| 李蕴,李梅,孙阳,姬伟.听觉认知能力训练对老年听力障碍患者听力语言康复的影响[J].中国康复,2026,41(3):159-163 |
| 听觉认知能力训练对老年听力障碍患者听力语言康复的影响 |
| Impact of auditory cognitive training on hearing and language rehabilitation in elderly patients with hearing impairment |
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| DOI：10.3870/zgkf.2026.03.006 |
| 中文关键词: 老年听力障碍 听觉认知能力训练 听力康复 语言康复 |
| 英文关键词: Elderly hearing impairment Auditory cognitive training Hearing rehabilitation Language rehabilitation |
| 基金项目:陕西省重点研发计划项目（2019SF-107） |
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| 中文摘要: |
| 目的：探讨听觉认知能力训练对老年听力障碍患者听力语言康复的影响。方法：选取2022年6月~2024年6月收治的80例老年听力障碍患者，随机分为对照组和观察组各40例。对照组实施常规听觉训练，观察组采用听觉认知能力训练，2组均干预3个月。比较2组干预前后的听觉能力、语言能力、言语行为与适应行为、沟通能力、认知功能及脑干听觉诱发电位。结果：干预后，2组听觉能力、语言能力、言语行为、适应行为、蒙特利尔认知评估量表（MoCA）评分均较干预前提高（P<0.05），老年听力障碍筛查量表（HHIE-S）评分及脑干听觉诱发电位各波潜伏期较干预前降低（P<0.05）；且观察组上述指标改善幅度均优于对照组，差异有统计学意义（P<0.05）。结论：听觉认知能力训练对老年听力障碍患者康复效果显著，可有效改善其听觉、语言及认知功能，优化脑干听觉诱发电位传导特征，提升沟通能力，为临床优化老年听力障碍干预方案提供可靠依据，具有重要应用价值。 |
| 英文摘要: |
| Objective: To explore the impact of auditory cognitive training on hearing and language rehabilitation in elderly patients with hearing impairment. Methods: A total of 80 elderly individuals with hearing impairment, admitted to our hospital between June 2022 and June 2024, were enrolled in this study. They were assigned to a control group and an observation group via the random number table method, with 40 participants in each group. The control group was subjected to traditional auditory training, while the observation group underwent auditory cognitive ability training. Both groups received a 3-month intervention. Comparisons were made between the two groups regarding auditory capability, language proficiency, speech and adaptive behaviors, communication skills, cognitive function, and brainstem auditory evoked potentials before and after the intervention. Results: After the intervention, the auditory ability, language ability, speech behavior, adaptive behavior, MoCA scores significantly higher than those before the intervention (P<0.05), while the HHIE-S scores and the latencies of each wave of brainstem auditory evoked potentials in both groups were significantly lower than those before the intervention (P<0.05). Moreover, the improvement amplitude of the above indicators in the observation group was significantly better than that in the control group (P<0.05). Conclusion: Auditory cognitive training has a significant rehabilitation effect on elderly patients with hearing impairment. It can effectively improve their auditory, language and cognitive functions, optimize the conduction characteristics of brainstem auditory evoked potentials, and enhance communication ability. It provides a reliable basis for clinically optimizing intervention programs for elderly hearing impairment and has important application value. |
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