{
  "abstract": "目的探究人工耳蜗蓝牙直连（bluetooth direct streaming， BDS）技术在临床听阈及言语识别测试中的应用价值，比较其与传统声场（sound field，SF）测听条件下言语识别的差异，评估其作为人工耳蜗术后听觉功能评估补充手段的可行性，为人工耳蜗远程调试、居家随访及康复效果监测提供参考。方法纳入31例诺尔康人工耳蜗植入者作为研究对象，采用平衡交叉设计控制测试顺序效应。受试者分别在BDS与SF条件下完成测试，通过主观响度匹配使2种条件下输出强度保持一致。采用中文开放式言语感知评估材料，在安静环境下测试双音节词及短句识别率。应用配对t检验比较两种测试条件下言语识别率的差异，计算BDS相较于SF条件的识别改善幅度，统计个体表现出BDS优势的受试者比例。结果31例受试者在BDS条件下言语识别率显著高于SF条件（P＜0.05），其中BDS条件下双音节词识别率为69.6%±24.0%，SF条件下为62.9%±25.1%，20例（64.5%）受试者表现出BDS优势；BDS条件下短句识别率为65.7%±31.3%，SF条件下为55.1%±27.6%，26例（83.9%）受试者表现出BDS优势。BDS对短句识别的提升幅度为10.6%±16.1%，高于双音节词的6.7%±15.2%，但二者改善幅度无显著差异（P＝0.203）。结论人工耳蜗BDS技术可在安静环境下提高植入者言语识别表现，尤其在短句识别测试中显示出明显优势。该技术操作便捷，可减少测试环境噪声、混响及声场设备条件对结果的影响，有望作为传统SF测听的有效补充。本研究为BDS技术应用于人工耳蜗术后评估、远程调试及患者自测提供了初步数据支持，对优化术后康复评估流程、提升随访效率具有一定临床应用价值。",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "name": "汪子琪"
    },
    {
      "name": "林以鹏"
    },
    {
      "name": "陈伟峰"
    },
    {
      "name": "陈洁华"
    },
    {
      "name": "银力"
    },
    {
      "name": "高珊仙"
    },
    {
      "name": "汪绪武"
    },
    {
      "name": "董保华"
    },
    {
      "name": "李继泉"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4qfddgmpmjqr6.bib",
  "cited_by": 0,
  "doi": null,
  "fulltext_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.05.006/",
  "id": "4qfddgmpmjqr6",
  "issns": [
    "1672-4933"
  ],
  "landing_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.05.006/",
  "language": "zh",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ]
  ],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "Limited Liability Company of Chinese Scientific Journal of Hearing and Speech Rehabilitation",
  "ris": "https://research.draconitic.com/paper/4qfddgmpmjqr6.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:23Z",
      "native_id": "fc44fda339234e9d962198f6b0dde030",
      "source": "doaj",
      "url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.05.006/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:R",
      "subfield": "general"
    }
  ],
  "title": "人工耳蜗蓝牙直连与传统声场下言语测听效果对比",
  "title_text": "人工耳蜗蓝牙直连与传统声场下言语测听效果对比",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:23Z",
  "url": "https://research.draconitic.com/paper/4qfddgmpmjqr6",
  "venue": "Zhongguo tingli yuyan kangfu kexue zazhi",
  "versions": []
}