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摘要: 目的: 评估75岁以上高龄重度-极重度感音神经性聋患者对人工耳蜗植入术(CI)的耐受能力及其术后效果。方法: 筛选行CI时年龄>75岁的患者,分析临床资料,评估手术效果。结果: 行CI时年龄超过75岁的患者共7例,占所有植入患者的1.31%。接受CI时的年龄为75~88岁,平均80岁,中位年龄80岁。所有患者均可耐受全身麻醉和CI,无明显手术及麻醉相关并发症发生,仅1例患者术后出现一过性轻度平衡障碍。术后随访4~40个月,平均18.86个月,中位随访14个月。术后言语可懂度分级标准(中文版)平均4级,听觉行为分级(中文版)平均5级。结论: 75岁以上高龄重度-极重度感音神经性聋患者可以接受CI治疗,术后言语恢复效果满意。Abstract: Objective: To evaluate the operation safety, hearing as well as speech results of cochlear implantation that were applied in patients over 75 years old. Method: A series of patients who were diagnosed as severe to profound sensorineural hearing loss and received cochlear implantation were admitted. The clinical data and rehabilitation effects of the patients who were over 75 years old were summarized. Result: During this period, in which 7(1.31%) patients aged over 75 at implantation. The age ranged from 75 to 88, with an average of 80 years old. All of the 7 patients received a safe operation under general anesthesia. No major or minor complications happened related to surgery and anesthesia. Only one 84 years old male patient suffered from a transient mild balance problem. Follow up were carried out regularly, ranging from 4-40 months. The average of categories of auditory performance and speech intelligibility rating is 4 and 5 respectively. Conclusion: The cochlear implant surgery and general anesthesia are safe for patients over 75 years old, and these patients can benefit from cochlear implantation.
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Key words:
- elder /
- hearing loss /
- sensorineural /
- cochlear implantation
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[1] 李乐乐, 周依群.人口老龄化背景下我国退休年龄影响因素[J].学术探索, 2017, 6 (6):66-70.
[2] 于丽玫, 孙喜斌, 魏志云, 等.全国老年听力残疾人群现状调查研究[J].中国听力语言康复科学杂志, 2008, 16 (3):63-65.
[3] 韩琳, 马瑞, 吴晓琴, 等.1500名老年志愿者耳鸣发生情况及相关因素分析[J].临床耳鼻咽喉头颈外科杂志, 2018, 32 (8):587-591.
[4] 王明明, 艾毓, 陈成芳, 等.健康中老年人的超高频听阈测定[J].临床耳鼻咽喉头颈外科杂志, 2016, 30 (13):1038-1041.
[5] WILSON B S, DORMAN M F.Cochlear implants:current designs and future possibilities[J].J Rehabil Res Dev, 2008, 45:695-730.
[6] 王宇, 潘滔, 米思, 等.中文版言语可懂度分级标准的建立及其信度检验[J].听力学及言语疾病杂志, 2013, 21 (5):465-468.
[7] 王大华, 周慧芳, 张静.中文版听觉行为分级对语前聋儿童CI后汉语听觉行为评估的研究[J].临床耳鼻咽喉头颈外科杂志, 2015, 29 (5):441-444.
[8] 第二次全国残疾人抽样调查办公室.第二次全国残疾人抽样调查主要数据手册[M].北京:华夏出版社, 2007:1-1.
[9] PEARLMAN R C.Presbycusis:the need for a clinical definition[J].Am J Otol, 1982, 3:183-186.
[10] FRISINA R D.Age-related hearing loss:ear and brain mechanisms[J].Ann N Y Acad Sci, 2009, 1170:708-717.
[11] COELHO D H, YEH J, KIM J T, et al.Cochlear implantation is associated with minimal anesthetic risk in the elderly[J].Laryngoscope, 2009, 119:355-358.
[12] ESHRAGHI A A, RODRIGUEZ M, BALKANY T J, et al.Cochlear implant surgery in patients more than seventy-nine years old[J].Laryngoscope, 2009, 119:1180-1183.
[13] CARLSON M L, BREEN J T, GIFFORD R H, et al.Cochlear implantation in the octogenarian and nonagenarian[J].Otol Neurotol, 2010, 31:1343-1349.
[14] HORN K L, MCMAHON N B, MCMAHON D C, et al.Functional use of the Nucleus 22-channel cochlear implant in the elderly[J].Laryngoscope, 1991, 101:284-288.
[15] WALTZMAN S B, COHEN N L, SHAPIRO W H.The benefits of cochlear implantation in the geriatric population[J].Otolaryngol Head Neck Surg, 1993, 108:329-333.
[16] HERZOG M, SCHN F, MLLER J, et al.[Long term results after cochlear implantation in elderly patients] [J].Laryngorhinootologie, 2003, 82:490-493.
[17] VERMEIRE K, BROKX J P, WUYTS F L.Qualityof-life benefit from cochlear implantation in the elderly[J].Otol Neurotol, 2005, 26:188-195.
[18] ORABI A A, MAWMAN D, AL-ZOUBI F, et al.Cochlear implant outcomes and quality of life in the elderly:Manchester experience over 13years[J].Clin Otolaryngol, 2006, 31:116-122.
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