成人语后聋人工耳蜗调机与术后效果相关性的研究进展

Research Progress on the Correlation between Mapping and Postoperative Effect in Adult Postlingual Cochlear Implantation

摘要:

人工耳蜗植入可以帮助成人语后聋患者重获听觉,是目前治疗重度至极重度感音神经性聋患者的主要治疗方式之一,但术后康复效果存在较大的个体差异。目前,国内外常用言语感知测试、听觉行为分级量表、言语可懂度分级量表对成人语后聋人工耳蜗植入患者术后康复效果进行评估,而言语、空间和听力质量量表和生活质量评估量表能提供比以往手段更多的综合评估维度。既往研究结果表明术后干预因素尤其是调机方案,是成人语后聋人工耳蜗植入患者术后康复效果的重要影响因素。随着社会的发展及对终生听觉健康要求的提高,成年人听力问题越来越受到重视,如何通过调机尽可能提升听力、言语、生活质量及社会支持以实现获益最大化已成为成人语后聋患者人工耳蜗植入术后康复的重要问题。本文概述了成人语后聋人工耳蜗植入患者调机与术后效果相关性的研究进展。

Abstract:

Cochlear implantation can help postlingually deafened adults regain auditory function and is currently one of the primary treatment methods for severe to profound sensorineural hearing loss. However, there is significant individual variability in postoperative rehabilitation outcomes. Currently, commonly used speech perception tests, categories of auditory performance, and speech intelligibility rating are used internationally to assess postoperative rehabilitation outcomes in postlingually deafened cochlear implant adults. Meanwhile, the Speech, Spatial, and Qualities of Hearing Scale (SSQ) and Quality of Life assessment scales can offer more comprehensive evaluation dimensions than previous methods. Previous research results indicate that preoperative intrinsic factors and postoperative intervention factors, especially the mapping scheme, are important influencing factors on the postoperative rehabilitation outcomes of postlingually deafened cochlear implant adults. With the development of society and incre