皮层诱发电位测试评估双模式听力干预的康复效果

芦婷; 赵霞; 朱宁

doi:10.3969/j.issn.1672-4933.2025.04.012

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皮层诱发电位测试评估双模式听力干预的康复效果

临床研究 | 更新时间：2026-07-11

- 皮层诱发电位测试评估双模式听力干预的康复效果
- Cortical Evoked Potential Test for the Evaluation of the Rehabilitation Effect of Dual-Mode Hearing Intervention
- 中国听力语言康复科学杂志 2025年23卷第4期页码：409-412
- 作者机构：
  
  1.宁夏医科大学第一临床医学院银川 750001
  2.宁夏残疾人康复中心银川 750002
- 作者简介：
  
  芦婷本科主治医师；研究方向：听力语言康复
  朱宁，E-mail：13995310532@163.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.04.012
  中图分类号： R764.5
- 收稿：2024-12-25，
  
  纸质出版：2025-07-15
- 稿件说明：
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芦婷,赵霞,朱宁.皮层诱发电位测试评估双模式听力干预的康复效果[J].中国听力语言康复科学杂志,2025,23(04):409-412.

LU Ting,ZHAO Xia,ZHU Ning.Cortical Evoked Potential Test for the Evaluation of the Rehabilitation Effect of Dual-Mode Hearing Intervention[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):409-412.
芦婷,赵霞,朱宁.皮层诱发电位测试评估双模式听力干预的康复效果[J].中国听力语言康复科学杂志,2025,23(04):409-412. DOI： 10.3969/j.issn.1672-4933.2025.04.012.

LU Ting,ZHAO Xia,ZHU Ning.Cortical Evoked Potential Test for the Evaluation of the Rehabilitation Effect of Dual-Mode Hearing Intervention[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):409-412. DOI： 10.3969/j.issn.1672-4933.2025.04.012.

摘要

目的

研究双模式听力干预听障儿童助听听阈及皮层诱发电位（CAEP）P1波潜伏期、幅值的发展规律，评估双模式听力干预的康复效果及中枢听觉皮层发育情况。

方法

以29例采取双模式听力干预的听障儿童作为研究对象，进行声场下助听听阈评估，采用500、1000、2000、4000 Hz 4个频率的短纯音刺激声分别对受试者双模式听力干预及单侧人工耳蜗植入两种听力干预方式下进行CAEP测试，比较两种听力干预方式下P1波潜伏期及幅值，并根据年龄、助听器补偿效果进行分组，比较双模式听力干预CAEP测试P1波潜伏期及幅值。

结果

人工耳蜗植入术后双模式干预组比单侧人工耳蜗组在4种不同频率短纯音刺激下CAEP P1波潜伏期缩短、幅值增大，幅值有显著差异（

0.05）；年龄

72个月组比

72个月组在4种不同频率短纯音刺激下CAEP P1波潜伏期缩短、幅值增大无显著差异（

＞0.05）；助听器补偿效果优组比补偿效果不佳组在500～2000 Hz短纯音刺激记录的CAEP P1波潜伏期短、幅值增大无显著差异（

＞0.05），4000 Hz短纯音CAEP的P1波潜伏期和振幅均无显著差异（

＞0.05）。

结论

双模式听力干预可有效提高听障儿童的听觉能力，促进大脑中枢皮层发生跨模态重组，从而促进听觉皮层的发育成熟。

Abstract

Objective

To investigate the developmental patterns of aided hearing thresholds and cortical auditory evoked potential (CAEP)P1 latency and amplitude in children with hearing impairment following a cochlear implant surgery under bimodal auditory intervention

and to evaluate the auditory effects and development of the central auditory cortex plasticity after cochlear implant surgery with bimodal auditory intervention.

Methods

29 children with hearing impairment with bimodal auditory intervention were selected as study subjects.Aided hearing threshold assessments were conducted in a sound field

and CAEP tests were performed using tone burst stimuli at 500Hz

1000Hz

2000Hz

and 4000Hz. The P1 latency and amplitude under the two auditory intervention methods were compared

and groups were formed based on age and hearing aid compensation effects to compare the CAEP P1 latency and amplitude under bimodal auditory intervention.

Results

The bimodal intervention group after cochlear implantation had shorter CAEP P1 latency and higher amplitude compared to the unilateral cochlear implant group (

0.05). There was no statistical difference in CAEP P1 latency and amplitude between the group older than 72 months and the group younger than 72 months (

0.05).Those with noticeabe hearing compensation effects had shorter CAEP P1 latency and higher amplitude compared to those with poor hearing compensation effects with no statistical difference (

0.05).

Conclusion

Bimodal auditory intervention can effectively improve the auditory ability of children with hearing impairment

promote the cross-modal reorganization in the central auditory cortex of the brain

and enhance the maturation of the auditory cortex.

关键词

Keywords

references

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