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双耳双模式人工耳蜗植入患者术后听觉能力评估

Evaluation of Hearing Ability after Binaural Double Mode Cochlear Implantation

钟梅;邱建新;

1:安徽医科大学第一附属医院耳鼻咽喉头颈外科

2:安徽医科大学附属阜阳医院

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摘要

目的比较双耳双模式(一侧耳佩戴助听器,另一侧耳植入人工耳蜗)的人工耳蜗植入患者与单侧人工耳蜗植入患者术后听力、声音理解能力、言语感知、空间听力、言语分辨率等方面的差异。方法选取2013年12月2014年年12月在安徽医科大学第一附属医院行人工耳蜗植入的患者51例,根据术后非植入耳是否佩戴助听器,分为A组(单侧人工耳蜗植入28例)、B组(双耳双模式23例)。采用听觉行为分级-Ⅱ(categories of auditory performance-Ⅱ,CAP-Ⅱ)、有意义听觉整合量表(meaningful auditoryintegrationscale,MAIS)、言语空间特性量表父母版(speech,spatial and qualities of hearing scale-parents'version,SSQ-P)三个量表,通过问卷调查的方式,对患儿术前、术后听觉能力进行评估,比较两组的得分。结果两组术前CAP-Ⅱ、MAIS、SSQ-P得分差异均无统计学意义(P>0.05)。术后B组患者CAP分级(6.36±1.50级)和MAIS得分(25.96±3.77分)高于A组(分别为5.52±1.33级、23.36±4.86分),差异均有统计学意义(P<0.05);术后B组患者SSQ-P量表言语感知(8.17±0.59分)、空间听力(6.48±1.17分)、其他听力特性(6.93±0.96分)得分均高于A组患者(分别为7.48±0.72、3.89±0.78、5.56±0.84分),差异均有统计学意义(P<0.05)。结论双耳双模式人工耳蜗植入患者较单侧人工耳蜗植入患者术后听觉能力更好。

关键词

人工耳蜗植入;助听器;双模式

基金项目(Foundation):

作者

钟梅;邱建新;

参考文献

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