听觉脑干响应值和功能性听觉:对耳植入物候选性的影响
Laura Jacxsens1,2,3, Emilie Cardon1,2, Hanne Blancke1,2
1Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital (UZA), Edegem, Belgium.
International journal of audiology
|December 23, 2024
概括
听觉脑干响应 (ABR) 值与某些感觉神经听力损失 (SNHL) 患者的听力功能相关. 然而,在严重的SNHL病例中,ABR值对于评估耳植入 (CI) 候选人是不可靠的.
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.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 感官神经听力损失 (SNHL) 显著影响语音感知和生活质量.
- 耳植入器 (CI) 是一种可行的治疗方法,用于严重到严重的SNHL.
- 准确评估功能性听力对于确定CI候选性至关重要.
研究的目的:
- 评估听觉脑干响应 (ABR) 值在评估功能性听力方面的临床相关性.
- 确定ABR值和SNHL成年人的语音感知得分之间的相关性.
- 评估ABR值在预测耳植入 (CI) 候选人的有用性.
主要方法:
- 对191名患有SNHL的成人患者进行了回顾性分析.
- 在安静情况下,ABR值,纯音调听力测量和语音感知得分之间的相关性分析.
- 对不同程度的SNHL和潜在的CI候选人的相关性进行比较.
主要成果:
- 在ABR值和无助语音感知得分之间发现了显著的负相关性 (R = -0.397,P < 0.0001).
- 这种相关性在具有更好的语音感知 (≥50%) 的患者中是显著的,但对于那些得分较差 (<50%) 的患者而言并非如此.
- 在ABR值高于60dBnHL时观察到适度的相关性,但在60dBnHL或更低的值时没有.
结论:
- 听觉脑干响应 (ABR) 值显示,在严重的SNHL中评估功能性听觉表现的临床有效性有限.
- 在患有严重听力损失的患者中,ABR值与语音知觉没有可靠的相关性 (语音知觉<50%或ABR值≥60dBnHL).
- 这些发现表明,单独的ABR值可能不足以评估严重SNHL患者的耳植入候选人.
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