成人不同病因人工耳蜗植入术经验总结及效果观察

发布时间：2019-04-24 08:20

【摘要】：目的:总结成人不同致聋病因人工耳蜗植入术前后注意事项,探讨各种病因对术后听力、言语能力康复的影响。方法:接受人工耳蜗植入手术,并开机、复诊的患者30例,共涉及12种致聋病因,使用《Nijmegen人工耳蜗植入量表》,在每例患者佩戴人工耳蜗1年时进行问卷随访,并测试其助听听阈。按病因顺序,汇总每例患者量表中6个侧面问题的平均分,声场测试各频率听阈及平均听阈。结果:所有患者的平均助听听阈均好于35dBHL;28例患者在基本声音感知、高级声音感知及自信心方面平均得分≥75分;26例活动能力平均得分≥75分;22例在社交能力和言语能力方面平均得分≥75分。结论:符合植入手术指征的不同致聋病因成人患者,植入后听觉感知能力都得到大幅提高,手术前后需要对原发病因加以控制;各类致聋原因对患者言语能力康复的影响,取决于耳聋发生时语言中枢的发育状况;各类病因成人患者使用人工耳蜗后能够增强自信心和社会认同感,后天致聋患者表现尤为显著。
[Abstract]:Aim: to summarize the points for attention before and after cochlear implantation in adults with different causes of deafness, and to explore the effects of various causes on the rehabilitation of hearing and speech ability after operation. Methods: thirty patients who underwent cochlear implant operation and turned on and re-diagnosed involved 12 causes of deafness. The Nijmegen cochlear implant scale was used to follow up each patient at one year after the cochlear implant was worn. At the same time, the threshold of hearing-assisted hearing was tested. According to the etiological order, the average scores of 6 side problems in each patient scale were collected, and the hearing thresholds of each frequency and average hearing threshold were measured by acoustic field test. Results: the average hearing threshold of all patients was better than that of 35 d BHL, and the average scores of basic sound perception, advanced sound perception and self-confidence of 28 patients were higher than 75 points, and the average score of 26 patients' activity ability was 鈮，

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