双模式人工耳蜗植入者临床疗效Meta分析

Meta Analysis of the Clinical Outcomes of Binaural Bimodal Cochlear Implant Recipients

彭惠融;申丽君;银力;曹永茂

1:诺尔康听觉言语医学研究院

2:浙江省神经电子与脑机接口技术重点实验室

3:武汉大学人民医院耳鼻咽喉头颈外科中心

摘要
目的 通过比较双模式(CI+HA)与单耳人工耳蜗植入模式(CI)的临床效果,明确双模式能否有效提高人工耳蜗植入术后听觉及言语能力。方法 检索PubMed、Cochrane、CBM、CNKI、维普、万方数据库,收集2022年5月前国内外公开发表的关于人工耳蜗植入术后双模式与单耳模式康复疗效比较的相关文献,对符合纳入标准的文献资料进行Meta分析。结果 共纳入9篇文献,术后采用言语可懂度分级标准(speech intelligibility rating, SIR)、单/双音节词言语识别率、安静/噪声条件下言语识别率进行听力和言语评估。CI+HA组和CI组耳聋患者人工耳蜗植入术后SIR、单音节词、安静短句、噪声短句的效果差异分别为0.34(0.19,0.50)、3.28(0.19,6.37)、4.25(1.08,7.42)、11.8(5.42,18.18),差异有统计学意义(P<0.05)。结论 与单耳人工耳蜗模式相比,双模式能够更有效提高人工耳蜗植入者的听觉及言语能力。
关键词
人工耳蜗;双模式;康复疗效;Meta分析
基金项目(Foundation):
湖北省残疾人联合会重点支撑项目(201901)
作者
彭惠融;申丽君;银力;曹永茂
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