青少年语前聋患者人工耳蜗植入术后听力及生活质量评估
发布时间：2018-11-03 09:18
【摘要】：目的使用听觉行为分级标准(categories of auditory performance,CAP)、听力植入体使用儿童的家庭生活质量(children using hearing implants quality of life,Cu HI Qol)和Nijmegen人工耳蜗植入量表(Nijmegen Cochlear Implant Questionnaire,NCIQ)对语前聋青少年患者进行问卷调查,从而评估患者人工耳蜗植入术后听力、家庭及个人的生活质量有无变化,并比较术前交流方式对术后康复效果有无影响。方法选取2010.07-2014.07期间在安徽医科大学第一附属医院进行耳蜗植入的14岁-18岁的青少年语前聋患者,并除外存在内耳严重畸形、脑白质病变及听神经病的部分病人,共有41例,对这41例青少年患者的临床资料进行回顾性分析,并与植入术后两年的康复效果进行比较。按照术前交流方式(手势,唇读,手势-言语,语言)将其分为非言语组(包括手势与唇读)和言语组(手势-言语及语言交流),其中非言语组20例,言语组21例。采用CAP和Cu HI Qol量表分别于耳蜗植入术前及术后对患者家长进行问卷调查,比较术前与术后得分的差异,用NCIQ量表于耳蜗植入术后对患者本人进行问卷调查,并分别比较非言语组及言语组患者术后Cu HI Qol和NCIQ得分有无不同。结果1.言语组和非言语组患者术后的CAP得分均较术前有明显提高(p0.001)。2.完成Cu HI Qol问卷的21例患者术后的Cu HI Qol得分(51.71±8.9)较术前有明显提高(42.14±6.04,P0.001),而且在父母期望,对家庭的影响及个人生活质量这三个亚方面术后得分均较术前有明显提高(p=0.002,P0.001,P0.001)。对于两组患者之间的比较,其中对家庭的影响方面言语组的术后得分与非言语组没有明显差异(p=0.7),父母的期望及生活质量两方面言语组得分均高于非言语组(P=0.005,p0.001)。3.非言语组术后NCIQ平均得分为31.54±5.55,言语组平均得分为51.04±10.51,明显高于非言语组(p0.001)。在高级声音感知、言语能力和社会交流方面言语组的得分高于非言语组(P0.05),在基本声音感知、自信心及活动能力方面没有明显差异(p0.05)。结论青少年语前聋的患者人工耳蜗植入术后听力有明显改善,患者家庭的生活质量以及个人的生活质量也有明显提高,术前的交流方式可影响术后的康复效果,术前使用言语交流的患者术后可以获得更好的生活质量。
[Abstract]:Objective to evaluate the family quality of life (children using hearing implants quality of life,Cu HI Qol) and Nijmegen cochlear implant scale (Nijmegen Cochlear Implant Questionnaire,) in children with hearing implants using auditory behavioral grading standard (categories of auditory performance,CAP). (NCIQ) to evaluate the changes of hearing, family and personal quality of life after cochlear implantation in adolescents with prelingual deafness, and to compare the effect of preoperative communication on postoperative rehabilitation. Methods A total of 14 ~ 18 years old patients with prelingual deafness were enrolled in the first affiliated Hospital of Anhui Medical University from 2010.07-2014.07, with the exception of some patients with severe deformity of the inner ear, white matter lesions and auditory neuropathy. The clinical data of 41 adolescent patients were analyzed retrospectively and compared with the two years after implantation. They were divided into nonverbal group (including gesture and lip reading) and speech group (gesture-speech and verbal communication) according to the preoperative communication mode (gesture, lip reading, gesture-speech, language), including 20 cases in non-verbal group and 21 cases in speech group. Before and after cochlear implantation, CAP and Cu HI Qol were used to investigate the patients' parents, and the difference of scores before and after cochlear implantation was compared. NCIQ scale was used to investigate the patients themselves after cochlear implantation. The scores of Cu HI Qol and NCIQ in non-verbal group and speech group were compared. Result 1. The CAP scores in speech group and non-verbal group were significantly higher than those before operation (p 0. 001). 2. The Cu HI Qol scores of 21 patients who completed Cu HI Qol questionnaire (51.71 卤8.9) were significantly higher than those before operation (42.14 卤6.04 卤P0.001). The effect on family and quality of personal life were significantly higher than those before operation (P 0.002 P 0.001). For the comparison between the two groups, there was no significant difference in the postoperative scores between the speech group and the non-verbal group (p0.7), and the scores of the parents' expectation and quality of life in the speech group were higher than those in the non-verbal group (P0.005). P0.001). The average score of NCIQ was 31.54 卤5.55 in the nonverbal group and 51.04 卤10.51 in the speech group, which was significantly higher than that in the non-verbal group (p0.001). The scores of speech group in advanced voice perception, speech ability and social communication were higher than those in non-verbal group (P0.05), but there was no significant difference in basic sound perception, self-confidence and activity ability (p0.05). Conclusion after cochlear implantation, the hearing of young patients with pre-speech deafness was improved significantly, and the quality of life and personal quality of life of the patients were also improved. The way of communication before and after operation may affect the rehabilitation effect after operation. Patients who use verbal communication before operation can obtain better quality of life after operation.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R764.9
