单侧听力损失及单侧聋的声源定位能力康复现状  

Rehabilitation of sound localization ability in patients with unilateral hearing loss or single-sided deafness

作　　者：刘锦峰[1] 原晶晶 周沫[1] 闫占峰[2] 王宁宇[1] LIU Jinfeng;YUAN Jingjing;ZHOU Mo

机构地区：[1]首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科,北京100020 [2]北京中医药大学东直门医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2021年第5期472-476,480,共6页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金(No:81271090);北京市自然科学基金(No:7162066,7162072)。

摘　　要：根据耳聋对中枢听觉系统影响的不同,耳聋又依据程度和侧别分为双侧听力损失、单侧听力损失(unilateral hearing loss,UHL)及不对称性听力损失[1]。UHL的患病率较高(7.2%~15.0%),由于临床重视不够,导致许多UHL患者未能得到及时有效的听力康复[1-4]。The prevalence of unilateral hearing loss(UHL)is higher,and the clinical attention to the hearing rehabilitation of UHL is not enough,resulting in many UHL patients cannot get rehabilitation timely and effectively.Severe to profound UHL(also known as single-sided deafness)patients lack binaural hearing superiority,especially the inadequate ability of sound localization,which will seriously affect their daily life and academic performance.At present,the main rehabilitation methods of UHL include various kinds of bone conduction hearing aids,vibrant soundbridge and cochlear implantation,etc.However,the rehabilitation effect of UHL patients’ability to locate the sound source is affected by the occurrence age,the type,the degree and the duration of the hearing loss.The results of rehabilitation in different literature vary greatly.This paper reviews the effects of different rehabilitation strategies on the ability of sound location and analyzes its possible causes and mechanisms.

关 键 词：单侧听力损失 单侧聋 听觉康复 声定位 助听器 耳蜗植入术 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]