人工耳蜗植入术后的调试及效果评估分析①.pdfVIP

中国康复理论与实践2012年12月第18卷第12期ChinJRehabilTheoryPract,Dec,2012,Vol. 18,No. 12 - 1160 - DOI: 10.3969/j.issn. 1006-9771.2012.12.020 ·临床观察· 人工耳蜗植入术后的调试及效果评估分析① 江波，陶宝鸿，蔡志毅，郑皓，丁巍巍 [摘要] 目的 人工耳蜗植入术后儿童调试方法探讨及效果评估。方法 在对6 例人工耳蜗植入儿童进行为期2 年的调试过程 中，应用主观心理物理测试和电诱发复合动作电位(ECAP)、电诱发镫骨肌反射阈值(ESRT)、电诱发听性脑干反应(EABR)等客观检 测方法进行调试。结果 6 例患者均获得较满意的结果。结论 我们可应用ECAP 、ESRT 、EABR 等客观检测方法对儿童人工耳蜗 术后进行调试，结合主观心理物理测试，获得较为准确的客观阈值。 [关键词] 人工耳蜗植入；调试；电诱发听性脑干反应；电诱发复合动作电位；电诱发镫骨肌反射阈值 Debugging and Evaluation after Cochlear Implantation JIANG Bo, TAO Bao-hong, CAI Zhi-yi, et al. Department of Otolaryngology , Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China Abstract: Objective To investigate the adjustment methods and evaluation for children after cochlear implantation. Methods 6 chil- dren after artificial cochlear implantation were debugged by subjective psychological physical test, objective methods such as electricity in- duced composite action potential (ECAP), electrically evoked stapedius reflex threshold (ESRT) and electrically evoked auditory brainstem response (EABR). Results All the children got satisfied data. Conclusion For the children after cochlear implantation, objective methods such as ECAP, ESRT, EABR combined with subjective psychological physical test all together are helpful to obtain accurate threshold. Key words: cochlear implant; debugging; electrically evoked auditory brainstem response; electrically evoked compound action poten- tials; evoked stapedius reflex threshold [中图分类号] R764.4 [文献标识码] A [文章编号] 1006-9771(2012) 12-1160-03 [本文著录格式] 江波，陶宝鸿，蔡志毅，等. 人工耳蜗植入术后的调试及效果评估分析[J]. 中国康复理论与实践, 2012, 18 (12): 1160-1162. 人工耳蜗植入术已成为重度、极重度听力损失患 月内对6 例患者通过主观心理物理测试测定主观阈值 者改善听力、提高听说能力及社会交流能力的重要选 (T 值) 与舒适阈值(M 值) ，并分别选择第 1、5、9、 择。在我国随着越来越多低龄聋儿接受手术，如何保