中华耳科学杂志2023，Vol.21Issue(6)：791-797,7.DOI:10.3969/j.issn.1672-2922.2023.06.006
人工耳蜗术后电诱发镫骨肌反射、神经反应电位与舒适阈值对比观察
Correlation between Thresholds of Electrically Evoked Stapedius Reflex,Electrically Neural Responses and Most Comfortable Level in Cochlear Implant Recipients
摘要
Abstract
Objective To study the correlation between electrically evoked stapedius reflex thresholds(ESRT),electrically evoked compound action potential(ECAP)thresholds and most comfortable level(M Value)in cochlear im-plant(CI)patients.Methods The study subjects were 42 patients aged from 11 to 58 years old,including 22 males and 20 females.CI devices included Cochlear(n=1 6),MED-EL(n=23)and AB(n=4).M values and ECAP thresholds of the same channel were obtained during CI programming.Ipsilateral and contralateral ESRTs were measured from the same channel using a Titan audiometer.Results The rate of ipsilateral ESRT acquisition was 71.43％and 97.54％for contralat-eral ESRTs,with the latter highly correlated with M values(Cochlear:r=0.48,P＜0.001;MED-EL:r=0.76 P＜0.001;AB:r=0.78,P＜0.001).ECAP thresholds also showed correlation with M values(Cochlear:r=0.78,P＜0.001;MED-EL:r=0.43,P＜0.01;AB:r=0.78,P=0.07).ESRTs were also associated with ECAP thresholds(Cochlear:r=0.78,P＜0.001;MED-EL:r=0.44,P＜0.05;AB:r=0.53,P=0.27).Conclusion Contralateral ESRTs are highly associated with the M val-ue and thus can be clinically used as a reference in setting the maximum comfort level when programming CI.关键词
人工耳蜗调机/电诱发镫骨肌反射/电刺激最大舒适阈/电诱发听神经复合动作电位Key words
cochlear implant programming/electrically evoked stapedius reflex thresholds/most comfortable level/electrically evoked compound action potential分类
医药卫生引用本文复制引用
洪梦迪,王倩,陈艾婷,李进,李佳楠,冀飞..人工耳蜗术后电诱发镫骨肌反射、神经反应电位与舒适阈值对比观察[J].中华耳科学杂志,2023,21(6):791-797,7.基金项目
国家重点研发计划项目(2020YFC2005200) （2020YFC2005200）
解放军总医院青年自主创新科学基金项目(22QNFC032)This work was supported by grants from the National Key Research and Development Program of China.(2020YFC2005200)and youth independent innovation science fund project of the general hospital of the people's liberation army(22QNFC032) （22QNFC032）
