中文版筛选型老年听力障碍量表在老年性聋中的应用

目的探讨中文版筛选型老年听力障碍量表(HHIE-S)在老年性聋中的应用价值。方法对入选的170名非独居老年人及其亲属发放自评和代理者HHIE-S量表,并测其纯音听阈,分析量表得分与听阈之间的相关性。结果两份量表得分与纯音听阈间均呈正相关性。以25d B作为听力下降标准,HHIE-S量表对老年聋的特异性值为95.24%,对老年性聋的敏感性为59.06%,并随着听力损失级别的提高,量表的敏感性增加。共有149人(占总数87.65%)通过测听表明有不同程度的听力损失,轻至中度聋的患者中有50人得分>8,提示有听力障碍,10-22分的有39人,提示为轻至中度聋,有11人得分在24-40分之间,提示为重度听力障碍;听阈为重度聋及以上的患者共有38人得分>8,提示有听力障碍,10-22分的有9人,提示为轻至中度聋,29人得分在24-40分之间,提示为重度听力障碍。结论中文版HHIE-S量表在老年性聋筛查中表现出较好的敏感性和特异性,与纯音测听具有较强相关性,可以用于老年性聋的早期筛查,有利于推动老年性聋患者早期积极治疗和康复。     

70岁以上老人老年听力障碍量表筛查版（HHIE-S）临床调查结果分析

目的：对70岁以上老人的听力障碍情况进行调查,了解高龄老年人群的听力损失特点。方法对103例70岁以上老人进行老年听力障碍量表筛查版（HHIE-S）问卷调查,并采集基本健康信息。结果在103例受调查者中,34例存在听力障碍（33.0%）。存在听力障碍的老人中,70～79岁5例（15.6%）,80～89岁21例（36.8%）,90～98岁8例（57.1%）。罹患糖尿病对于总得分、情绪得分、社交场景得分具有显著影响（P〈0.05）;年龄对社交场景得分有显著影响（P〈0.05）,80岁以下的老年人社交场景得分低于80岁以上老年人（P〈0.05）;噪声接触史对社交场景得分有显著影响（P〈0.05）。结论 HHIE-S可较好反映70岁以上老年人听力障碍情况。     

单句询问与中文版老年听力障碍筛查量表在社区50岁以上人群听力筛查中的应用

目的：探讨中文版老年听力障碍筛查量表（Chinese version of hearing handicap inventory for the eld-erly－screening ,中文版 HHIE－S）和单句询问应用于社区50岁以上人群听力筛查的意义。方法使用中文版HHIE－S 量表及单句询问“您现在觉得听力有问题吗？”两种方法对某社区570例50～85岁中、老年人进行听力筛查,以0．5、1、2、4 kHz 平均纯音听阈（pure－tone audiometry,PTA）作为金标准,分别在 PTA ＞25、＞40、＞60 dB HL 三种不同听力损失分级条件下,计算单句询问及中文版 HHIE－S 量表的敏感性、特异性、阳性预测值及阴性预测值,比较两种方法对不同程度听力损失者的检出能力。结果570例中,PTA＞25 dB HL 478例,占83．86％,中文版 HHIE－S 量表＞8分者315例,占55．46％,单句询问阳性者299例,占52．46％。在三个不同听力损失分级条件下中文版 HHIE－S 量表＞8分的敏感性分别为61％、85％、96％,特异性分别为72％、58％、47％,单句询问阳性组的敏感性为58％、81％、100％,特异性为75％、61％、50％,两种听力筛查方法经统计分析比较差异无统计学意义（P ＞0．05）。结论中文版 HHIE－S 量表与单句询问方法对中重度听力损失中、老年人的筛查都有较高的敏感性,可根据研究目的用于临床及基层大样本中、老年人群的听力筛查。     

