单侧聋不同干预方式效果的系统评价与Meta分析

Systematic Review and Meta-analysis of the Effects of Different Interventions on Unilateral Deafness

黄晶晶;刘玉和

1:浙江中医药大学医学技术与信息工程学院

2:首都医科大学附属北京友谊医院耳鼻咽喉头颈外科

摘要
目的 系统评价单侧聋不同干预措施的效果。方法 检索中国知网、万方、Web of science、PubMed、Cochrance Library等数据库及中国临床试验注册中心,搜索有关单侧聋分别采用信号对侧传输系统(CROS)、骨传导装置(BCD)、人工耳蜗植入(CI)干预方式效果的临床试验研究,检索时限为各数据库建库以来至2022年10月,由2名评价员独立筛选文献、提取资料和文献质量评估后,采用Rev Man 5.3软件进行Meta分析。结果 共纳入14篇研究547例单侧聋患者,Meta分析结果示:(1)噪声下言语:三种干预方式在SssdNnh(目标信号位于患侧、噪声位于正常侧)方位下结果与未干预组有统计学差异,其余方位没有统计学差异;(2)声源定位:CI干预组优于未干预组,有统计学差异,BCD干预组与对照组没有统计学差异,CROS干预组比未干预组差,有统计学差异;(3)耳鸣量表得分:CI和BCD干预与对照组有统计学差异,CROS干预没有统计学差异;(4)SSQ得分:三种干预方式均优于对照组,有统计学差异。结论 人工耳蜗植入对单侧聋患者在噪声下言语识别、声源定位、耳鸣缓解及日常听能改善均有明显的改善作用,BCD和CROS干预在特定的生活场景下也有一定的改善作用。
关键词
单侧聋;信号对侧传输;骨传导装置;人工耳蜗植入
基金项目(Foundation):
作者
黄晶晶;刘玉和
参考文献

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