成人语后聋人工耳蜗植入者生活质量分析

Quality of life after cochlear implantation in postlingually deaf adults

目的通过对植入人工耳蜗成人语后聋患者的生活质量调查，探讨人工耳蜗在语后聋患者言语康复和社会活动中的作用，初步分析NCIQ量表的适用性。方法32例语后聋成人患者参加本次调查，手术年龄为18～66（平均35．27）岁。调查内容采用NCIQ问卷量表，由1名调查者进行访谈，完成评估和分析。主要调查设备使用情况、听觉能力以及情感交流能力等3个方面内容。结果人工耳蜗使用经验6个月以上，平均每天使用16h。所有受试者均可从人工耳蜗使用中获益，独立生活性和自信心均有明显提高，听觉能力和情感交流能力提高。听觉能力的评价指标分别为环境声欣赏、使用电话能力、发音质量改善等；社会能力描述为重新积极参加社交活动、能继续就业、与家庭成员间的互动关系提高、自信心增强等。结论人工耳蜗植入对成人语后聋患者普遍有益；成效与年龄不相关，鉴于此老年听障患者应当是我们关注的人群。翻译的NCIQ表可用于我国成人人工耳蜗术后生活质量评价。

Objective To evaluate the quality of life after cochlear implantation in adult cochlear implant recipients and to assess the applicability of Nijmegem Cochlear implant Questionnaire （NCIQ）. Methods Thirty-two posdingually deaf patients, 19 males and 13 females, underwent cochlear implantation with the age at operation of 35.27 （ 18 - 66） during the period from 1996 to the end of 2006. NCIQ was used to investigate the application of the equipment, heating ability, and emotional exchange ability. Results All of the patients used their cochlear implants for 16 h every day on average with an experience in using such implant of more than 6 months. Improvement was seen in sound recognition, speech recognition, confidence, daily life, social exchange, and emotional behavior ability at different degrees. The improvement of confidence was very obvious. The speech communication ability of those with a heating deprivation time longer than 5 years was lower than that of those with a shorter hearing deprivation time. Age and educational level did not influence the efficiency. Conclusion Cochlear implantation is a cost effective intervention in the postlingually deaf adults. NCIQ test can be used to evaluate the quality of life among posflingually deaf adult cochlear implant recipients in China.