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临床医生对在永久性儿童听力障碍患者通道中使用皮质听觉诱发电位 (CAEP) 的看法。

Clinicians' views of using cortical auditory evoked potentials (CAEP) in the permanent childhood hearing impairment patient pathway.

机构信息

University College London Ear Institute, London, UK.

Department of Audiology, Whipps Cross University Hospital, London, UK.

出版信息

Int J Audiol. 2020 Feb;59(2):81-89. doi: 10.1080/14992027.2019.1654623. Epub 2019 Aug 21.

Abstract

To obtain clinicians' views on the use of cortical auditory evoked potentials (CAEP) in the clinical pathway. A questionnaire aimed at clinicians who use the HEARLab system with the Aided Cortical Assessment (ACA) Module. Results compared for Australians (where HEARLab produced) to other countries. The questionnaire was completed by 49 clinicians; 33 from Australia and 13 clinicians outside of Australia and 3 clinicians, destination unknown. The findings of this research demonstrated that clinicians using CAEPs found them valuable for clinical practice. CAEPs were used to verify or modify hearing aid fittings and were used for counselling parents to reinforce the need for hearing aids. With the use of speech token as the stimulus clinicians had more relevant information to increase confidence in decision-making on paediatric hearing management. The main benefit from the use of CAEPs (using speech token stimuli) was for infant hearing aid fitting programmes, to facilitate earlier decisions relating to hearing aid fitting, for fine-tuning the aids and as an additional measure for cochlear implant referrals.

摘要

为了了解临床医生对皮质听觉诱发电位(CAEP)在临床路径中应用的看法。本研究采用问卷调查的形式,对使用 HEARLab 系统和辅助皮质评估(ACA)模块的临床医生进行了调查。结果与澳大利亚(HEARLab 产地)和其他国家的医生进行了比较。本问卷共收回 49 名临床医生的反馈,其中 33 名来自澳大利亚,13 名来自澳大利亚以外的国家,还有 3 名医生的去向未知。本研究结果表明,使用 CAEPs 的临床医生认为其在临床实践中具有重要价值。CAEPs 可用于验证或调整助听器的适配,还可用于向家长提供咨询服务,以强化他们对助听器的需求。使用言语声刺激,医生可获得更相关的信息,从而提高对儿童听力管理决策的信心。使用 CAEPs(言语声刺激)的主要获益在于婴儿助听器适配方案,可促进与助听器适配相关的早期决策,有助于对助听器进行微调,并作为耳蜗植入转介的附加措施。

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