Labadie R F, Carrasco V N, Gilmer C H, Pillsbury H C
Division of Otolaryngology-Head and Neck Surgery, University of North Carolina at Chapel Hill, 27599-7070, USA.
Otolaryngol Head Neck Surg. 2000 Oct;123(4):419-24. doi: 10.1067/mhn.2000.109759.
Cochlear implants are indicated for elderly patients with severe-to-profound hearing loss (sensorineural hearing loss >/=70 dB). Their use has been limited, possibly by the misconception that elderly patients will perform poorly. To document the performance of older adults (> or =65 years old), we undertook a retrospective analysis of our postlingually deafened adult patients who underwent implantation with the CLARION Multi-Strategy Cochlear Implant and underwent formal audiologic analysis (sentence recognition [Central Institute for the Deaf, CID] and monosyllabic word recognition (consonant-noun-consonant, CNC)). Both younger (n = 20; mean age = 46.9 years) and older (n = 16; mean age = 71.5 years) adults showed statistically significant increases in CID and CNC scores after cochlear implantation. No statistically significant difference could be detected in operative time, anesthesia time, length of hospitalization, or CID or CNC scores between the two age groups. We conclude that age should not be a criterion for deciding who should receive cochlear implants.
人工耳蜗适用于患有重度至极重度听力损失（感音神经性听力损失≥70分贝）的老年患者。其应用一直受到限制，这可能是由于存在老年患者效果不佳的误解。为了记录老年成人（≥65岁）的表现，我们对接受CLARION多策略人工耳蜗植入且进行了正式听力学分析（句子识别[中央聋人研究所，CID]和单音节词识别（辅音-名词-辅音，CNC））的语后聋成年患者进行了回顾性分析。年轻组（n = 20；平均年龄 = 46.9岁）和老年组（n = 16；平均年龄 = 71.5岁）的成年人在人工耳蜗植入后，CID和CNC得分均有统计学意义的显著提高。两个年龄组在手术时间、麻醉时间、住院时间或CID或CNC得分方面均未检测到统计学意义上的显著差异。我们得出结论，年龄不应作为决定谁应接受人工耳蜗植入的标准。
