分期双侧人工耳蜗植入患者第二侧植入效果研究  

Study on the Effect of Second Side Cochlear Implantation in Patients with Stage Cochlear Implantation

作　　者：乔汝汝 张寒冰[1] QIAO Ru-ru;ZHANG Han-bing

机构地区：[1]山东大学齐鲁医院,济南250000

出　　处：《中国听力语言康复科学杂志》2024年第3期256-258,共3页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的 研究分期双侧人工耳蜗植入患者第二侧人工耳蜗植入后1年与第一侧人工耳蜗植入效果的差异,以及可能影响第二侧人工耳蜗植入效果的因素。方法 选取分期双耳人工耳蜗植入患者40例(间隔时间6个月以上);其中20例在此期间一直配戴助听器,20例因各种原因未配戴助听器;在患者第二侧人工耳蜗植入1年后,对双侧人工耳蜗分别做助听后听阈测试以及听觉能力分级测试(CAP)。结果 (1)在第二侧人工耳蜗植入1年后,第二侧人工耳蜗与第一侧人工耳蜗声场下平均助听听阈对比,差异无统计学意义(P>0.05)。(2)在第二侧人工耳蜗植入1年后,第二侧人工耳蜗与第一侧人工耳蜗CAP对比有显著差异(P<0.05)。(3)分期双侧人工耳蜗植入患者间隔期一直不间断配戴助听器组与未配戴助听器组CAP对比有显著差异(P<0.05)。结论 分期双侧人工耳蜗植入的患者,在第二侧人工耳蜗植入一年后,后植入侧听觉能力得到极大的改善,但仍要差于第一侧人工耳蜗聆听效果;且在分期植入的间隔期,一直坚持配戴助听器有助于后植入耳人工耳蜗的聆听效果。Objective To investigate whether there is a difference in the outcome of the second cochlear implantation in patients who stage cochlear implantation one year after the second cochlear implantation and the factors that may affect the outcome of the second cochlear implantation.Methods 40 patients with cochlear implantation in both ears and non-simultaneous implantation were selected(with an interval of more than 6 months),of these,20 had been wearing hearing aids during this period and 20 had not worn hearing aids for various reasons during this period.One year after the implantation of the patient's second cochlear implantation,the post-hearing threshold test and the categories of auditory performance were performed on both cochlear implants.Result One year after the second cochlear implantation,there was no statistically significant hearing threshold between the second cochlear and the first cochlear implants(P>0.05).One year after the second cochlear implantation,there was a statistically significant CAP between the second cochlear and the first cochlear implants(P<0.05).There was a statistically significant difference in the CAP of patients who wore hearing aids continuously during the period and those who did not wear hearing aids for various reasons(P<0.05).Conclusion Patients with staged bilateral cochlear implants may still have worse hearing than the first cochlear implantation one year after the second cochlear implantation.The consistent use of hearing aids during the staging period can help with the sound of a cochlear implantation.

关 键 词：人工耳蜗 分期植入 听觉能力分级测试 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]