Intervention effects of bone conduction hearing aids in patients with single-sided deafness and asymmetric hearing loss
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摘要: 单侧聋的发病率呈逐年上升趋势。由于单耳听力的缺陷，单侧聋患者的声源定位能力、噪声中的言语识别能力和生活质量会受到不同程度的影响。本文回顾了在单侧聋及不对称听力损失患者中不同类型的骨导助听器的干预效果、骨导助听器与气导助听器和人工耳蜗的干预效果的差异，以期为单侧聋及不对称听力损失的听觉干预和临床治疗提供参考。Abstract: The incidence of single-sided deafness(SSD) is increasing year by year. Due to the hearing defects of one ear, the ability of sound localization, speech recognition in noise, and quality of life of patients with single-sided deafness will be affected to varying degrees. This article reviews the intervention effects of different types of bone conduction hearing aids in patients with single-sided deafness and asymmetric hearing loss, and the differences of intervention effects between bone conduction hearing aids, contralateral routing of signal(CROS) aids, and cochlea implant(CI), to provide a reference for the auditory intervention and clinical treatment of single-sided deafness and asymmetric hearing loss.
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表 1 骨导助听器治疗SSD及AHL的临床研究结果
骨导助听器类型 样本数 平均年龄/岁 患侧耳病因 干预前患侧耳PTA（dBHL） 健侧耳PTA（dBHL） 纯音测听 噪声下的言语识别能力 声源定位能力 主观收益 植入式 穿皮 Baha 106[19] 69 / / 0~20 / + / + 21~40 41~55 51[20] 23.2 / / 17 / + / / 296[21]
（meta）/ / / / / + — + Ponto 14[22] 52 / / / / / / + 经皮 被动 Baha
Attract15[26] 42.1 / 45 8.1 + + / + 15[27] 42.1 / 45 8.1 + + / — 13[28] 47.6 / 46.1 / + + / + 主动 Osia® 6[29] 53.2 先天性耳聋（n=2） 56.8 12 + + / + 病因不明（n=3） 内耳炎（n=1） 3[30] 41.3 中耳炎（n=1） / / / + / + 病因不明（n=2） 14[31] 46.6 / / / / + / + 骨桥 17[32] 40 中耳炎（n=1） 57.5 / / + / + 突发性耳聋（n=2） 先天性耳聋（n=4） 梅尼埃病（n=1） 胆脂瘤（n=1） 其他（n=8） 11[33] 30.4 中耳炎（n=1） 111 12.5 + + / + 突发性耳聋（n=3） 先天性耳聋（n=2） 梅尼埃病（n=1） 头部创伤（n=2） 其他（n=2） 22[34] 59.4 中耳炎（n=10） 97.9 18.4 + + / + 感音神经性聋（n=4） 头部创伤（n=3） 其他（n=5） 20[35] 42 / 111.9 / / / / + 10[36] 49 中耳炎（n=2） 100.9 20.7 + + / / 突发性耳聋（n=1） 梅尼埃病（n=2） 其他（n=5） 非植入式 Soundbite 9[39] 39.3 先天性耳聋（n=1） 89.9 11.4 + + / + 突发性耳聋（n=5） 听神经瘤（n=1） 其他（n=2） Adhear 17[40] 40 先天性耳聋（n=3） / 3 / — + + 突发性耳聋（n=1） 听神经瘤（n=8） 脑膜炎（n=1） 乳突炎（n=1） 内耳炎（n=1） 脑膜瘤（n=1） 3[41] 62.7 / 101.7 21.3 + — — / +：显著改善，—：未改善，/：未观察。 
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