Jakub Fuksa, Milan Profant, M. Chovanec, J. Syka
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引用次数: 1

摘要

与年龄相关的听力损失,老年性耳聋,是老年人最常见的感觉障碍之一。它与内耳和听觉系统中枢的病理有关。完整的认知功能是正确处理复杂听觉信息的必要条件。自80年代初以来,越来越多的证据表明老年性痴呆与认知障碍和痴呆风险增加有关。连接这两种疾病的确切原因尚不清楚,尽管有几种假设和不同程度的证据。本文旨在阐述认知功能在听觉加工中的作用,总结已发表的有关听力损失与认知障碍之间关系的证据及其可能的机制,以解释这种联系。此外,我们还讨论了听力损失患者认知评估的具体特征,并描述了听力损失治疗的效果,例如:通过助听器、人工耳蜗和认知听力训练来提高认知功能。关键词:痴呆-听力损失-老年性痴呆-认知能力下降
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Vztah mezi presbyakuzí a poruchou kognitivních funkcí ve stáří PDF uzamčeno English info
Age-related hearing loss, presbycusis, is one of the most frequent sensory impairments in the ageing population. It is associated with pathologies of both inner ear and the central parts of the auditory system. Intact cognitive functions are necessary for the proper processing of complex auditory information. Since the beginning of the 80s, there is an increasing amount of evidence linking presbycusis to cognitive impairment and increased risk of dementia. The exact cause, which connects these two pathologies, is still unknown, although there are several hypotheses with various levels of evidence available. This review aims to describe the role of cognitive functions in the auditory processing, to summarize published evidence for a relationship between the hearing loss and cognitive impairment with a possible mechanism, which would explain this link. In addition, we discuss specific features of cognitive assessment in a person with hearing loss and describe the effect of hearing loss treatment, e. g. with hearing aids, cochlear implant and cognitive-hearing training on cognitive functions. Keywords: dementia – hearing loss – presbycusis – cognitive decline
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