影响成人人工耳蜗植入术后康复效果的因素初探

The Factors Affecting the Rehabilitation Efficacy after the Operation of Adults Cochlear Implantation

杨烨;陈杰;曹永晖;钱晓云;戴艳红;沈晓辉;陈峰;俞晨杰;高下;

1:南京大学医学院附属鼓楼医院耳鼻咽喉-头颈外科

2:南京大学医学院附属鼓楼医院医学信息科

摘要
目的初步探讨影响成人人工耳蜗植入后康复效果的相关因素。方法使用Nijmegen人工耳蜗植入量表对符合受访条件的29例成年单侧人工耳蜗植入者进行问卷随访,统计每位患者的各分项得分和总得分,根据患者的年龄、术前双耳均达重度聋以及手术耳达重度聋时间、双耳聋先后顺序、耳聋后交流方式、术前听力言语基础及术前听力状况、术后康复累计时间等8个因素分组,比较不同组别各项得分及总分。结果在长期耳聋后交流方式的比较中,术前使用读唇对话方式组的康复效果优于使用手语、写字组(P<0.05),术后康复时间2年以上组康复效果优于2年及2年以下组(P<0.05);其余各因素的组间比较差异均无统计学意义(P>0.05)。结论年龄、双耳重度聋时间、手术耳重度聋时间、耳聋先后顺序以及术前听力状况对成人人工耳蜗植入术后康复效果没有明显影响;语后聋术后仍可获得良好的听觉康复;术前长期使用唇读对话交流方式对术后康复具有促进作用;术后使用人工耳蜗累计时间的长短是影响康复效果的主要因素。
关键词
成人;人工耳蜗植入;康复
基金项目(Foundation):
江苏省临床医学科技专项(BL2012036)
作者
杨烨;陈杰;曹永晖;钱晓云;戴艳红;沈晓辉;陈峰;俞晨杰;高下;
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