中国听力语言康复科学杂志2026，Vol.24Issue(1)：51-55,5.DOI:10.3969/j.issn.1672-4933.2026.01.010
基于听觉电生理诱发电位的人工耳蜗植入全流程整合框架:评估、监测与优化
An Integrated Framework of Cochlear Implantation Guided by Auditory Evoked Potentials:Evaluation,Monitoring,and Optimization
摘要
Abstract
Cochlear implantation has become the most effective intervention for severe to profound sensorineural hearing loss.Auditory evoked potentials(AEPs),as objective and quantitative electrophysiological biomarkers,play an essential role throughout the entire cochlear implantation process—from preoperative evaluation and intraoperative monitoring to postoperative outcome prediction.This review summarizes the latest progress of major AEPs techniques,including electrical evoked auditory brainstem response(EABR),electrical evoked compound action potential(ECAP),electrocochleography(ECochG),electrical evoked middle latency response(EMLR),and cortical auditory evoked potential(CAEP).Discussing evidence from both clinical and animal studies,we highlight their distinct roles in auditory nerve integrity assessment,intraoperative safety control,neural plasticity tracking,and rehabilitation prognosis.AEPs have evolved from diagnostic tools into a core neurophysiological platform spanning preoperative assessment for cochlear implantation through postoperative parameter tuning and long-term management,providing a robust biological foundation for precision auditory rehabilitation and intelligent programming.关键词
人工耳蜗植入/听觉电生理诱发电位/术前筛查/疗效评估Key words
Cochlear implantation/Evoked potentials auditory/Preimplantation screening/Treatment outcome分类
医药卫生引用本文复制引用
聂帅,张娟..基于听觉电生理诱发电位的人工耳蜗植入全流程整合框架:评估、监测与优化[J].中国听力语言康复科学杂志,2026,24(1):51-55,5.基金项目
国家重点研发计划(2024YFC2511101) （2024YFC2511101）
北京市医院管理中心"扬帆"计划临床技术创新项目(ZLRK202307) （ZLRK202307）