中文版老年听力障碍筛查量表评分与纯音听阈测试的比较研究

目的探讨中文版老年听力障碍筛查量表(hearing handicap inventory for the elderly-screening,HHIE-S)评分与纯音听阈测试的关联性与差异性,为该量表的临床应用提供依据。方法275例老年受试者(听力正常者47例、不同程度听力损失者228例)填写中文版HHIE-S量表获得评分,并进行纯音听阈测试,比较受试者中文版HHIE-S量表评分与较好耳500、1000、2000、4000 Hz纯音气导听阈平均值(PTA)之间的关联性与差异性。结果275例受试者中,PTA正常组47例,HHIE-S评分为无听力障碍者占80.85%(38/47);PTA轻度听力损失组101例,HHIE-S评分为轻中度听障者占38.61%(39/101);PTA中度听力损失组110例,HHIE-S评分为轻中度听障者占40.0%(44/110);PTA重度听力损失组17例,HHIE-S评分为重度听障者占82.35%(14/17)。HHIE-S与纯音听阈测试结果的Kappa系数为0.210(P<0.001)。HHIE-S评分与PTA的Pearson相关系数r为0.722(P<0.001)。以PTA≤25 dB HL为听力正常、HHIE-S评分≤8分表示无听力障碍,HHIE-S量表的敏感性为61.0%,特异性为80.9%,阳性预测值为93.9%,阴性预测值为29.9%。结论HHIE-S量表与纯音听阈测试既有较好的关联性,又有差异性,二者联合应用可以全面评估老年人的听力状况。     

老年听力障碍量表筛查版与完整版结果对比分析

目的对比老年听力障碍量表完整版(HHIE)与筛查版(HHIE-S)调查问卷结果,探讨更便捷的功能性听力障碍筛检方法。方法对120例70岁以上老年人分别进行老年听力障碍量表HHIE和HHIE-S的问卷调查,对比各自听力障碍分级标准,分别得出听力障碍等级结论。将HHIE结果与HHIE-S结果进行比较。结果根据HHIE功能性听力障碍分级标准,完整版有41例存在听力障碍,其中轻中度24例,重度17例。HHIE-S结果显示39例存在听力障碍,其中轻中度27例,重度12例。HHIE和HHIE-S的功能性听力障碍分级结果无统计学差异(X2=1.064,P=0.588)。结论老年听力障碍量表筛查版(HHIE-S)可以代替完整版进行临床调查,更便于患者信息采集及临床应用。     

中文版老年听力障碍筛查量表简化潜力研究

目的 简化中文版老年听力障碍筛查量表（hearing handicap inventory for elderly-screening, HHIE-S）,分析完整版和简化版量表与纯音听阈结果的相关性。方法 对北京和上海659例社区居民（北京173例,上海486例）发放完整版HHIE-S量表,对北京173位居民测试纯音听阈。采用限定性主成分分析法评估量表简化潜力并得到简化版HHIE-S量表,比较两个版本与纯音听阈间的相关性。结果 (1) HHIE-S量表（10项）总得分、情绪维度（5项）、社交场景维度（5项）得分均与纯音听力阈值呈极显著相关（P<0.001）;(2)HHIE-S量表限定性主成分分析结果显示,仅保留5个量表项目仍能保持80%量表可变性;(3)完整版和简化版HHIE-S量表得分与纯音听力阈值呈极显著相关性（P<0.001）。结论 中文版老年听力障碍筛查量表存在简化潜力,简化后量表保留原量表1、2、3、6、8题,仍与纯音听力阈值存在较好相关性。     

