听障老年人的助听器验配

目的探讨听障老年人助听器验配的方法和技巧。方法对112名受试者进行跟踪随访，客观记录他们使用助听器的感受，分析助听器验配方法和技巧对助听器效果的影响。结果老年人的行为认知和听觉反应能力极大地左右着助听器的配戴效果；气骨导听阈，舒适阈，不适阈、言语识别阈的检查和使用对于老年人助听器验配十分重要；低频部分的听力补偿要低于目标值，高频部分要略高于目标增益值；老年人助听器配戴的适应期平均为3个月；双耳配戴的效果明显优于单耳。结论完全按照助听器验配软件设计的程序给老年人验配助听器很难达到理想的效果，而验配经验、技巧和验配后的适应性训练在其中发挥着巨大的作用。

Hearing aids fitting for the elderly with hearing impairment

Objective To evaluate the methods and techniques employed in fitting hearing aids for the elderly. Methods The authors followed up 112 senior patients with hearing loss after they had worn their hearing aids to record their experience, and to assess the effects of hearing aids. Results The cognitive and auditory abilities of the elderly played a crucial role in affecting the effects of hearing aids use. The pure-tone thresholds of air-conduction and bone-conduction ,comfortable levels, discomfortable levels, speech reception thresholds and experience of using hearing aids were important factors to determine the effectiveness. Amplification should be lower than the targets at low frequency. The average period of acclimatization for the elderly was 3 months; bilateral amplification was more effective. Conclusion Hearing aids fitting for the elderly has to be considered with many other factors instead of only relying on fitting software and at the same time experience and techniques can be very crucial as well.