分期双侧人工耳蜗植入患者第二侧植入效果研究

乔汝汝; 张寒冰

doi:10.3969/j.issn.1672-4933.2024.03.008

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分期双侧人工耳蜗植入患者第二侧植入效果研究

临床研究 | 更新时间：2024-05-30

- 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
- 中国听力语言康复科学杂志 2024年22卷第3期页码：256-258
- 作者机构：
  
  山东大学齐鲁医院济南 250000
- 作者简介：
  
  乔汝汝硕士听力师；研究方向：临床听力学
  张寒冰，E-mail：zhanghanbing@qiluhospital.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.03.008
  中图分类号： R764.9
- 纸质出版日期：2024-05-15，
  
  收稿日期：2024-01-13，
- 稿件说明：
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乔汝汝,张寒冰.分期双侧人工耳蜗植入患者第二侧植入效果研究[J].中国听力语言康复科学杂志,2024,22(03):256-258.

QIAO Ru-ru,ZHANG Han-bing.Study on the Effect of Second Side Cochlear Implantation in Patients with Stage Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(03):256-258.
乔汝汝,张寒冰.分期双侧人工耳蜗植入患者第二侧植入效果研究[J].中国听力语言康复科学杂志,2024,22(03):256-258. DOI： 10.3969/j.issn.1672-4933.2024.03.008.

QIAO Ru-ru,ZHANG Han-bing.Study on the Effect of Second Side Cochlear Implantation in Patients with Stage Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(03):256-258. DOI： 10.3969/j.issn.1672-4933.2024.03.008.

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（

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（

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（

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。

Abstract

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 (

0.05). One year after the second cochlear implantation

there was a statistically significant CAP between the second cochlear and the first cochlear implants (

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 (

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

Keywords

CochlearStaged implantationCategories of auditory performance

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