语后聋成人人工耳蜗植入患者术后生活质量和言语识别能力评估  

Assessment of speech perception and quality of life after cochlear implant in postlingual deaf adults

作　　者：张静平[1] 王巍[1] 王悦[1] 陈晨[1] 孙桂兰 陈鱼[1] ZHANG Jingping;WANG Wei;WANG Yue;CHEN Chen;SUN Guilan;CHEN Yu(Department of Otolaryngology Head and Neck Surgery,the First Center Hospital,Tianjin,300192,China)

机构地区：[1]天津市第一中心医院耳鼻咽喉头颈外科,天津300192

出　　处：《临床耳鼻咽喉头颈外科杂志》2020年第11期1002-1004,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：天津市科学技术委员会基金项目(No:15JCYBJC27500)。

摘　　要：目的:采用Nijmegen人工耳蜗植入量表和《中文成人耳蜗植入者最简言语测试集》,对语后聋成人人工耳蜗植入患者的生活质量和言语识别能力进行评估,并探讨二者之间的相关性。方法:选取成人语后聋患者36例。植入CI时年龄为20~72岁,平均(52±16)岁,植入前听力下降时间为2~25年,平均(14±6)年。应用《中文成人耳蜗植入者最简言语测试集》测试CI患者普通话单音节识别率得分,并且采用Nijmegen人工耳蜗植入量表对其进行生活质量评估。结果:术后1年CI患者较术前言语识别能力和生活质量均有不同程度改善,CI患者在基本声音感知、高级声音感知、言语能力、自信心、社会活动能力、社会交流6个子维度的得分均有提升,但差异无统计学意义。普通话单音节识别率得分与NCIQ中的基本声音感知(r=-0.36,P=0.004)、高级声音感知(r=-0.41,P=0.002)、言语能力(r=-0.67,P=0.001)3个方面具有相关性,差异有统计学意义。结论:人工耳蜗不仅可以使成人语后聋患者在听力、言语能力方面有所提高,而且在生活质量方面得到较大改善。Objective:The study is aimed to evaluate impacts of cochlear implantation on speech perception and quality of life in postlingual deaf adults,and to explore the correlation between speech perception and quality of life using Nijimegen Cochlear Implantation Questionnaire and Mandarin version of Minimum Speech Test Battery.Method:Thirty-six postlingual deafpatients were recruited,including 20 males and 16 females.Patient age was 20 to 72 years old(52±16)when CI was implanted,and the hearing loss duration was 2 to 25 years(14±6)before cochlear implantation.The single syllable recognition rate score were tested by using Mandarin version of Minimum Speech Test Battery,and the quantify quality of life was tested by using Nijimegen Cochlear Implantation Questionnaire.Result:Speech recognition and quality of life have significantly improved in patients with CI after cochlear implantiont.The scores of basic sound perception,advanced sound perception,speech ability,self-confidence,social activity ability,and social ability have improved,but the differences were not statistically significant.The Mandrin single-syllable recognition rate scores were related to basic sound perception(r=-0.36;P=0.004),advanced sound perception(r=-0.41;P=0.002),and speech ability(r=-0.67;P=0.001),and the differences are statistically significant.Conclusion:The postlingual deafnesses ability of auditory,speech perception and the quality of life have improved significantly in patients with CI after cochlear implantiont.

关 键 词：耳蜗植入术 生活质量 言语知觉 

分 类 号：R764.13[医药卫生—耳鼻咽喉科]