双侧先天性外耳道闭锁患者应用骨锚式助听器的主观效果评估  

Self-rated efficacy in bilateral aural atresia patients using bone-anchored hearing aid

作　　者：樊悦[1] 王艺贝 王珍[1] 王璞[1] 陈晓巍[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院耳鼻咽喉科,100730

出　　处：《中华耳鼻咽喉头颈外科杂志》2015年第3期203-209,共7页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：“十二五”国家科技支撑计划项目（2012BAI12B01）;国家自然科学基金（81450026）

摘　　要：目的 通过调查问卷评估双侧先天性外耳道闭锁患者应用骨锚式助听器（boneanchored hearing aid,Baha）后的听力效果及满意度.方法 对19例双侧先天性外耳道闭锁行单侧Baha植入术的患者进行Baha应用情况问卷调查评估,其中15例患者应用助听器效果评估简表（abbreviated profile of hearing aid benefit,APHAB）进行评估,13例儿童患者完成儿童格拉斯格受益列表（Glasgow children＇s benefit inventory,GCBI）测试.采用SPSS 16.0对得分进行统计分析.结果 植入式Baha应用情况调查问卷显示,患者应用Baha后均可获得满意效果.患者应用Baha后APHAB量表中3个分量表的平均得分较裸耳降低,其中交流的难易（ease of communication）得分下降（54.6±10.2）分（t=20.6,P＜0.05）,背景噪声（backgroud noise）得分下降（46.9±11.1）分（t=16.4,P＜0.05）,回声（revereration）得分下降（58.8±15.4）分（t=21.4,P＜0.05）;而对声音的厌恶程度（aversiveness）分量表中,应用Baha时得分高出裸耳（56.7±9.9）分（t=10.8,P＜0.05）.GCBI的平均受益分数为（41.1±13.0）分.结论 双侧外耳道闭锁患者应用Baha后可显著改善其听力及生活质量,患者满意度较高.Objective Using questionnaires to evaluate the audiological benefit and satisfaction of bilateral aural atresia patients with bone-anchored hearing aid （Baha）.Methods Implanted Baha user questionnaire was applied to 19 patients suffering bilateral aural atresia,and 15 of the patients were evaluated with abbreviated profile of hearing aid benefit （APHAB）.Glasgow children＇s benefit inventory （GCBI） was used to measure subjective benefit of patients under the age of 18.Results The Baha user questionnaire demonstrated great satisfaction.The mean Baha scores for the subdomains of ease of communication（EC）,backgroud noise （BN） and revereration （RV） were decreased by 54.6 ± 10.2 （t =20.6,P〈0.05）,46.9±11.1（t=16.4,P〈0.05） and 58.8±15.4（t=21.4,P〈0.05） compared to the unaided scores.For the subdomain of aversiveness（AV）,the Baha score was 56.7 ±9.9（t =10.8,P 〈0.05） higher than the unaided score.The general benefit score GCBI was 41.1 ± 13.0.Conclusion Baha can significantly improve hearing ability and quality of life of patients with bilateral aural atresia.

关 键 词：先天畸形 耳道 听力 助听器 问卷调查 

分 类 号：R764.71[医药卫生—耳鼻咽喉科]