Tyler R S
Department of Otolaryngology, Head and Neck Surgery, University of Iowa, Iowa City 52242, USA.
Am J Otol. 1994 Jul;15(4):523-31.
An open-ended questionnaire was administered to 20 patients using the Nucleus multichannel cochlear implant and 21 patients using the Ineraid multichannel cochlear implant. Before surgery, they were asked to list the advantages and disadvantages that they expected from their cochlear implant. Advantages were expected in the categories of: (1) speech perception when speechreading can be used (65%); (2) environmental sound perception (58%); (3) psychological effects (14%); (4) speech perception when speechreading cannot be used (49%); (5) lifestyle and social effects (42%); and (6) speech production (5%). Disadvantages were expected in: (1) equipment malfunction (42%); (2) environmental sound perception (28%); (3) speech perception when speechreading can be used (7%); (4) psychological effects (24%); (5) speech perception when speechreading is not used (7%); and (6) lifestyle and social effects (7%). Concerns were also raised about the risk of surgery (9%). After several months (4-60 mo) of using their implant, patients were asked to list the advantages and disadvantages that they actually experienced. Advantages were reported in the categories of: (1) speech perception when speechreading can be used (86%); (2) environmental sound perception (79%); (3) psychological effects (49%); (4) speech perception when speechreading cannot be used (56%); (5) lifestyle and social effects (40%); (6) speech production (14%); and (7) the reduction of tinnitus (7%). Disadvantages were reported in: (1) equipment malfunction (54%); (2) environmental sound perception (53%); (3) speech perception when speechreading can be used (26%); (4) psychological effects (12%); (5) speech perception when speechreading is not used (21%); and (6) lifestyle and social effects (9%). Concerns were also noted about the cost of surgery (14%). Thirty patients had tinnitus preoperatively. Without hearing sound through the implant, 70 percent of these indicated that the cochlear implant had a positive effect on their tinnitus. When listening to speech through the implant, 83 percent reported that their tinnitus was reduced.
对20名使用Nucleus多通道人工耳蜗的患者和21名使用Ineraid多通道人工耳蜗的患者进行了开放式问卷调查。手术前，要求他们列出对人工耳蜗期望的优点和缺点。期望的优点包括以下类别：(1) 能唇读时的言语感知（65%）；(2) 环境声音感知（58%）；(3) 心理影响（14%）；(4) 不能唇读时的言语感知（49%）；(5) 生活方式和社会影响（42%）；(6) 言语产生（5%）。期望的缺点包括：(1) 设备故障（42%）；(2) 环境声音感知（28%）；(3) 能唇读时的言语感知（7%）；(4) 心理影响（24%）；(5) 不能唇读时的言语感知（7%）；(6) 生活方式和社会影响（7%）。还提到了手术风险（9%）。在使用人工耳蜗几个月（4 - 60个月）后，要求患者列出他们实际体验到的优点和缺点。报告的优点包括以下类别：(1) 能唇读时的言语感知（86%）；(2) 环境声音感知（79%）；(3) 心理影响（49%）；(4) 不能唇读时的言语感知（56%）；(5) 生活方式和社会影响（40%）；(6) 言语产生（14%）；(7) 耳鸣减轻（7%）。报告的缺点包括：(1) 设备故障（54%）；(2) 环境声音感知（53%）；(3) 能唇读时的言语感知（26%）；(4) 心理影响（12%）；(5) 不能唇读时的言语感知（21%）；(6) 生活方式和社会影响（9%）。还注意到对手术费用的担忧（14%）。30名患者术前有耳鸣。在不通过植入物听到声音的情况下，其中70%表示人工耳蜗对他们的耳鸣有积极影响。当通过植入物听言语时，83%的人报告耳鸣减轻。
