人工耳蜗植入儿童皮层听觉诱发电位与听觉言语能力的相关性研究

谢宇非; 潘滔; 马芙蓉; 王宇; 鲁兆毅

doi:10.3969/j.issn.1672-4933.2024.04.007

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人工耳蜗植入儿童皮层听觉诱发电位与听觉言语能力的相关性研究

特殊病例的人工耳蜗植入 | 更新时间：2026-07-11

- 人工耳蜗植入儿童皮层听觉诱发电位与听觉言语能力的相关性研究
- Cortical Auditory Evoked Potentials in Children with Cochlear Implants in Relation to Auditory Speech Performance
- 中国听力语言康复科学杂志 2024年22卷第4期页码：361-365
- 作者机构：
  
  北京大学第三医院北京 100191
- 作者简介：
  
  谢宇非博士住院医师；研究方向：人工耳蜗电生理
  潘滔，E-mail：pantao6422@163.com
  马芙蓉，E-mail：furongma@126.com
- 基金信息：
  
  国家自然科学基金面上项目(82271168);北京大学第三医院创新转化基金雏鹰计划(BYSYCY2024012)
- DOI：10.3969/j.issn.1672-4933.2024.04.007
  中图分类号： R764.43
- 收稿：2024-03-23，
  
  纸质出版：2024-07-15
- 稿件说明：
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谢宇非,潘滔,马芙蓉等.人工耳蜗植入儿童皮层听觉诱发电位与听觉言语能力的相关性研究[J].中国听力语言康复科学杂志,2024,22(04):361-365.

XIE Yu-fei,PAN Tao,MA Fu-rong,et al.Cortical Auditory Evoked Potentials in Children with Cochlear Implants in Relation to Auditory Speech Performance[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(04):361-365.
谢宇非,潘滔,马芙蓉等.人工耳蜗植入儿童皮层听觉诱发电位与听觉言语能力的相关性研究[J].中国听力语言康复科学杂志,2024,22(04):361-365. DOI： 10.3969/j.issn.1672-4933.2024.04.007.

XIE Yu-fei,PAN Tao,MA Fu-rong,et al.Cortical Auditory Evoked Potentials in Children with Cochlear Implants in Relation to Auditory Speech Performance[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(04):361-365. DOI： 10.3969/j.issn.1672-4933.2024.04.007.

摘要

目的

研究不同电极位点刺激下人工耳蜗植入（CI）儿童的皮层听觉诱发电位（cortical auditory evoked potential，CAEP）与听觉行为分级-II（CAP-II）、言语可懂度分级标准（SIR）之间的相关性及其影响因素，为CAEP进入临床应用提供依据。

方法

对26名CI儿童进行不同刺激位点（底转、中转、顶转）下CAEP测试，收集CAP-II、SIR得分，对CAEP的P1、N1波与听觉言语量表之间进行相关分析，探究可能的影响因素。

结果

①顶转电极刺激下，植入年龄与P1潜伏期呈正相关（

=0.423，

0.05）；②植入年龄与CAP-II得分呈负相关（

=-0.520，

0.01）；植入年龄、开机后时间与SIR得分呈负相关（

=-0.409，

0.05；

=0.481，

0.05）；③底转电极刺激下，P1潜伏期与CAP-II呈负相关（

=-0.445，

0.05）。

结论

CAEP作为能够反映听觉皮层功能的客观评估方式，也能够用于听觉言语能力评估。植入年龄越早、开机后时间越长，听觉言语发育越成熟。

Abstract

Objective

To investigate the correlation between cortical auditory evoked potentials (CAEP) and auditory behavior grading-II (CAP-II)

as well as the Speech Intelligibility Rating (SIR) standards in children with cochlear implantation (CI) under different electrode stimulation sites

and their influencing factors

to provide further basis for the clinical application of CAEP.

Methods

CAEP tests were conducted on 26 CI children under different stimulation sites

and CAP-II and SIR scores were collected. A correlation analysis was performed between the P1 and N1 waves of CAEP and the auditory speech scale

and possible influencing factors were explored.

Results

1) Under stimulation at the apical electrode

the age of implantation was positively correlated with the P1 latency (

=0.423

0.05)

2) The age of implantation was negatively correlated with CAP-II scores (

=-0.520

0.01)

the ages of implantation and post-switch-on time were negatively correlated with SIR scores (

=-0.409

0.05;

=0.481

0.05)

3) Under stimulation at the basal electrode

the P1 latency was negatively correlated with CAP-II (

=-0.445

0.05).

Conclusion

There is a correlation between CAEP and the auditory speech scale

and different stimulation sites can influence this correlation. The earlier the age of implantation and the longer the post-switch-on time

the more mature the auditory speech development.

关键词

Keywords

references

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