成人人工耳蜗植入辅以助听系统对听阈及言语康复的影响
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摘要
目的探讨成人人工耳蜗植入辅以助听系统对听阈及言语康复的影响。方法选择2017年2月～2018年2月在我院诊治的人工耳蜗植入患者45例,分为观察组25例与对照组20例,对照组为人工耳蜗植入,观察组为人工耳蜗植入辅以无线调频助听系统干预,记录言语识别情况。结果在刺激声0.5～4.0 kHz频率下,干预后观察组的平均助听听阈显著低于对照组(P<0.05)。干预后观察组的自然环境声响识别、语音识别、声调识别、数字识别、单音节词、双音节词等方面评分显著高于对照组(P<0.05)。干预后观察组与对照组的单元音/a/的F1、F2、F3值显著高于干预前(P<0.05),干预后观察组显著高于对照组(P<0.05)。结论基于无线调频的助听系统在听障人群中的应用能促进言语康复,提高助听听阈,改善客观声学指标。
Objective To explore the effects of adult cochlear implantation combined with hearing aid system on hearing threshold and speech rehabilitation. Methods Using the method of summarization and retrospective study, selected were a total of 45 patients of hearing-impaired from our hospital from February 2017 to February 2018. 25 were grouped into the observation group and 20 patients in the control group. The control group were given cochlear implant treatment, and the observation group were given hearing aids based on frequency modulated based on the control group. The observation times of the two groups were 3 months, and the speech rehabilitation were recorded. Results At the frequencies of stimulation0.50-4.0 kHz, and the average hearing aid threshold of the observation group after treatment was lower than that of the control group(P<0.05). After treatment, the scores of natural environment sound, speech recognition, tone recognition,digital recognition, monosyllabic words, two-syllable words of the observation group were significantly higher than those of the control group(P<0.05). After treatment, the F1, F2, and F3 values of the unit sound/a/of the observation group and the control group were significantly higher than those before the treatment(P<0.05), and the observation group were also higher than the control group(P<0.05). Conclusion The application of hearing aid system based on frequency modulated in hearing impaired people can help speech rehabilitation, improve hearing and hearing threshold, and improve objective acoustic indicators.
Objective To explore the effects of adult cochlear implantation combined with hearing aid system on hearing threshold and speech rehabilitation. Methods Using the method of summarization and retrospective study, selected were a total of 45 patients of hearing-impaired from our hospital from February 2017 to February 2018. 25 were grouped into the observation group and 20 patients in the control group. The control group were given cochlear implant treatment, and the observation group were given hearing aids based on frequency modulated based on the control group. The observation times of the two groups were 3 months, and the speech rehabilitation were recorded. Results At the frequencies of stimulation0.50-4.0 kHz, and the average hearing aid threshold of the observation group after treatment was lower than that of the control group(P<0.05). After treatment, the scores of natural environment sound, speech recognition, tone recognition,digital recognition, monosyllabic words, two-syllable words of the observation group were significantly higher than those of the control group(P<0.05). After treatment, the F1, F2, and F3 values of the unit sound/a/of the observation group and the control group were significantly higher than those before the treatment(P<0.05), and the observation group were also higher than the control group(P<0.05). Conclusion The application of hearing aid system based on frequency modulated in hearing impaired people can help speech rehabilitation, improve hearing and hearing threshold, and improve objective acoustic indicators.
引文
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[10]惠芬芬,万勤,高晓慧,等.学龄前听障儿童助听后言语流畅性的特征及影响因素[J].听力学及言语疾病杂志,2017,25(4):410-414.
[11]Jovanovic S,Radulovic T,Coddou C,et al.Tonotopic action potential tuning of maturing auditory neurons through endogenous ATP[J].J Physiol,2017,595(4):1315-1337.
[12]Pysanenko K,Bure?Z,LindovskyJ,et al.The Effect of Complex Acoustic Environment during Early Development on the Responses of Auditory Cortex Neurons in Rats[J].Neurosc ience,2018,10(371):221-228.
[13]胡向阳,翟磊,龙墨,等.人工耳蜗植入学前儿童1422例康复效果进步幅度的影响因素分析[J].中华耳鼻咽喉头颈外科杂志,2016,51(5):361-366.
[14]Carlyon RP,Flanagan S,Deeks JM.A Re-examination of the Effect of Masker Phase Curvature on Non-simultaneous Masking[J].J Assoc Res Otolaryngol,2017,18(6):815-825.
[15]Luke R,Wouters J.Kalman Filter Based Estimation of Auditory Steady State Response Parameters[J].IEEE Trans Neural Syst Rehabil Eng,2017,25(3):196-204.
[2]Dimitrijevic A,Alsamri J,John MS,et al.Human Envelope Following Responses to Amplitude Modulation:Effects of Aging and Modulation Depth[J].Ear Hear,2016,37(5):e322-335.
[3]Warlaumont AS,Finnegan MK.Learning to Produce Syllabic Speech Sounds via Reward-Modulated Neural Plasticity[J].PLoS One,2016,11(1):e0145096.
[4]余菲,唐小林,唐京梅,等.音乐训练用于人工耳蜗植入儿童听觉言语康复训练效果分析[J].听力学及言语疾病杂志,2018,26(2):176-180.
[5]Cahana-Amitay D,Spiro A 3rd,Sayers JT,et al.How older adults use cognition in sentence-final word recognition[J].Neuropsychol Dev Cogn B Aging Neuropsychol Cogn,2016,23(4):418-444.
[6]Fletcher MD,Krumbholz K,de Boer J.Effect of Contralateral Medial Olivocochlear Feedback on Perceptual Estimates of Cochlear Gain and Compression[J].J Assoc Res Otolaryng ol,2016,17(6):559-575.
[7]孙喜斌,刘巧云,黄昭鸣.听觉功能评估标准及方法[M].上海:华东师范大学出版社,2007.26-36.
[8]马行健,郭美玲,王予江.舌癌术后部分缺损重建患者元音声学频谱变化[J].南昌大学学报(医学版),2014,54(12):49-51.
[9]Johnson LA,Della Santina CC,Wang X.Representations of Time-Varying Cochlear Implant Stimulation in Auditory Cortex of Awake Marmosets(Callithrix jacchus)[J].J Neuros ci,2017,37(29):7008-7022.
[10]惠芬芬,万勤,高晓慧,等.学龄前听障儿童助听后言语流畅性的特征及影响因素[J].听力学及言语疾病杂志,2017,25(4):410-414.
[11]Jovanovic S,Radulovic T,Coddou C,et al.Tonotopic action potential tuning of maturing auditory neurons through endogenous ATP[J].J Physiol,2017,595(4):1315-1337.
[12]Pysanenko K,Bure?Z,LindovskyJ,et al.The Effect of Complex Acoustic Environment during Early Development on the Responses of Auditory Cortex Neurons in Rats[J].Neurosc ience,2018,10(371):221-228.
[13]胡向阳,翟磊,龙墨,等.人工耳蜗植入学前儿童1422例康复效果进步幅度的影响因素分析[J].中华耳鼻咽喉头颈外科杂志,2016,51(5):361-366.
[14]Carlyon RP,Flanagan S,Deeks JM.A Re-examination of the Effect of Masker Phase Curvature on Non-simultaneous Masking[J].J Assoc Res Otolaryngol,2017,18(6):815-825.
[15]Luke R,Wouters J.Kalman Filter Based Estimation of Auditory Steady State Response Parameters[J].IEEE Trans Neural Syst Rehabil Eng,2017,25(3):196-204.