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从临床角度对创伤性脑损伤对听觉功能影响的回顾性研究

A Retrospective Study of the Effects of Traumatic Brain Injury on Auditory Function: From a Clinical Perspective.

作者信息

White Mira, Duquette-Laplante Fauve, Jutras Benoît, Bursch Caryn, Koravand Amineh

机构信息

Audiology and Speech Pathology Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1H 8M5, Canada;

School of Speech-Language Pathology and Audiology, Faculty of Medicine, Université de Montréal, Montreal, QC H3N 1X7, Canada;

出版信息

NeuroSci. 2022 Jan 14;3(1):52-62. doi: 10.3390/neurosci3010004. eCollection 2022 Mar.

Abstract

PURPOSE

The main purpose of this retrospective study was to identify auditory dysfunctions related to traumatic brain injury (TBI) in individuals evaluated in an Audiology clinic.

METHOD

Peripheral and central auditory evaluations were performed from March 2014 to June 2018 in 26 patients (14 males) with TBI. The age of the participants ranged from 9 to 59 years old (34.24 ± 15.21). Six participants had blast-related TBI and 20 had blunt force TBI. Sixteen experienced a single TBI event whereas ten experienced several. Correlation analyses were performed to verify the relationship, if any, between the number of auditory tests failed and the number, type, and severity of TBIs.

RESULT

All participants failed at least one auditory test. Nearly 60% had abnormal results on degraded speech tests (compressed and echoed, filtered or in background noise) and 25% had a high frequency hearing loss. There was no statistically significant correlation between the number of auditory tests failed and the number, type, and severity of TBIs.

CONCLUSION

Results indicated negative and heterogenous effects of TBI on peripheral and central auditory function and highlighted the need for a more extensive auditory assessment in individuals with TBI.

摘要

目的

这项回顾性研究的主要目的是在听力诊所接受评估的个体中,确定与创伤性脑损伤(TBI)相关的听觉功能障碍。

方法

2014年3月至2018年6月期间,对26例创伤性脑损伤患者(14例男性)进行了外周和中枢听觉评估。参与者的年龄在9岁至59岁之间(34.24±15.21)。6名参与者患有爆炸相关的创伤性脑损伤,20名患有钝器所致创伤性脑损伤。16人经历了单次创伤性脑损伤事件,而10人经历了多次。进行相关性分析以验证听力测试未通过的次数与创伤性脑损伤的次数、类型和严重程度之间是否存在关系。

结果

所有参与者至少有一项听力测试未通过。近60%的人在言语退化测试(压缩和回声、滤波或背景噪声)中结果异常,25%的人有高频听力损失。听力测试未通过的次数与创伤性脑损伤的次数、类型和严重程度之间没有统计学上的显著相关性。

结论

结果表明创伤性脑损伤对外周和中枢听觉功能有负面且异质性的影响,并强调了对创伤性脑损伤个体进行更广泛听觉评估的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa6d/11523697/e6b614628235/neurosci-03-00004-g001.jpg

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