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PLoS One:振动声桥对感觉神经性听力损失耳鸣的影响研究

2020-02-16 AlexYang MedSci原创

耳鸣是听力损失患者常见的症状,许多研究报道了成功抑制耳鸣的听力设备。振动声桥(VSB)的中耳主动植入是现存听力设备中的很好的选择。最近,有研究人员评估了VSB植入对耳鸣的影响,并鉴定了影响耳鸣抑制的主要听觉因素。研究包括了16名患有耳鸣的感觉神经性耳聋成年人患者,并且均经历了VSB植入。研究发现,从基线时间到术后12个月,响度(均差:1.9, 95% CI: 0.6, 3.1)、意识(均差:1.6

耳鸣是听力损失患者常见的症状,许多研究报道了成功抑制耳鸣的听力设备。振动声桥(VSB)的中耳主动植入是现存听力设备中的很好的选择。最近,有研究人员评估了VSB植入对耳鸣的影响,并鉴定了影响耳鸣抑制的主要听觉因素。

研究包括了16名患有耳鸣的感觉神经性耳聋成年人患者,并且均经历了VSB植入。研究发现,从基线时间到术后12个月,响度(均差:1.9, 95% CI: 0.6, 3.1)、意识(均差:1.6, 95% CI: 0.4, 2.8)和烦恼(均差:1.7, 95% CI: 0.7, 2.8)的VAS评分均表现出了显著的改善。另外,THI评分显著减少(均差:13.8, 95% CI: 2.9, 24.9)。平均听力阈值水平、WRS和最舒适水平(MCL)同样在术后第12个月有显著的改善(均差分别为:17.3, 95% CI: 13.3, 21.3; -7.6, 95% CI: -15.1, -0.1和 26.3, 95% CI: 22.9, 29.6)。在上述提到的因素中,MCL的变化与THI得分具有最好的相关性(均差:2.55, 95% CI: 0.90, 4.21)。

最后,研究人员指出,VSB植入对感觉神经性听力损失患者的耳鸣是有益的。THI评分的变化与MCL具有最好的相关性。上述改善也许代表了一种掩蔽效应,该效应引起了VSB植入患者的耳鸣抑制作用。

原始出处:

Lee JM, Lee HJ, Moon IS et al. Effects of Vibrant Soundbridge on tinnitus accompanied by sensorineural hearing loss. PLoS One. 04 Feb 2020.

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    2020-02-18 ysjykql
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