中国耳鼻咽喉头颈外科2016，Vol.23Issue(1)：27-30,4.DOI:10.16066/j.1672-7002.2016.01.009
老年听力障碍筛查量表在老年性聋调查中的应用与相关性分析
Application and relevance analysis of Hearing Handicap Inventory for the Elderly-Screening in presbycusis survey
摘要
Abstract
OBJECTIVE To investigate the application of Hearing Handicap Inventory for the Elderly-screening(HHIE-S) in hearing screening among elders in rural communities in Beijing. To assess the sensitivity and specificity of the scale. METHODS Four hundred subjects over 60 years old from 10 communities of DaXing district of Beijing were recruited. All the subjects finnished the HHIE-S scale and took the pure tone audiometry, and then were classified into three groups of mild, moderate, and severe deafness according to the average hearing threshold of the ear with less hearing loss by the diagnostic criteria of WHO. Correlation between the pure tone threshold and the HHIE-S scale were examined. According to the audiometric screening guidelines of American Speech-Language-Hearing Associations, a HHIE-S score >8 points indicates hearing impairment. And the sensitivity and specificity of the HHIE-S were examined with this cutoff value. RESULTS 1. The sensitivity of the HHIE-S scale in hearing screening depends on the hearing loss. For the subjects with mild deafness the sensitivity was 65.70%, moderate 78.40%, and severe 98.90%. 2. Respectively, specificity was 94.00%, 82.80%, and 65.60% for mild, moderate, and severe deafness. 3. The positive predictive value was 98.70%, 94.80%, and 51.10% ,respectively;meanwhile, the false positive rate (i.e., the misdiagnosis rate) was 6%, 17.80%, and 34.40%; correspondingly, the false negative rate (i.e., the missed diagnosis) was 34.30%, 21.60% and 1.10%. 4. The correlation coefficients between HHIE-S score and hearing loss were 0.215, 0.586 and 0.391, respectively. (all P<0.001). CONCLUSION HHIE-S scale is simple and easy to practise when screening for hearing loss , with high sensitivity , specificity and good consistency between the score and the pure tone threshold. It is practical and essential for presbycusis survey.关键词
老年人/老年性聋/老年听力障碍筛查量表Key words
Aged/Presbycusis/hearing handicap inventory for the elderly-screening引用本文复制引用
翟秀云,刘博,张玉和,刘雪冰,韩慧君,孙甜甜..老年听力障碍筛查量表在老年性聋调查中的应用与相关性分析[J].中国耳鼻咽喉头颈外科,2016,23(1):27-30,4.基金项目
北京大兴区科技发展计划资助项目 （）
