语前聋青少年人工耳蜗植入术后生命质量评价

Quality of Life in for Prelingually Deafened Adolescents with Cochlear Implants

董瑞娟;刘博;陈雪清;龚树生;

1:首都医科大学附属北京同仁医院耳鼻咽喉头颈外科

2:北京市耳鼻咽喉科研究所

3:耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)

摘要
目的评价语前聋青少年人工耳蜗植入术后的生命质量,分析其影响因素。方法分析20例语前聋青少年人工耳蜗植入者的临床资料和听力学资料,并应用Nijmegen人工耳蜗植入量表(Nijmegen cochlear implant questionnaire,NICQ)对植入者进行评估。按照术前交流方式将植入者分为手语交流组(7例)和言语交流组(13例),比较两组患者人工耳蜗植入术后的生命质量。结果 20例植入者术后17例可使用言语交流,其中5例完全依赖言语,术后交流方式中,手语交流组3例(15.0%,3/20),言语交流组17例(85.0%,17/20),与术前(手语和言语交流组分别为35.0%和65.0%)比较差异有统计学意义(P<0.05);言语交流组在高级声音感知及言语能力方面的得分高于手语交流组(P<0.05)。结论语前聋青少年人工耳蜗植入后可获得较好的生命质量,术前言语能力和交流方式可影响术后的康复效果。
关键词
人工耳蜗植入;语前聋;青少年;生命质量
基金项目(Foundation):
作者
董瑞娟;刘博;陈雪清;龚树生;
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