequency.The statistical analysis of the above data showed significant difference (P 0.05). However, the length of hearing loss, the threshold of pure tone hearing, the length of the day, the length of the wear, the tympanogram, the volume of the external auditory canal, the volume of the external auditory canal, and the normal value of the external auditory canal were significantly different.There was no statistical difference in amplitude data (P 0.05).ConclusionThere are many factors that influence the effect of hearing aid, among which education level and the length of daily wear are the main factors. The combination of the two can maximize the effect of hearing aid, wear both ears, and improve the satisfaction of hearing aid in the short time of hearing loss.Gender had no significant effect on hearing aid.There were significant statistical differences in age and tinnitus frequency between kidney essence deficiency syndrome and liver fire disturbance syndrome in patients with presbycusis.Length of hearing loss, pure tone threshold, length of day, length of wear, tympanogram, volume of external auditory canal,There was no statistical difference in amplitude data (P 0.05). The patients with presbycusis with poor hearing aid effect may be related to the degree of kidney deficiency. Compared with the elderly deafness patients with liver fire disturbance, the SADL score of hearing aid satisfaction scale was relatively lower.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R764.436

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