什么时候开始以计算机为基础的听力训练后耳植入:对生活质量和语音识别的影响
James R Dornhoffer1, Christian Shannon2, Gabriel A Hernandez-Herrara1
1Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.
概括
在耳植入物 (CI) 激活后很早开始基于计算机的听觉训练 (CBAT) 会导致语音识别和生活质量的更快改善. 然而,这些最初的好处随着时间的推移而减少,早期和晚期的CBAT用户在12个月内取得了类似的结果.
科学领域:
- 听力学 听力学是指听力学.
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 基于计算机的听觉训练 (CBAT) 是一种公认的方法,用于增强成年耳植入物 (CI) 用户的结果.
- 在新的CI接受者中启动CBAT的最佳时间仍然是一个研究领域.
研究的目的:
- 评估早期与晚期启动CBAT对新成年CI使用者的结果的影响.
- 为了比较CI接受者在3个月内开始CBAT的语音识别和生活质量改善,而不是3-12个月后激活.
主要方法:
- 在一个高等学术医疗中心,对65名新的成年CI用户进行了前性自然实验.
- 参与者被分为早期 (<3个月) 和晚期 (3-12个月) 的CBAT启动组.
- 语音识别 (CNCw,AzBio) 和CIQOL-35分数在第一次活动后的一年内进行了评估.
主要成果:
- 早期CBAT使用者在3个月内表现出语音识别 (CNCw,AzBio) 和CIQOL-35听力评分的显著改善,与晚期使用者相比.
- 到12个月后,所有参与者都启动了CBAT,在早期和晚期启动组之间没有观察到语音识别或生活质量得分的显著差异.
结论:
- 在新成年CI接受者中早期启动CBAT可能会加速语音识别和生活质量的改善.
- 虽然早期启动提供了短期优势,但CBAT的长期好处似乎可以与12个月后激活的启动时间相比较.
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