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成人人工耳蜗使用者超过10年的稳定纵向表现

Stable Longitudinal Performance of Adult Cochlear Implant Users for More Than 10 Years.

作者信息

Rak Kristen, Schraven Sebastian P, Schendzielorz Philipp, Kurz Anja, Shehata-Dieler Wafaa, Hagen Rudolf, Radeloff Andreas

机构信息

*Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery and the Comprehensive Hearing Center, University of Wuerzburg, Wuerzburg †Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University of Oldenburg, Oldenburg, Germany.

出版信息

Otol Neurotol. 2017 Oct;38(9):e315-e319. doi: 10.1097/MAO.0000000000001516.

Abstract

OBJECTIVE

To analyze the long-term performance of cochlear implant patients.

STUDY DESIGN

Retrospective longitudinal study.

SETTING

Tertiary referral center with a large cochlear implant program.

MAIN OUTCOME MEASURE

Speech perception scores in quiet and in background noise in the short-term (1.12 ± 0.15 yr) and long-term (12.61 ± 2.34 yr) after implantation.

PATIENTS

Fifty-eight implanted ears from 55 patients with a mean age of 51.80 ± 1.757 years at the time of implantation were included.

RESULTS

Speech perception scores were stable in the long-term for up to 20 years postimplantation. When alteration of speech perception over time was investigated in relation to the age at implantation, there was a deterioration of the scores in quiet in older patients (>60 years old at the time of surgery). In addition the speech comprehension in noise was negatively correlated with the age at the time of the test.

CONCLUSION

The speech perception abilities of cochlear implant users are stable in the long-term and at the most may be affected by the age of the patients, as it is known from acoustic hearing.

摘要

目的

分析人工耳蜗植入患者的长期表现。

研究设计

回顾性纵向研究。

研究地点

拥有大型人工耳蜗植入项目的三级转诊中心。

主要观察指标

植入后短期(1.12 ± 0.15年)和长期(12.61 ± 2.34年)在安静环境和背景噪声中的言语感知得分。

患者

纳入55例患者的58只植入耳,植入时平均年龄为51.80 ± 1.757岁。

结果

人工耳蜗植入后长达20年的长期言语感知得分稳定。当研究言语感知随时间的变化与植入时年龄的关系时,发现老年患者(手术时>60岁)在安静环境中的得分有所下降。此外,噪声中的言语理解与测试时的年龄呈负相关。

结论

人工耳蜗植入使用者的言语感知能力长期稳定,最多可能受患者年龄影响,这与听觉性听力情况一致。

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