Sugarova S B, Kuzovkov V E, Kantemirova R K, Lilenko S V, Luppov D S, Lilenko A S, Kaliapin D D
Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech, 9 Bronnitskaya str., St. Petersburg 190013, Russian Federation.
S.M.Kirov Military Medical Academy, 6 str. Akad. Lebedev, St. Petersburg 194044, Russian Federation.
Adv Gerontol. 2020;33(6):1174-1180.
The study of the effect of cochlear implantation on cognitive function is an urgent problem, since the world is increasing the population of elderly and senile people who, as a rule, have certain hearing impairments. Age-related hearing loss is one of the most common health problems associated with aging, affecting two-thirds of people over the age of 70. However, few adults are tested for hearing loss, and even fewer are being treated. It is known that hearing loss - the most common sensory deficit-forms the prerequisites for narrowing the range of cognitive functions in the elderly and can serve as a factor accelerating the progression of cognitive changes. We analyzed the available research on the effects of hearing loss and cochlear implantation on cognitive function. It was revealed that for the most part, they had a small sample, the results were not subjected to the necessary statistical analysis, and the tests used were not adapted for hearing impaired people. After analyzing different tests for assessing cognitive function, HI-MoCA and RBANS-H tests were selected, which are adapted for hearing impaired people, which will allow to reliably assess cognitive function in the pre- and postoperative period, as well as to trace the effect of cochlear implantation on cognitive function in postoperative period.
研究人工耳蜗植入对认知功能的影响是一个紧迫的问题，因为全球老年人口在不断增加，而这些老年人通常都有一定程度的听力障碍。与年龄相关的听力损失是与衰老相关的最常见健康问题之一，影响着三分之二的70岁以上人群。然而，很少有成年人接受听力损失测试，接受治疗的人更少。众所周知，听力损失——最常见的感觉缺陷——为老年人认知功能范围的缩小奠定了基础，并可能成为加速认知变化进程的一个因素。我们分析了现有的关于听力损失和人工耳蜗植入对认知功能影响的研究。结果发现，这些研究大多样本量小，结果未经过必要的统计分析，且所使用的测试不适用于听力受损者。在分析了评估认知功能的不同测试后，我们选择了HI-MoCA和RBANS-H测试，这两种测试适用于听力受损者，能够可靠地评估术前和术后的认知功能，以及追踪人工耳蜗植入在术后对认知功能的影响。
