老年人人工耳蜗植入的安全性与效果：近期文献综述
Safety and outcomes of cochlear implantation in the elderly: A review of recent literature.
作者信息
Yang Zao, Cosetti Maura
机构信息
Department of Otolaryngology - Head and Neck Surgery, Louisiana State University Health, Shreveport, LA, USA.
出版信息
J Otol. 2016 Mar;11(1):1-6. doi: 10.1016/j.joto.2016.03.004. Epub 2016 Apr 2.
Abstract
Global demographic changes related to longevity are leading to increasing numbers of the elderly, for whom hearing loss is a significant cause of morbidity and disability. Once met with reticence, severely hearing impaired older adults are increasingly being considered for cochlear implantation (CI). Significant data indicate that CI in the elderly population is safe, well-tolerated, and effective. Risks from CI surgery and anesthesia are low and generally comparable to rates in other age groups. Outcomes studies regarding CI in older adults have shown excellent improvements to speech perception, quality of life, and even cognition. Overall, currently available data suggests that advanced age should not, in itself, be considered a barrier to implantation. This review paper will highlight selected articles from recent medical literature regarding the safety and efficacy of CI in the elderly population.
摘要
与长寿相关的全球人口结构变化导致老年人数量不断增加，而听力损失是导致他们发病和残疾的一个重要原因。曾经被视为禁忌，现在越来越多的重度听力受损老年人正在被考虑进行人工耳蜗植入（CI）。大量数据表明，老年人群体中的人工耳蜗植入是安全的，耐受性良好且有效。人工耳蜗植入手术和麻醉的风险很低，总体上与其他年龄组的风险相当。关于老年人人工耳蜗植入的结果研究表明，在言语感知、生活质量甚至认知方面都有显著改善。总体而言，目前可得的数据表明，高龄本身不应被视为植入的障碍。这篇综述文章将重点介绍近期医学文献中有关老年人群体人工耳蜗植入安全性和有效性的部分文章。
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