| 术前多频稳态残余听力对人耳蜗术后言语恢复影响的临床分析 |
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| 作者姓名： | 陈泉东 马静 林垦 高映勤 肖洋 赵丽萍 张铁松 |
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| 作者单位： | 昆明市儿童医院耳鼻咽喉头颈外科 |
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| 基金项目： | 基金: 云南省卫生科技计划项目 (2014NS054); 云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2015FB090); 云南省教育厅科学研究基金资助项目 (20151S00967); |
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| 摘 要： | 目的 探讨多频稳态诱发电位高低频残余听力对人工耳蜗术后言语恢复的影响.方法 回顾性分析昆明市儿童医院2014年1月至2016年1月诊断为重度或极重度感音神经性耳聋且术前多频稳态诱发电位存在残余听力的102例患儿, 采用言语可懂度分级 (speech intelligibility rating, SIR) 得分, 判断术前多频稳态诱发电位高低频残余听力对人工耳蜗术后语训1 a言语恢复的影响.结果 多频稳态诱发电位高频组术后语训1 a言语可懂度分级 (SIR) 得分 (3.93±0.8) 分, 而低频组术后语训1 a言语可懂度分级 (SIR) 得分 (3.20±0.94) 分, 且高频组与低频组之间具有统计学意义 (P<0.05) .多频稳态诱发电位高频组 (1.0, 2.0 kHz) 术后语训1 a言语可懂度分级 (SIR) 得分为 (3.93±0.8) 分, 而低频组 (0.5, 1.0kHz) 术后语训1 a言语可懂度分级 (SIR) 得分 (3.20±0.94) 分, 且高频组与低频组之间差异有统计学意义 (P<0.05) .结论 术前为高频残余听力的患儿术后言语恢复情况较术前为低频残余听力的患儿恢复情况好, 故高频残余听力对人工耳蜗术后言语恢复更加有利.
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| 关 键 词： | 多频稳态诱发反应 感音神经性聋 人工耳蜗值入 言语功能 |
| 收稿时间： | 2017-05-13 |
Clinical Analysis of the Effect of Preoperative Multi-frequency Steady State Potential Residual Hearing on Speech Recovery after Cochlear Surgery |
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| Abstract: | Objective To investigate the effect of multi-frequency steady state potential of high frequency and low frequency residual hearing on speech recovery after cochlear implantation.Methods We retrospectively analyzed 102 cases of children with severe or extremely severe sensorineural deafness and Residual hearing found in preoperative ASSR in Kunming children's Hospital from January 2014 to January 2016.Speech Intelligibility Rating (SIR) was used to evaluate the effects of preoperative high frequency and low frequency residual hearing on SIR after 1 years of cochlear implant training.Results The ASSR high-frequency group (1.0, 2.0 kHz) after 1 years of language training speech intelligibility rating score was (3.93±0.8) , and low frequency group (0.5, 1.0 kHz) after 1 years of language training speech intelligibility rating score was (3.20±0.94) and between the high frequency group and low frequency group was statistically significant (P<0.05) .Conclusions Children with high frequency residual hearing before surgery have better postoperative speech recovery than those with low frequency residual hearing before operation.Therefore, it can be concluded that high frequency residual hearing is more favorable for speech recovery after cochlear implantation. |
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