人工电子耳蜗植入术在耳聋患者的疗效观察及对术后听阈的影响研究  

The curative effect of artificial electronic cochlear implantation in patients with deafness and its effect on postoperative hearing threshold

作　　者：朱丽娜[1] 武兰[1] 孙小龙[1] 周亚萍[1] 

机构地区：[1]河南科技大学第二附属医院耳鼻咽喉头颈外科,洛阳471000

出　　处：《国际医药卫生导报》2017年第16期2564-2567,共4页International Medicine and Health Guidance News

摘　　要：目的探讨人工电子耳蜗植入术在耳聋患者的疗效观察及对术后听阈的影响。方法选取2015年1月至2015年12月本院收治的感音神经性耳聋患者84例，随机分为两组，对照组应用西药治疗，研究组应用人工电子耳蜗植入术治疗，对比两组患者治疗效果以及术后听阈。结果研究组患者的总有效率显著高于对照组（97．6％比69．0％，P〈0．05）。两组患者治疗前左耳纯音听阀、右耳纯音听阀以及助听言语识别率差异无统计学意义（P〉0．05），治疗后两组患者的左耳纯音听阀、右耳纯音听阀以及助听言语识别率均有一定程度改善，其中研究组显著优于对照组（P〈0．05）。两组患者治疗前BAEP各波峰间潜伏期对比差异无统计学意义（P〉0．05），治疗后两组患者的BAEP各波峰间潜伏期均有一定程度改善，其中研究组显著优于对照组（P〈0．05）。结论耳聋患者应用人工电子耳蜗植入术治疗，能够提高治疗效果，改善患者术后听阈。Objective To investigate the curative effect of artificial electronic cochlear implantation in patients with deafness and its effect on postoperative hearing threshold. Methods 84 patients with sensorineural hearing loss in our hospital from January 2015 to December 2015 were randomly divided into two groups. The control group received western medicine treatment, while the study group received artificial electronic cochlear implantation. Compared the treatment effect and postoperative hearing threshold of two groups. Results The total effective rate in the study group was significantly higher than that in the control group （97.6% vs.69.0%, P〈0.05）. There were no statistically significant differences in left ear, right ear pure tone hearing threshold, hearing aid speech discrimination score between the two groups before treatment （P〉0.05）, left ear, right ear pure tone hearing threshold, hearing aid speech discrimination score after treatment in the study group were significantly better than those in the control group （P〈0.05）. There were no statistically significant differences in BAEP interpeak latency between the two groups before treatment （P〉0.05）, BAEP interpeak latency after treatment in the study group were significantly better than those in the control group （P〈0.05）. Conclusion Artificial electronic cochlear implantation in patients with deafness can improve the therapeutic effect and postoperative hearing threshold.

关 键 词：人工电子耳蜗植入术 耳聋 疗效 听阈 影响 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]