• 제목/요약/키워드: Presbycusis

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한방 복합 치료 및 소리 재활 치료로 호전된 노인성 난청 치험 1례 (Therapeutic Effects of Korean Medical Treatment Combined with Threshold Sound Conditioning on Presbycusis: A Case Report)

  • 제하경;민예은;오연주;강준혁
    • 한방안이비인후피부과학회지
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    • 제34권3호
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    • pp.102-111
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    • 2021
  • Objectives : The purpose of this study is to report the case of a presbycusis patient whose hearing had improved. Methods : A 81-year-old male diagnosed with presbycusis were treated with Korean medical interventions (acupuncture combined with electromagnetic stimulation and pharmacoacupuncture) and Threshold sound conditioning(TSC) for 3 months. Pure tone audiometry(PTA) was performed for the evaluation. Results : The patient's hearing was improved from moderate to mild level according to the Classification of Hearing Loss(International Organization for Standardization, 1969). The average hearing were improved from 40.5 dB to 32.7dB on the left side, 46.9dB to 34.1dB on the right side. Conclusions : We observed an improvement in a presbycusis patient's hearing and hereby suggest the possibility of Korean medical treatment and TSC's ameliorating effect on sensorineural hearing loss as well as prebyscusis.

노인의 청력장애지수와 한국판 버그균형검사의 상관관계 (The Correlation of the Hearing Handicap Inventory for the Elderly and Berg Balance Test-Korean Version)

  • 조규행;황수진
    • PNF and Movement
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    • 제8권1호
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    • pp.51-58
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    • 2010
  • Presbycusis or related-age hearing loss is approximately 30 percent for people aged over 65 years. The purpose of this study was to compare the relationship between the Hearing Handicap Inventory for the Elderly and the Berg Balance Scale for predicting and screening risk of falls in people over 65 years with diagnosed presbycusis. Thirty-five subjects all lived at the nursing home in Wonju. Disability caused presbycusis was measured using the Hearing Handicap Inventory for the Elderly, and static and dynamic balance was measured using Berg Balance Scale. Data were analyzed using Spearman correlation. Statistically significant differences were noted between two clinical meausres (r=.862, p<0.001). In conclusion, the results suggest that presbycusis may be able to predict dangerous falls in older persons.

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노인성 난청 보상을 위한 양 이 보청 모듈 설계 (Design of a Stereo Hearing Aid Module for Presbycusis)

  • 이광
    • 한국전자통신학회논문지
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    • 제15권4호
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    • pp.779-784
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    • 2020
  • 본 논문에서는 기존에 제안한 노인성 난청으로 인한 청력도 감쇄를 보상하는 회로의 고주파 잡음 특성을 개선하고, 입체 음향을 지원하는 양 이(耳)형 보청 모듈을 설계·제작하였다. 고 이득 조건에서 경우에 따라 발생하는 기존 회로의 고주파 잡음 원인을 모의실험을 통해 분석하였다. 양 이 형 모듈에는 조절 대상 반대쪽 귀에는 음을 소거하여 보다 정확하게 오른쪽과 왼쪽 귀에 맞는 증폭 이득을 조절할 수 있도록 음 소거 스위치를 추가하였다.

초기 노인성 난청자에서 인지장애가 일상생활 듣기 어려움에 미치는 영향 (Effects of Cognitive Impairment on Self-reported Hearing Handicap in Older Adults with Early-stage Presbycusis)

  • 이수정
    • 한국노년학
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    • 제38권1호
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    • pp.1-14
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    • 2018
  • 노인성 난청은 일상생활 속 듣기 어려움(hearing handicap)을 유발함으로써 노년기 삶의 질을 저하시킨다. 본 연구에서는 초기 노인성 난청을 보이는 경도인지장애 노년층 40명과, 평균 연령 및 청력을 일치시킨 정상 노년층 40명을 대상으로 K-HHIE 설문을 실시하여 일상생활에서 느끼는 주관적 듣기 어려움 정도를 비교해보고자 하였다. 연구 결과, 첫째, K-HHIE의 사회적/상황적 점수, 정서적 점수, 그리고 총점에서 경도인지장애 노년층 집단이 정상 노년층 집단에 비해 유의하게 높은 점수를 나타내었다. 둘째, K-HHIE의 4개 요인 모두에서 경도인지장애 노년층 집단이 정상 노년층 집단에 비해 유의하게 높은 점수를 보였고, 특히 요인 1(대인관계 및 사회성)에서 집단 간 차이가 두드러졌다. 셋째, 집단에 따라 K-HHIE 문항별 평균 점수가 높은 상위 항목들을 비교한 결과, 경도인지장애 노년층과 정상 노년층 모두 8번 항목(작은 소리 듣기 어려움)과 15번 항목(TV 시청 불편함)에서 가장 많은 어려움을 호소하였으며, 특히, 경도인지장애 노년층은 요인 1에 해당하는 항목인 21번(식당에서 듣기 어려움)과 6번(모임 참석 시 듣기 어려움), 3번(대인기피), 20번(사회생활 제한) 항목들에서 높은 점수를 나타내었다. 본 연구는 초기 노인성 난청자 중에서도 인지장애가 있을수록 일상생활에서 더 많은 듣기 어려움을 호소하며, 특히 다화자 상황이나 배경 소음이 있는 상황에서의 듣기 어려움이 두드러지고, 이는 노년층의 사회활동을 제한시킬 뿐만 아니라 대인기피 등과 같은 정서적 문제를 야기할 수 있음을 확인하였다는 점에서 그 의의가 있다.

