摘要
言语测听是一种以标准化言语信号为基础的听力学测试方法,旨在评估听障患者对言语的辨别和理解能力.相比纯音测听,言语测听不仅能反映患者是否能听懂言语,还能反映患者的中枢听觉功能、认知功能等整合能力.言语测听在听力干预及康复中极为重要,尤其是在助听器干预方面.本文重点阐述言语测听在助听器验配前后及听力康复效果评估全过程中的应用,包括预测听障患者助听效果、辅助精准调试、评估助听干预效果、制订个性化康复方案以及提供长期随访量化指标等,旨在整体提升听障患者对听力干预效果的满意度.此外,未来的言语测听将借助个性化康复、社会参与和心理支持等方面的新技术和模式,进一步提升听障患者的生活质量和听力康复效果.
Abstract
Speech audiometry is an audiological test based on standardized speech signals,aiming to assess the speech recognition and comprehension of hearing loss patients.Compared with pure tone audiometry,speech audiometry not only reflects whether the patients can understand speech,but also reflects the patients'central auditory function,cognitive function,and other integrated abilities.Speech audiometry is extremely important in hearing intervention and rehabilitation,especially in hearing aid intervention.In this review,we focus on the whole process of speech audiometry in hearing loss patients'pre-and post-fitting and hearing rehabilitation,including the prediction of hearing loss patients'hearing aid effect,assisting in the accurate adjustment,evaluating the effect of hearing aid intervention,formulating personalized rehabilitation plans and providing quantitative indicators for long-term follow-up,etc.,aiming to improve the overall hearing loss patients'satisfaction with hearing intervention outcomes.In addition,in the future,with the help of new technologies and modes of personalized rehabilitation,social participation,psychological support,etc.,speech audiometry will be used to improve the quality of life of the hearing loss patients and the effect of hearing rehabilitation.
基金项目
上海市科委医学创新研究项目(22Y11902000)
上海交通大学重点交叉项目(YG2021ZD14)