Đo thính lực lời và bước đầu ứng dụng đánh giá sức nghe ở người bệnh nghe kém đột ngột

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Bùi Thế Anh

Ngôn ngữ: Vie

Ký hiệu phân loại: 617.51 *Head

Thông tin xuất bản: Y học cộng đồng 2023

Mô tả vật lý: 28-32

Bộ sưu tập: Metadata

ID: 401649

Thêm vào giỏ Liên kết toàn văn

Tóm tắt
Chủ đề

Ứng dụng đo thính lực lời trong đánh giá sức nghe ở nhóm người bệnh nghe kém đột ngột.Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả loạt ca bệnh thực hiện trên 26 người bệnh nghe kém đột ngột được chẩn đoán và điều trị nội trú tại bệnh viện Tai Mũi họng trung ương từ tháng 2/2023 đến tháng 4/2023. Đo thính lực lời đánh giá hai chỉ số: Ngưỡng nghe lời (SRT) và Chỉ số phân biệt lời (WDS) với chất liệu là Bộ từ thử tiếng Việt 1 và 2 âm tiết của tác giả Nguyễn Hữu Khôi.Kết quả: Xác định được chỉ số SRT ở 92% số tai nghe kém đột ngột và chỉ số WDS ở 81% số tai nghe kém đột ngột. Chỉ số SRT trung bình của nhóm tai nghe kém đột ngột là 46 dB, trong đó có 5 ca chênh lệch giữa SRT và PTA trên 12 dB. Chỉ số WDS <
100% ở 52,4% số tai nghe kém đột ngột và hình thái biểu đồ thính lực lời gặp chủ yếu là biểu đồ hình cao nguyên.Kết luận: Đo thính lực lời giúp phản ánh chính xác ngưỡng nghe lời nói của người bệnh cũng như sơ bộ định hướng vị trí tổn thương tại ốc tai hay sau ốc tai, do đó nên được chỉ định bổ sung phối hợp với đo thính lực đơn âm trong đánh giá và theo dõi người bệnh nghe kém đột ngột., Tóm tắt tiếng anh, Apply speech audiometry to evaluate hearing ability in patients with sudden sensorineural hearing loss.Materials and Methods: Descriptive case series study on 26 inpatients with sudden sensorineural hearing loss treated at Vietnam National Otorhinolaryngology Hospital from February 2023 to April 2023. Two main variables were Speecch Recognition Threshold (SRT) and Word Discrimination Score (WDS). Speech audiometry was evaluated using monosyllabic word list and spondaic word list created by Nguyen Huu Khoi.Results: SRT was measured in 92% of cases and WDS was measured in 81% of cases with sudden sensorineural hearing loss. In group of ear with sudden sensorineural hearing loss: mean SRT was 46 dB
the difference between SRT and PTA >
12 dB was found in 5/26 ears
WDS <
100% was found in 11/21 ears.Conclusion: Speech audiometry plays important role in measuring the speech thresholds and helps locating the lesion in auditory pathway.

1.

Tạo bộ sưu tập với mã QR