노인성 난청의 한약 치료에 대한 체계적 문헌고찰: 신허(腎虛)을 중점으로 (Systematic Review on Presbycusis Treated by Herbal Medicine Focusing on Kidney Deficiency)

  • 임희영;진한솔;고우신;윤화정
    • 한방안이비인후피부과학회지
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    • 제34권4호
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    • pp.49-70
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    • 2021
  • Objectives : This study was conducted to approve the effectiveness and safety of herbal medicine on presbycusis with kidney deficiency. Methods : We searched randomized controlled trials(RCTs) on presbycusis patients diagnosed with kidney deficiency through 10 electronic databases from the start to Sep 7, 2021. Study collection and data extraction, and evaluation of risk of bias were conducted by two independent collaborator. The evaluation of the risk of bias in included RCTs was carried out by using Cochrane risk-of-bias tool. And the data synthesis was conducted by using Review Manager(RevMan, ver.5.4). Results : 1. The treatment group which used herbal medicine(HM) alone was more effective than the control group which used only western medicine(WM) on effective rate of hearing loss. 2. In 3 studies comparing the HM-WM combination treatment group with the control groups using the same WM treatment, the effective rate was statistically significantly higher in the HM-WM combination treatment group. 3. Of the 5 studies that reported adverse reactions, one study reported mild nausea and dizziness, but the difference between the HM treatment group and the WM control group was not statistically significant, and no side effects occurred in other 3 studies. 4. In studies comparing HM and WM, the HM treatment group improved hearing loss, whole blood viscosity, serum TNF-𝛼, IL-1𝛽, IL-6, and oxidative stress indicators better than the WM control group, and there was no significant difference. 5. In studies comparing the HM-WM treatment group with the WM control group, the severity of tinnitus, quality of life, and feelings of anxiety and depression were better in the treatment group than the control group. Conclusions : This study shows that the herbal medicine can improve symptoms of presbycusis with kidney deficiency.

Hearing handicap inventory for elderly(HHIE)로 선별한 난청 노인들의 삶의 질 (The quality of life of elderly people with hearing loss selected by Hearing handicap inventory for elderly (HHIE))

  • 이현정;허승덕;황수연
    • 대한치료과학회지
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    • 제10권2호
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    • pp.39-45
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    • 2018
  • Objective: The aimes of this study is to analyze the effects of presbycusis on the quality of life. Method: 47-elderly were participated. The participants were divided into the suspected hearing impaired group (N=18) and the within normal limits (WNL) group (N=29). One-way ANOVA was performed to determine the association between the HHIE and WHOQOL-BREF scores by age group, and independent t-test was carried out to analyze the inter-group relations. Results: The scores in WHOQOL-BREF differed significantly by age group (p=.011): people in their sixties scored $3.7{\pm}.62$, those in their seventies $3.3{\pm}.56$, and those in their eighties $2.8{\pm}.60$, with significant differences observed. There were statistically significant inter-group differences (p=.000), with significant differences observed. Conclusion: The quality of life of the elderly were lowered depending on age and hearing impairment.

