人工耳蜗植入对成人语后聋患者植入侧耳鸣的影响

Effects of Cochlear Implantation on Ipsilateral Tinnitus in Post-lingual Adault Recipients

李玲;王乐;户红艳;李红敏;李盼盼;叶放蕾

1:郑州大学第一附属医院耳科

摘要

目的探究成人语后聋患者人工耳蜗植入术后植入侧耳鸣的变化，并分析其影响因素。方法 2017年1月～2021年12月于郑州大学第一附属医院耳科进行单侧人工耳蜗植入的47例成人语后聋伴耳鸣患者，分别于术前和术后开机6个月进行耳鸣问卷评估，评估材料为耳鸣障碍量表(tinnitus handicap inventory, THI)和视觉模拟量表(visual analogue scale, VAS),比较人工耳蜗植入术后患者耳鸣的变化，并分析其可能的影响因素。结果 47例患者人工耳蜗植入术前、术后开机6个月时THI评分别为36.94±13.337、14.48±12.726分，VAS评分分别为5.13±1.676、2.34±1.903分，术后评分均较术前降低，差异均有统计学意义(P<0.05);其中18例患者耳鸣完全消失，13例患者耳鸣减轻，14例患者耳鸣无变化，2例患者耳鸣加重，总体耳鸣有效率为66.0%(31/47);术前耳鸣病程与耳鸣严重程度对术后耳鸣预后有影响(P<0.05),术前耳鸣病程≤5年、中度及以上耳鸣组耳鸣有效率分别高于耳鸣病程>5年(P<0.05)、轻微及轻度耳鸣组(P<0.001)。结论人工耳蜗植入对成年语后聋患者植入侧耳鸣具有抑制作用；术前耳鸣病程短、耳鸣程度重的患者术后耳鸣改善的可能性更大。

关键词

人工耳蜗植入;耳鸣;耳鸣障碍量表;视觉模拟量表

基金项目(Foundation):

作者

李玲;王乐;户红艳;李红敏;李盼盼;叶放蕾

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