人工耳蜗植入术在语前聋后天聋成人中的应用：生活质量的变化。

Cochlear implantation in late-implanted prelingually deafened adults: changes in quality of life.

机构信息

Department of Otorhinolaryngology, Radboud University Nijmegen Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.

出版信息

Otol Neurotol. 2014 Feb;35(2):253-9. doi: 10.1097/MAO.0b013e3182a4758e.

DOI:10.1097/MAO.0b013e3182a4758e

PMID:24448285

Abstract

BACKGROUND

With expanding inclusion criteria for cochlear implantation, the number of prelingually deafened persons who are implanted as adults increases. Compared with postlingually deafened adults, this group shows limited improvement in speech recognition. In this study, the changes in health-related quality of life in late-implanted prelingually deafened adults are evaluated and related to speech recognition.

METHODS

Quality of life was measured before implantation and 1 year after implantation in a group of 28 prelingually deafened adults, who had residual hearing and who used primarily oral communication. Patients completed 3 questionnaires (Nijmegen Cochlear Implant Questionnaire, Glasgow Benefit Inventory, and Health Utility Index 3). Postoperative scores were compared with preoperative scores. Additionally, phoneme recognition scores were obtained preimplantation and 1 year postimplantation.

RESULTS

Quality of life improved after implantation: scores on the Nijmegen Cochlear Implant Questionnaire improved significantly in all subdomains (basic speech perception, advanced speech perception, speech production, self-esteem, activity, and social interaction), the total Glasgow Benefit Inventory score improved significantly, and the Health Utility Index 3 showed a significant improvement in the utility score and in the subdomains "hearing" and "emotion." Additionally, a significant improvement in speech recognition scores was found. No significant correlations were found between gain in quality of life and speech perception scores.

CONCLUSION

The results suggest that quality of life and speech recognition in prelingually deafened adults significantly improved as a result of cochlear implantation. Lack of correlation between quality of life and speech recognition suggests that in evaluating performance after implantation in prelingually deafened adults, measures of both speech recognition and quality of life should be used.

摘要

背景

随着人工耳蜗植入的纳入标准不断扩大，越来越多的语前聋患者作为成年人接受植入。与语后聋患者相比，这一群体的言语识别能力改善有限。本研究评估了植入后晚期语前聋患者健康相关生活质量的变化，并将其与言语识别相关联。

方法

我们评估了一组有残余听力且主要使用口语交流的 28 名语前聋患者的生活质量，这些患者在植入前和植入后 1 年均完成了 3 项问卷调查（奈梅亨人工耳蜗植入问卷、格拉斯哥效益指数和健康效用指数 3）。术后评分与术前评分进行比较。此外，在植入前和植入后 1 年获得了语音识别评分。

结果

植入后生活质量得到改善：奈梅亨人工耳蜗植入问卷的所有子领域（基本言语感知、高级言语感知、言语产生、自尊、活动和社会交往）评分均显著提高，格拉斯哥效益指数总分显著提高，健康效用指数 3 的效用评分和“听力”和“情绪”子领域评分均显著提高。此外，语音识别评分也显著提高。生活质量的改善与言语感知评分之间无显著相关性。