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

【摘要】：目的 分析老年性耳聾患者助聽器使用效果的相關影響因素,對患者在臨床上聽力康復采取相應的干預方式提供理論依據,并對老年性耳聾助聽器使用患者進行耳聾的中醫(yī)辨證,探討其腎精虧損證、肝火上擾證的臨床聽力學特征及兩大證型與助聽器效果間的相關性。 方法 采用日常生活助聽滿意度量表對120例接受助聽器驗配的老年性耳聾患者進行調查,統(tǒng)計資料中每位患者各項得分、總均分,并根據患者年齡、性別、教育程度、平均聽力閾值、助聽器類型、佩戴方式、佩戴時長、每日使用時長、自感聽力下降時長等9個因素進行分組,采用單因素分析及逐步多元回歸分析進行統(tǒng)計處理,篩選影響助聽效果的主要因素。分析可能影響助聽器使用效果的相關因素,并進行中醫(yī)辨證分型,比較分析臨床常見的證型聽力學特征及差異,分析證型與使用助聽器效果的關系。 結果 教育程度越高、每日佩戴時間越長、雙耳佩戴者得分高于教育程度低、每日佩戴時間短、單耳佩戴(P0.01)；自感聽力下降時長短者得分高于自感聽力下降時長長者(P0.01)；總體滿意度方面教育程度越高、每日佩戴時間越長者得分高于教育程度低、每日佩戴時間短(P0.01),其中性別對助聽效果無影響。中醫(yī)兩組證型相關因素比較,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)計分析均有顯著性差異(P0.05),而在自感聽力下降時長、純音聽閾、每日佩戴時長、佩戴時長、鼓室圖、外耳道容積、聲順值、振幅方面資料比較無統(tǒng)計差異(P0.05)。 結論 影響助聽器效果的因素較多,其中教育程度、每日佩戴時長是主要因素,兩者聯(lián)合可獲得助聽效果最大化,雙耳佩戴、自感聽力下降時間短助聽效果滿意度高,而性別對助聽效果無明顯影響。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)計差異(P0.05)。在自感聽力下降時長、純音聽閾、每日佩戴時長、佩戴時長、鼓室圖、外耳道容積、聲順值、振幅資料比較中無統(tǒng)計差異(P0.05),佩戴助聽器助聽效果較差的老年性耳聾患者可能與腎虛程度相關,與肝火上擾證老年聾患者相比,其助聽滿意度量表SADL分值相對較低。
[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.
【學位授予單位】：福建中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R764.436

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