中国听力语言康复科学杂志2026，Vol.24Issue(1)：1-6,6.DOI:10.3969/j.issn.1672-4933.2026.01.001
听觉诱发电位在人工耳蜗植入全流程中的应用
Application of Auditory Evoked Potential to The Whole Process of Cochlear Implantation
摘要
Abstract
Cochlear implantation(CI)are one of the most effective interventions for patients with severe-to-profound sensorineural hearing loss and insufficient hearing aid benefit.Auditory evoked potential(AEP)underpins the whole CI workflow—preoperative assessment,intraoperative monitoring,postoperative efficacy evaluation,and rehabilitation management.Preoperatively,acoustic AEPs,including otoacoustic emission(OAE),electrocochleography(ECochG),auditory brainstem response(ABR),tone-burst ABR(TB-ABR),auditory steady-state response(ASSR),and 40Hz auditory event-related potential(40Hz AERP),are used to assess hearing loss severity/nature,lesion location,as well as the integrity and maturity of the auditory pathway.Intraoperatively,real-time feedbacks from ECochG,electrically evoked compound action potential(ECAP),electrically evoked ABR(EABR),and electrically evoked stapedius reflex(ESR)facilitate precise electrode insertion,residual hearing preservation,and postoperative outcome prediction.Postoperatively,ECAP,EABR,and cortical auditory evoked potentials(CAEP)form an objective framework for CI fitting and efficacy evaluation.A multimodal assessment strategy centered on AEPs,integrated with imaging,patient-reported outcomes,and behavioral audiometry,enables individualized precision diagnosis and treatment for CI patients.关键词
听觉诱发电位/人工耳蜗植入/术前评估/术中监测/术后调机/疗效评估Key words
Auditory evoked potentials/Cochlear implantation/Preoperative evaluation/Intraoperative monitoring/Postoperative programming/Outcome assessment分类
医药卫生引用本文复制引用
刘军..听觉诱发电位在人工耳蜗植入全流程中的应用[J].中国听力语言康复科学杂志,2026,24(1):1-6,6.基金项目
北京市科技计划首都市民健康项目培育基金(Z131100004013019) （Z131100004013019）
解放军总医院临床科研扶持基金课题(2012FC-TSYS-4017) （2012FC-TSYS-4017）
解放军总医院科技创新基金项目(06ZY13) （06ZY13）
