首页|人工耳蜗植入对单侧聋及不对称听力下降患者耳鸣的影响

人工耳蜗植入对单侧聋及不对称听力下降患者耳鸣的影响

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目的:评估人工耳蜗对单侧聋(single-sided deafness,SSD)及不对称性听力损失(asymmetrical hear-ing loss,AHL)患者耳鸣的影响,并讨论不同因素对耳鸣的影响.方法:本研究前瞻性入组17例母语为汉语普通话的成人SSD/AHL人工耳蜗使用者.采用耳鸣致残量表(THI)和视觉模拟量表(VAS)评分评估患者在术前、术后1个月、开机1个月、开机3个月、开机6个月、开机12个月和开机24个月各时间点耳鸣困扰和耳鸣响度的变化情况.结果:SSD/AHL患者人工耳蜗开机后THI总分及3个维度得分均较术前降低,且耳蜗开机后各时间点得分与术前比较均差异有统计学意义(P<0.05).耳鸣VAS评分也较术前降低,且同一随访时间点佩戴耳蜗(CI-on)时VAS评分比不佩戴耳蜗(CI-off)时VAS评分更低,差异有统计学意义.结论:人工耳蜗可帮助多数SSD/AHL患者减轻耳鸣困扰和耳鸣响度,但临床上不应单纯为治疗耳鸣而植入耳蜗.
Effects of cochlear implantation on tinnitus in patients with single-sided deafness and asymmetrical hearing loss
Objective:To evaluate the effects of cochlear implantation in patients with single-sided deafness(SSD)and asymmetrical hearing loss(AHL).Methods:Seventeen Mandarin-speaking CI patients diagnosed as SSD/AHL were recruited in our study.The Tinnitus Handicap Inventory(THI)and the Visual Analogue Scale(VAS)were used to assess changes in tinnitus distress and tinnitus loudness in SSD patients at each time point(pre-operation and post-operation).Results:The THI score and all 3 dimensions were significant decreased with CI-on than pre-operation(P<0.05).Tinnitus VAS scores were also decreased,and VAS scores were lower with CI-on than with CI-off,and were both significantly different at each time point after CI switch-on(P<0.05).Conclusion:CI could help SSD/AHL patients to suppress tinnitus and reduce the loudness of tinnitus.However,CI should not be a treatment of tinnitus.

cochlear implantsingle-sided deafnessasymmetric hearing losstinnitus

陈婧媛、陈彪、石颖、刘萍、邹馨悦、张欣怡、孔颖、李永新

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首都医科大学附属北京同仁医院耳鼻咽喉科(北京,100730)

人工耳蜗 单侧聋 不对称性听力损失 耳鸣

国家自然科学基金

81870716

2024

临床耳鼻咽喉头颈外科杂志
华中科技大学同济医学院附属协和医院

临床耳鼻咽喉头颈外科杂志

CSTPCD北大核心
影响因子:0.831
ISSN:1001-1781
年,卷(期):2024.38(7)
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