青少年语前聋患者人工耳蜗植入后生活质量评估

The Evaluation of the Quality of Life of Prelingually Deaf Adolescents with Cochlear Implants

目的评估青少年语前聋患者人工耳蜗植入术后家庭及个人的生活质量,并比较术前交流方式对其影响。方法回顾性分析21例语前聋人工耳蜗植入青少年患者的临床资料,按照术前交流方式分为非言语组(10例)和言语组(11例),采用听力植入体使用儿童的家庭生活质量(children using hearing implants quality of life,CuHI Qol)及Nijmegen人工耳蜗植入量表(Nijmegen cochlear implant questionnaire,NCIQ)对两组患者植入人工耳蜗前后进行评分,比较两组患者得分差异。结果21例患者人工耳蜗植入术后的CuHI Qol平均得分51.71%±8.9%,较术前(42.14%±6.04%)有明显提高(P<0.001),其中言语组对家庭的影响方面术后得分与非言语组差异无统计学意义(P>0.05),父母的期望及生活质量两方面言语组得分均高于非言语组(P<0.05);术后NCIQ评估言语组平均得分(51.00±0.51%)高于非言语组(31.5%±5.55%),差异有统计学意义(P<0.001);在高级声音感知、言语能力和社会交流方面言语组得分高于非言语组(P<0.05),在基本声音感知、自信心及活动能力方面两组得分差异无统计学意义(P>0.05)。结论语前聋青少年人工耳蜗植入术后生活质量可获得明显改善,术前的交流方式可影响术后的康复效果,术前使用言语交流的患者术后可以获得更好的生活质量。

Objective To evaluate the family and individual quality of life for the prelingually deaf adolescents with cochlear implants and compare the influence of preoperative communication mode.Methods A retrospective study was conducted in 21 prelingually profoundly deaf adolescents divided into the nonverbal group and oral group according to preoperative communication modes.The scores of the children using hearing implants quality of life（CuHI Qol）and nijmegen cochlear implant questionnaire（NCIQ）were collected and compared statistically between the two groups.Results The postoperative scores of CuHI Qol（51.71±8.9）in 21 patients were significantly higher than those before operation（42.14±6.04,P〈0.001）,and no significant differences were observed in the family influence between the two groups while the scores of oral group were significantly higher than the nonverbal group in parents＇ expectation and quality of life（P〈0.05）.The NCIQ scores of the oral group were significantly higher than nonverbal group（P〈0.05）in the following subdomains ：advanced sound perception,speech production,social interactions and there was no statistical difference in basic sound perception,self-esteem and activities.Conclusion The quality of life of prelingually deafened adolescents with cochlear implants can be improved obviously and patients with oral communication mode before operation have better quality of life.