噪声下数字言语测试联合听力障碍筛查量表在职业性噪声性听力损失患者中的应用

目的 探究噪声下数字言语测试(digital speech test under noise,DIN)联合听力障碍筛查量表(hearing impairment screening scule,HHIA-S)在职业性噪声性听力损失患者中的应用价值。方法 选择职业性噪声性听力损失患者102例作为研究组,按双耳纯音听阈平均值PTA_{0.5～4 kHz}(双耳在500、1000、2000、4000 Hz纯音听阈平均值)分为轻度组(26～40 dB HL)51例、中度组(41～60 dB HL)27例、重度组(61～80 dB HL)24例;另选取听力正常健康体检者90例作为对照组。全部行纯音听阈测试、声导抗测试、DIN及HHIA-S测试。比较各组各指标测试结果,并绘制受试者工作特性曲线(receiver operating chara cteristc curve,ROC)分析其相应的关系。结果 研究组PTA_{0.5～4 kHz}、DIN及HHIA-S评分均显著高于对照组高(P<0.05)。其中重度组PTA_{0.5～4 kHz}、D...     

人工耳蜗在老年性聋患者中的应用

目的随着社会人口老龄化,听力障碍在老年人群中的发病率也逐年增加,老年性聋引起的沟通障碍会给老年人群带来生活及心理上的变化,严重影响了老年人的生活质量。目前老年性聋的干预措施较多,其中重度及极重度感音神经性老年性聋患者可选择人工耳蜗植入,本文就老年性聋人工耳蜗植入的选择标准、术前评估、术后并发症、术后康复及效果评估等进行综述。     

成人听力障碍筛查量表和噪声下数字言语测试在听力损失患者中的应用

目的 研究成人听力障碍筛查量表(hearing handicap inventory for adult-screening,HHIA-S)、噪声下数字言语测试(digits in noise,DIN)与听力损失的相关性,分析HHIA-S与DIN在听力损失诊断中的灵敏度和特异度.方法 本研究招募听力正常者29名、感音神...     

Validation of the French version of HHIE-S (Hearing Handicap Inventory for the Elderly - Screening) questionnaire in French over-60 year-olds

IntroductionThe HHIE-S (Hearing Handicap Inventory for the Elderly - Screening) is widely used for hearing-loss disorder in the elderly. The main objective of the present study was to validate a French version. The secondary objective was to determinate a cut-off score as indication for hearing rehabilitation.MethodsWe translated the HHIE-S into French, respecting the cross-cultural adaptation process for medical questionnaires. An observational study assessed the translation (10 questions, scored from 0 to 40) used for screening purposes in a prospective cohort, aged ≥ 60 years, with comparison to pure tone, speech-in-silence and speech-in-noise audiometry. Subjects were considered hearing-impaired if the pure-tone average at 500, 1,000, 2,000 and 4,000 Hz was > 20 dB HL in one or both ears.ResultsWe tested 294 subjects (mean age = 67 ± 6 years). Hearing loss prevalence was 34.7 %. Cronbach's alpha (test reliability) was high (0.84). Taking HHIE-S score > 8/40 as cut-off defining hearing loss, sensitivity was 80.4%, specificity 85.4 %, positive predictive value 74.5 % and negative predictive value 89.1 %. Seventy-three subjects (24.8 %) had theoretic indications for hearing aids, optimally detected by HHIE-S score > 16/40 (88,4 %).ConclusionOur study validated the French version of the HHIE-S. This tool could be useful in screening for age-induced hearing loss in the elderly French population.     

Tinnitus characteristics and associated variables on Tinnitus Handicap Inventory among a Hungarian population

BackgroundTinnitus is a sound precepted without an external sound stimulus. Its background can be categorised into primary and secondary cases. The secondary cases include pathologies of the external, middle and inner ear. Tinnitus can be objective or subjective; the latter can only identified by the sufferer. Previous research results have shown that tinnitus significantly affects the quality of life and daily functioning.ObjectivesTo analyse the impact of tinnitus on the daily functioning and the possible influence of demographical data and tinnitus duration on it.Methods630 patients (265 males and 365 females, 25–85 years of age) suffering from primary tinnitus were enrolled. In the Hungarian language, these patients completed the Tinnitus Handicap Inventory (THI) questionnaire and underwent a complete otorhinolaryngological examination. IBM SPSS V24 software was used for data processing; correlation tests, the Mann-Whitney U and Kruskal-Wallis non-parametric tests were used.ResultsAccording to the THI questionnaires outcomes, most patients (62.5%) were presented with a mild handicap. Based on statistical analysis, no significant correlation was observed between the total THI points and the age of the patients, along with the duration and localisation of the symptoms. However, the total THI scores of male and female patients significantly differed, indicating higher THI values in the female group (p = 0.000521).ConclusionsThe tinnitus severity was not affected by the duration, localisation of the symptoms and age but by gender, indicating higher values in the case of females.     