本文编号：2307359
[Abstract]:Objective to evaluate the family quality of life (children using hearing implants quality of life,Cu HI Qol) and Nijmegen cochlear implant scale (Nijmegen Cochlear Implant Questionnaire,) in children with hearing implants using auditory behavioral grading standard (categories of auditory performance,CAP). (NCIQ) to evaluate the changes of hearing, family and personal quality of life after cochlear implantation in adolescents with prelingual deafness, and to compare the effect of preoperative communication on postoperative rehabilitation. Methods A total of 14 ~ 18 years old patients with prelingual deafness were enrolled in the first affiliated Hospital of Anhui Medical University from 2010.07-2014.07, with the exception of some patients with severe deformity of the inner ear, white matter lesions and auditory neuropathy. The clinical data of 41 adolescent patients were analyzed retrospectively and compared with the two years after implantation. They were divided into nonverbal group (including gesture and lip reading) and speech group (gesture-speech and verbal communication) according to the preoperative communication mode (gesture, lip reading, gesture-speech, language), including 20 cases in non-verbal group and 21 cases in speech group. Before and after cochlear implantation, CAP and Cu HI Qol were used to investigate the patients' parents, and the difference of scores before and after cochlear implantation was compared. NCIQ scale was used to investigate the patients themselves after cochlear implantation. The scores of Cu HI Qol and NCIQ in non-verbal group and speech group were compared. Result 1. The CAP scores in speech group and non-verbal group were significantly higher than those before operation (p 0. 001). 2. The Cu HI Qol scores of 21 patients who completed Cu HI Qol questionnaire (51.71 卤8.9) were significantly higher than those before operation (42.14 卤6.04 卤P0.001). The effect on family and quality of personal life were significantly higher than those before operation (P 0.002 P 0.001). For the comparison between the two groups, there was no significant difference in the postoperative scores between the speech group and the non-verbal group (p0.7), and the scores of the parents' expectation and quality of life in the speech group were higher than those in the non-verbal group (P0.005). P0.001). The average score of NCIQ was 31.54 卤5.55 in the nonverbal group and 51.04 卤10.51 in the speech group, which was significantly higher than that in the non-verbal group (p0.001). The scores of speech group in advanced voice perception, speech ability and social communication were higher than those in non-verbal group (P0.05), but there was no significant difference in basic sound perception, self-confidence and activity ability (p0.05). Conclusion after cochlear implantation, the hearing of young patients with pre-speech deafness was improved significantly, and the quality of life and personal quality of life of the patients were also improved. The way of communication before and after operation may affect the rehabilitation effect after operation. Patients who use verbal communication before operation can obtain better quality of life after operation.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R764.9
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