双侧人工耳蜗同期与分期植入对听障儿童生存质量的差异化影响研究

Differential Effects of Simultaneous versus Sequential Bilateral Cochlear Implantation on Quality of Life in Children with Hearing Impairment

摘要:

摘要： 目的 探讨双侧人工耳蜗同期植入与分期植入对听障儿童生存质量的影响，旨在为临床治疗方案的制定提供依据。方法 回顾性选取2023年1月?2025年1月于上海市儿童医院耳鼻咽喉头颈外科行双侧人工耳蜗植入（BCI）的140例听障儿童，据植入方式分为同期植入组和分期植入组，各70例。通过一般情况调查表收集患儿及其父母的基本信息，并使用听障儿童生存质量测定量表（DCQOL）评估患儿的生存质量。结果 同期植入组患儿在生理功能、情感功能、社会功能、残疾儿童共性模块、听障儿童特异性模块及DCQOL总分方面显著高于分期植入组（P<0.05），而在角色功能方面两组间差异无统计学意义（P>0.05）。结论 双侧人工耳蜗同期植入在改善听障儿童生存质量方面总体优于分期植入，尤其在≥8岁儿童中获益更为全面。建议临床优先考虑同期植入，并必须重视术后系统的康复训练。

Abstract:

Abstract: Objective To explore the differential impact of simultaneous versus staged bilateral cochlear implantation (BCI) on the quality of life (QoL) of hearing-impaired children, aiming to provide a basis for formulating clinical treatment strategies. Methods A retrospective study was conducted on 140 hearing-impaired children who underwent BCI at the Department of Otorhinolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, between January 2023 and January 2025. According to the implantation method, they were divided into a simultaneous implantation group (SiBCI; bilateral implantation completed in one surgery) and a staged implantation group (SeBCI; bilateral implantation completed in two surgeries), with 70 cases in each group. Basic information about the children and their parents was collected using a general information questionnaire. The children's QoL was assessed using the Deaf Children's Quality of Life Scale (DCQOL). Results The DCQOL scores for physiological function, emotional function, social function, the common module for disabled children, the specific module for hearing-impaired children, and the total score were significantly higher in the simultaneous implantation group (n=70) than in the staged implantation group (n=70) (P<0.05). However, no significant difference was observed between the two groups in the role function dimension (P>0.05). Conclusion Simultaneous bilateral cochlear implantation is generally superior to staged implantation in improving the quality of life of hearing-impaired children, with particularly comprehensive benefits observed in children aged ≥8 years. It is recommended to prioritize simultaneous implantation in clinical practice, accompanied by systematic postoperative rehabilitation.