Monitoring Protocols for Cochlear Toxicity
Monitoring Protocols for Cochlear Toxicity
复制标题
耳蜗毒性监测方案
DOI：
10.1055/s-0039-1684042
复制
发表时间：
2019
影响因子：
--
通讯作者：
Sherman Lord
中科院分区：
文献类型：
--
作者：
Sherman Lord
摘要 在药物治疗和其他可能导致听力损失的治疗过程中监测听力和听觉功能的必要性已有充分记录。耳毒性监测的主要目的是向主治医生提供治疗对听觉系统影响的反馈，此外，它还有助于为患者及其家人设定对药物治疗可能导致的沟通问题的期望。本文将回顾听力学家可用的主观和客观测试，这些测试可用于在治疗期间有效监测听力水平和听觉功能。对已发布的指南和各种耳毒性监测方案进行了审查，涉及所进行的测试、测试结果的重大变化是什么以及如何报告这些发现，以及重大变化可能对治疗过程产生的影响。比较不同机构的测试方案的相似性和对比。有效的调度和测试位置是监控计划成功的关键。最后，将考虑简化听力和听觉功能的耳毒性监测的需要，以减少测试时间并减轻患者的压力和疲劳。
Abstract The need for monitoring hearing and auditory function during drug therapy and other treatments that have the potential to cause hearing loss is well documented. Besides the main purpose of ototoxic monitoring, which is to provide feedback to the attending physician about the effects the treatment is having on the auditory system, it is also helpful in setting expectations for the patient and his/her family about the communication issues that may result from the drug therapy. This article will review tests available to an audiologist, both subjective and objective, that can be used to effectively monitor hearing levels and auditory function during treatment. Published guidelines and various ototoxic monitoring protocols are reviewed regarding tests administered, what constitutes a significant change in test results and how these findings are reported, and the impact significant changes may have on the course of treatment. Test protocols from different institutions are compared for both similarities and contrasts. Effective scheduling and test location are key to a successful monitoring program. Finally, the need to streamline ototoxic monitoring of hearing and auditory function to reduce test time and make it less stressful and tiresome on the patient will be considered.
影响因子：
2.4
作者：
Neely, ST;Gorga, MP
通讯作者：
Gorga, MP