지혜 깊어지는 건강 - 활기찬 실버 세대 - 잘 안 들리는 노인성 난청 부모님 귓속에 쏘옥 보청기

  • 홍성화
    • 건강소식
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    • 제35권2호
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    • pp.26-27
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    • 2011
  • 노인성 난청(presbycusis)은 나이가 들어감에 따라 청력이 점진적으로 악화되는 것으로 성인 난청의 가장 흔한 원인중 하나이다. 미국과 마찬가지로 국내의 여러 연구에서 보면, 65세 이상의 노인 중 보청기를 착용해야 할 정도의 난청이 있는 비율이 전체의 30~35% 정도를 차지하고 있다. 이렇기 때문에 노인성 난청은 노인성 만성 질환 중 퇴행성 관절염, 고혈압에 이어 3대 만성 질환으로 분류되고 있다.

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BONE CONDUCTION TELEPHONE FOR THE HEARING IMPAIRED

  • Kang, Kyeongok;Kang, Seonghoon
    • 한국음향학회:학술대회논문집
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    • 한국음향학회 1994년도 FIFTH WESTERN PACIFIC REGIONAL ACOUSTICS CONFERENCE SEOUL KOREA
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    • pp.1064-1069
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    • 1994
  • In order to realize the function of human interface of telecommunications whose objective is to interchange useful information among persons, we developed a bone conduction telephone with which hearing impaired persons with conductive or noise-induced hearing loss and presbycusis can communicate with each other without any other additional devices such as hearing aids. The bone conduction telephone we developed has chatacteristics as follows : (i) a hearing impaired person and a normal hearing person can communicate by bone and air conduction hearings, respectively, using only this telephone set because, as its receiver, it uses a bone conduction vibrator with which we can realize such function with the voice coil and damper of a small speaker unit, the vibrating plate, etc., (ii) it has tone control function compensating hearing losses of hearing impaired persons according to their hearing loss/frequency chatacteristics. Using the tone control function together with a received volume control, it has the received volume range of 20dB in loudness rating; and (iii) it has the function of three emergency calls and a bell lamp as the visual display of a received call.

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노인에서 난청 의심자와 보청기 사용자의 삶의 질 비교 (Quality of Life Comparison between Suspicion Hearing Impaired and Hearing Aids Users in Elderly)

  • 손병창;허승덕
    • 대한통합의학회지
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    • 제6권3호
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    • pp.141-147
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    • 2018
  • Purpose : Aim of the this study was conducted to determine whether hearing aids are responsible for the quality of life by comparing quality of life between the elderly who are suspected of difficulty in hearing selected by Hearing Handicap Inventory of Elderly (HHIE) without using hearing aids and who are using hearing aids. Methods : For the study, two groups of 33 people were analyzed for independent t-test based on whether they wore Hearing Aids (HA) or not whom wearing hearing aids (hearing aids users) and suspected difficulty in hearing. who are attending the Religious organization Senior Welfare Center in the OO region. Result : The quality of life of hearing aid users is generally observed to be higher than that of non-users in general, and by the section, psychological (p=0.019) and living environment (p=0.032) were appeared statistically signigicant. The elderly showed a significant difference. In the section, "Operation Satisfaction (p=0.038)" in the physical health area, "relationship of reason (p=0.018)" in the social relationship area, "Economic margin (p=0.021)" in the environmental area, "Information accessibility (p=0.020)", In the psychological area, hearing aid was used for "self satisfaction (p=0.033)", "concentration of work (p=0.045)". Conclusion : The use of hearing aids by hearing loss elderly improves the quality of life in the psychological health and living environment section.

소음유발 청력손실과 소음폭로에 대한 연구 (The analysis of the relation between noise induced hearing loss and noise exposure)

  • 장호경
    • 한국의학물리학회지:의학물리
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    • 제9권4호
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    • pp.217-225
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    • 1998
  • 본 연구에서는 A청감보정 소음레벨과 폭로기간에 대한 소음유발 청력손실과 소음폭로 사이의 관계를 해석하였다. 연령과 소음폭로등 다양한 변수에 대하여 청력손실과 청감민감도 변화를 조사하였다. 연구결과 전체 청력손실은 음압의 시간적분에 의한 소음폭로 레벨에 비례하였다. 만약 소음폭로가 노인성 난청보다 크면 연령과 소음에 의해 발생하는 청력손실은 주된 원인이 소음에 의한 것임을 확인하였다. 과도한 소음은 일시적 청력손실의 원인이며, 폭로가 길어지거나 강력하면 영구적 청력손실의 원인이 될 수 있다. 소음유발 청력손실을 겪는 사람의 청력도는 4kHz 영역에서 청감민감도의 급격한 손실을 보여주며, 이 영역은 여러 형태의 산업소음으로 인해 가장 손상받기 쉬운 전형적인 주파수영역임을 확인하였다.

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