重度-极重度感音性聋老年人人工耳蜗植入的初步探讨

Preliminary study of cochlear implantation in elderly individuals with severe-profound sensorineural hearing loss

耳聋是困扰老年人的最常见的疾病之一。目前,人工耳蜗植入(CI)是重度-极重度感音性聋且助听器效果不佳老年人的听觉和言语康复的最有效方法,但老年耳聋患者CI并不如婴幼儿和儿童听障人群开展的普及,并且老年人本身耳聋发生、听力学和听觉康复有其特殊性。从老年耳聋的发生率、耳聋常见原因和听力学特点,老年人CI的适应证,目前老年CI的开展情况,老年人CI的疗效特点等方面进行分析和讨论,并对老年耳聋患者CI的未来发展做展望。

Deafness is one of the most common conditions affecting elderly individuals. Cochlear implantation（ CI） is the most effective method to improve hearing and promote language rehabilitation among elderly individuals with severeprofound sensorineural hearing loss who cannot benefit from hearing aids. However,CI in elderly individuals is not as common as that in infants and children,and deafness in elderly individuals is unique in etiology,audiological findings,and hearing rehabilitation. This article discusses aspects of deafness in elderly individuals with respect to the following：incidence,common etiology,audiological features,indications for CI,current situation,effect of CI,and future perspectives.