索菲康骨导助听器助听效果的多中心研究

Audiological Outcomes of Sophonotron Bone Conduction Hearing Aid from a Multicenter Investigation

陈颖;李勇;周沫;夏静宇;顾文琇;张文波;付欣;谢璐璐;高娜;李建红;任媛媛;张娟;周永青;杨蓓蓓;张天宇;

1:复旦大学附属眼耳鼻喉科医院耳鼻喉科

2:中国人民解放军白求恩国际和平医院耳鼻喉科

3:首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科

4:浙江大学医学院附属第二医院耳鼻咽喉科

摘要
目的评估软带或头带佩戴新型经皮传导索菲康骨导助听器对传导性聋或混合性聋、单侧聋患者的助听效果。方法以来自国内4家三级甲等医院的109例传导性或混合性聋患者及11例单侧聋(single-sided deafness,SSD)患者为研究对象,均以纯音测听(≥6岁患者)或听性脑干反应(ABR)(<6岁患者)评估裸耳听阈后予以头带或软带佩戴索菲康Alpha 2 MPO骨导助听器;并在声场下进行未助听、佩戴当日及佩戴2周后的助听听阈(0.54kHz)测试;≥6岁患者进行未助听、佩戴当日及佩戴2周助听下的言语识别阈(speech recognition threshold,SRT)测试,并记录患者佩戴后的不良反应。结果传导性或混合性聋患者中≥6岁患者助听耳裸耳骨导及气导平均听阈均值分别为18.55±8.99、71.45±10.25dB HL,<6岁组助听耳裸耳骨导及气导ABR阈值均值分别为18.33±8.36、70.80±8.24dB HL;SSD患者助听耳裸耳听阈不能测出;佩戴2周后,三组助听后纯音听阈均值分别为32.21±10.00、37.33±14.15、34.38±10.76dB HL,较未助听时明显改善,差异有统计学意义(P<0.05);≥6岁传导性或混合性聋组和SSD组患者佩戴2周后助听下各方向SRT较未助听时均显著降低,差异有统计学意义(P<0.05);各组患者均无与佩戴助听器相关的不良皮肤反应等。结论使用软带、头带佩戴索菲康骨导助听器,可有效改善传导性或混合性聋、SSD患者听阈和安静环境下言语识别阈。
关键词
骨导助听器;传导性聋;混合性聋;单侧聋
基金项目(Foundation):
国家自然科学基金项目(81570934)
作者
陈颖;李勇;周沫;夏静宇;顾文琇;张文波;付欣;谢璐璐;高娜;李建红;任媛媛;张娟;周永青;杨蓓蓓;张天宇;
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