老年耳聋患者人工耳蜗植入术后效果分析

钟梅; 邱建新

doi:10.13201/j.issn.2096-7993.2025.05.008

老年耳聋患者人工耳蜗植入术后效果分析

钟梅^1,2,
邱建新^1,2, ,

- 1.
  安徽医科大学第一附属医院耳鼻咽喉头颈外科(合肥，230000)
- 2.
  安徽医科大学附属阜阳医院

详细信息

通讯作者: 邱建新，E-mail：qiujianxin@ahmu.edu.cn

中图分类号: R764.43

收稿日期: 2024-09-24

修回日期: 2025-01-16

刊出日期: 2025-05-03

Analysis of the effect of cochlear implantation in elderly patients

ZHONG Mei^1,2,
QIU Jianxin^1,2, ,

- 1.
  Department of Otolaryngology Head and Neck Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, 230000, China
- 2.
  Anhui Medical University Affiliated Fuyang Hospital

More Information

Corresponding author: QIU Jianxin, E-mail: qiujianxin@ahmu.edu.cn

Received Date: 24 September 2024

Revised Date: 16 January 2025

Publish Date: 03 May 2025

摘要

摘要: 目的研究老年耳聋患者人工耳蜗植入术后听觉康复效果及生活质量是否有改善。方法选取2020年1月至2022年12月安徽医科大学第一附属医院60岁以上老年耳聋患者36例，排除手术禁忌证后行人工耳蜗植入术。采用听觉行为分级-Ⅱ(CAP-Ⅱ)、Nijmegen人工耳蜗植入量表(NCIQ)2种量表，通过问卷调查的方式，收集36例老年耳聋患者人工耳蜗植入术前、术后6个月及术后18个月的得分情况，并进行统计学分析，比较老年人工耳蜗植入术后听觉康复及生活质量是否有提高。结果术前36例老年患者的CAP-Ⅱ得分(2.50±0.85)、NCIQ总量表得分(23.73±2.12)；术后6个月CAP-Ⅱ(4.39±1.02)、NCIQ总量表得分(40.55±3.52)；术后18个月CAP-Ⅱ(5.97±1.28)、NCIQ总量表得分(57.36±4.02)最高，且各组差异均有统计学意义(P < 0.05)。结论老年耳聋患者人工耳蜗植入后，听觉能力及基本声音感知、社交能力、自信心等生活质量方面均有明显改善。
- 老年耳聋 /
- 听觉行为分级-Ⅱ /
- Nijmegen人工耳蜗植入量表
Abstract: Objective To study whether the auditory rehabilitation effect and quality of life of elderly patients have improved after cochlear implantation.Methods Selected 36 elderly deafness patients over 60 years during the period January 2020 to December 2022, After exclusion of surgical contraindications, a minimally invasive cochlear implant was performed. Using the auditory behavior grading-Ⅱ(CAP-Ⅱ), the Nijmegen cochlear implant scale(NCIQ), the scores of preoperative, postoperative 6 months and postoperative 18 months of cochlear implantation in 36 elderly deafness patients were collected through questionnaire survey, and statistical analysis was conducted, compare the auditory ability and quality of life of elderly patients after cochlear implantation.Results The preoperative score of CAP-Ⅱ (2.50±0.85) and the total score of NCIQ (23.73±2.12); the CAP-Ⅱ score at the sixth postoperative month was (4.39±1.02) and the NCIQ total table score (40.55±3.52). The CAP-Ⅱ score at the eighteen postoperative months was (5.97±1.28), NCIQ total table (57.36±4.02), and the highest score. Statistically significant difference per group(P < 0.05).Conclusion After cochlear implantation in elderly patients with deafness, their auditory ability, basic sound perception, social ability, self-confidence and other quality of life were significantly improved.
- deafness in the elderly /
- auditory behavior grade-Ⅱ /
- Nijmegen cochlear implant scale

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表 1 36例老年耳聋患者人工耳蜗植入CAP、NCIQ量表得分情况 X±S

项目	术前	术后6个月	术后18个月	T1	T2
CAP	2.50±0.85	4.39±1.02	5.97±1.28	19.72	10.87
NCIQ
总分	23.73±2.12	40.55±3.52	57.36±4.02	13.25	15.13
基本声音感知	27.08±12.50	43.19±16.90	62.08±15.83	6.98	11.49
高级声音感知	20.83±16.37	36.39±12.74	57.50±11.12	5.17	7.33
言语能力	23.61±14.58	40.00±12.87	54.72±12.59	5.55	5.16
自信心	22.92±20.16	45.97±15.20	61.67±17.07	6.16	4.45
活动能力	22.92±21.02	37.78±18.69	51.67±21.51	4.81	3.90
社会交往能力	25.00±20.70	39.97±20.42	56.52±23.38	4.40	4.28

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