双侧耳聋患者单侧人工耳蜗植入对生活质量和言语感知的长期益处。,Otology & Neurotology

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双侧耳聋患者单侧人工耳蜗植入对生活质量和言语感知的长期益处。
Otology & Neurotology ( IF 1.9 ) Pub Date : 2019-04-01 , DOI: 10.1097/mao.0000000000002008
Sophia M Häußler ₁ , Steffen Knopke , Philipp Wiltner , Manuel Ketterer , Stefan Gräbel , Heidi Olze

Affiliation

目的人工耳蜗（CI）是单侧和双侧耳聋患者以及重度至重度听力损失患者的常见治疗方式。我们研究的目的是对长期随访的人工耳蜗植入患者的健康相关生活质量（HRQoL）和听觉表现的改善和影响进行综合评估。方法这项前瞻性研究纳入了61例双侧，舌后耳聋的单侧CI患者。听觉表现和HRQoL的评估工具包括弗莱堡单音节语音测试，奥尔登堡问卷（OI）问卷，奈梅亨人工耳蜗调查表（NCIQ）和36项简短形式问卷调查（SF-36）。术后6个月，12个月和24个月在CI之前收集数据。结果在6个月的随访期内，语音感知评估工具的弗莱堡单音节语音测试分数和OI的所有子域分数都有统计学上的显着改善。在此随访期间，NCIQ的子域得分和SF-36的心理得分也显着提高。此后在12个月和24个月的随访期间，所有结果均保持稳定。CI后主观言语感知与HRQoL之间存在统计学上的显着相关性。结论这是第一项前瞻性研究，显示双侧耳聋患者单侧CI后2年随访期间的语音知觉和HRQoL及其相关性的结果。

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Long-term Benefit of Unilateral Cochlear Implantation on Quality of Life and Speech Perception in Bilaterally Deafened Patients.

OBJECTIVE Cochlear implantation (CI) is a common treatment modality for unilaterally and bilaterally deafened patients as well as patients with severe to profound hearing loss. The aim of our study is the complex evaluation of the improvement and influence of health related quality of life (HRQoL) and auditory performance in cochlear implant patients during a long-term follow-up. METHODS Sixty-one bilaterally, postlingually deafened patients with unilateral CI were included in this prospective study. Assessment tools for auditory performance and HRQoL included the Freiburg Monosyllabic Speech test, Oldenburg Inventory (OI) questionnaire, Nijmegen Cochlear Implant Questionnaire (NCIQ) and 36-item Short Form Survey (SF-36). Data were collected before CI, at 6, 12, and 24 months postoperatively. RESULTS The assessment tools for speech perception yielded a statistically significant improvement in the Freiburg Monosyllabic Speech test scores and of all subdomain scores of the OI during the 6-month follow-up period. The subdomain scores of the NCIQ and the psychological score of the SF-36 also improved significantly during this follow-up period. All results remained stable thereafter during the 12- and 24-month follow-up. There was a statistically significant correlation between subjective speech perception and HRQoL after CI. CONCLUSION This is the first prospective study to show results in regard to speech perception and HRQoL and their correlation during a 2-year follow-up after unilateral CI in bilaterally deafened patients. Our results for speech perception and HRQoL showed a significant improvement during the 6-month follow-up that remained stable thereafter during a 24-month follow-up, even after finishing the hearing rehabilitation program.

更新日期：2019-11-01

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