老年及老年前期耳鸣患者耳鸣残疾度量化表问卷评估

目的 研究老年前期及老年期患者的耳鸣对其情绪的影响,评估耳鸣残疾度,试图发现老年患者群中耳鸣的临床特征.方法 主诉耳鸣患者60例,其中男性37例,女性23例,平均年龄65.1±11.3岁.根据年龄将患者分为两组:老年组(60岁以上组)35例,男22例,女13例;老年前期组(49～59岁组)25例,男14例,女11例.使用问卷对患者进行病史调查和耳鸣残疾度量化评估.结果 在受调查患者中,78.3%(47/60)自觉有听力损失,2例使用助听器,8.3%(5/60)自诉有耳病史,38.3%(23/60)有噪声接触史,63.3%(38/60)伴发其他疾病,老年组伴发其他疾病的比例较高.60例患者中.耳鸣残疾1级38例,占63.3%,2级12例,占20%,3级5例,占8.3%,4级2例,占3.3%,5级3例,占5%.两组患者各自的分级构成无统计学差异(P=0.604).两组之间3类问题功能性(P=0.164)、情绪性(P=0.21 3)、灾难性(P=0.111)无统计学差异.结论 耳鸣所造成的主观影响在老年人群中很明显.对于老年及老年前期患者,加强针对耳鸣的心理和情绪性调节非常重要.     

Test-retest reliability of the Hearing Handicap Inventory for the Elderly

The Hearing Handicap Inventory for the Elderly (HHIE) is a self-assessment tool, composed of emotional and social/situational subscales and designed to measure the perceived effects of hearing impairment in the noninstitutionalized elderly. Previous study has indicated that the HHIE has a high internal consistency, as well as high split-half reliability. The present study was undertaken to examine test-retest reliability associated with the HHIE, as the latter information is prerequisite to the application of the HHIE as a measure of change in perception of handicap which may result from audiologic intervention. Forty-seven noninstitutionalized elderly individuals with sensorineural hearing loss were sampled, using two measurement techniques: face-to-face (N = 20) and paper-and-pencil (N = 27) administration. Test-retest reliability was high for both the face-to-face and paper-and-pencil administration, suggesting that the HHIE has potential as a measure of change resulting from rehabilitation.     

Inflammation is associated with a worsening of presbycusis: Evidence from the MRC national study of hearing

Abstract

Objective: Inflammaging, a state of chronic inflammation in the elderly, is now thought to be a key element of the ageing process and contributor to age-related disease. In a previously published study, we identified a significant association between inflammation levels and severity of presbycusis among individuals aged 63 to 73 (?younger old”) within an available audiometric range 0.5 to 4 kHz. Our aim was to see if this association would be identified among participants in the MRC national study of hearing, and whether the strength of the association would increase with greater age, or for very low or very high audiometric frequencies. Design: Cross-sectional analysis of cohort data. Study sample: Three hundred and sixty community-dwelling adults age 60 years and over, representing all those with white blood cell count and audiometric data available. Results: A significant independent association between (higher) WBC and (worse) hearing level was identified. This effect increased with age. The strongest association was among those over 75, for whom average hearing threshold levels among those with lower WBC was 17 dB better than those with higher WBC. Conclusions: The current findings support an association between inflammaging (a condition potentially amenable to pharmacological treatment or lifestyle management) and presbycusis.