摘要
目的：探讨语后聋患者人工耳蜗植入的手术适应证及人工耳蜗在语后聋患者言语康复和社会活动中的作用。方法：5例语后聋患者手术年龄为19~58岁（中位年龄26岁）。5例患者均手术植入Cochlear 24R人工耳蜗。术后4周开机,随访1年,调查采用听觉行为分级标准（CAP）和言语识别率分级标准（SIR）,由1名研究者完成随访,随访涉及听力水平、言语交流能力2个方面的内容。结果：5例患者术后1年0.5、1.0、2.0、4.0 kHz助听听阈均在25~45 dB;CAP平均3.4,SIR平均2.4。2例患者言语分辨能力及情感交流能力无明显提高,其余3例患者交流能力均有不同程度提高。结论：对于不同原因所致的语后聋患者,正确选择手术适应证,均能使之从人工耳蜗植入术中不同程度获益,提高其独立生活能力及自信心。
Objective：To explore the indications of cochlear implantation in postlingually deaf adults.Method：Five postlingually deaf adults participated in our investigation,surgery age 19-58（median age 26 years）.All patients received 24R（Cochlear,Australia）.Four weeks after operation,all the patients have started the program.Through one year follow-up,we used the categories of auditory performance（CAP） and speech intelligibility rating criteria（SIR） to assess their hearing ability and speech intelligibility.Result：Through testing for five patients who used cochlear implant continuously more than one year by Pure-tone audiometry,CAP and SIR,we assessed and found that the five patients＇ hearing threshold raise to 25-45 dB in 0.5 kHz,1.0 kHz,2.0 kHz,4.0 kHz,CAP average of 3.4,SIR average of 2.4.Two patients＇ ability of speech recongnition and emotional communication were not improved almost,while these ability in other three were improved in varying degrees.Conclusion：For postlingual deaf adults caused by different reasons,how to make patients benefit from cochlear implantation and increase their capacity for independent living and self-confidence due to select surgical indications correctly.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2010年第13期583-586,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
耳蜗植入术
成人语后聋
适应证
评估
cochlear implantation
postlingually deaf adults
indications
assessment
