J Clin Med:75岁以上老年患者人工耳蜗植入术的听力结果和并发症

2021-08-09 AlexYang MedSci原创

世界上许多国家的人口正在老龄化,尤其是日本。日本的平均预期寿命为男性81岁,女性87岁。老年人口越多,由于年龄和其他因素导致的听力损失患者数量就越多。此外,

世界上许多国家的人口正在老龄化,尤其是日本。日本的平均预期寿命为男性81岁,女性87岁。老年人口越多,由于年龄和其他因素导致的听力损失患者数量就越多。此外,听力损失还会导致一系列问题,包括死亡风险增加、认知能力下降、无法参与交流导致的孤立和抑郁

目前,许多国家的人口正在步入老龄化,重度至深度听力损失的老年人比例随着平均寿命的增加而增加。近期,有研究人员比较了老年患者和年轻患者的人工耳蜗植入手术的结果

研究人员回顾性分析了81名(男性32名,女性49名)接受CI手术成年人患者的临床资料。根据植入时的年龄分为年轻组(<75岁;N=49)和老年组(≥75岁;n=32)。

CI-2004日本开放式测验句子识别平均得分(±标准差)在年轻组中为82.9%±24.1分,老年组为81.9%±23.2分,组间差异无统计学显著意义(Mann-Whitney U检验)。两组之间需要手术治疗的主要并发症的发生率没有显著差异(分别为4.1%和6.2%)。因此,两组患者均无能够严重影响一般健康状况的并发症。随访中,每组均有3名患者因与CI手术无关的原因死亡。术后5年存活并继续使用CI的患者比例分别为92.8%和91.5%。

术后并发症的发生率

综上所述,使用CI的老年患者语音识别能力较好,主要并发症发生率低。这份对老年患者CI手术结果的综合报告将有助于重度至深度听力损失老年患者决定是否接受CI手术

原始出处:

Rie Kanai , Shin-Ichi Kanemaru , Kaoru Tamura et al. Hearing Outcomes and Complications of Cochlear Implantation in Elderly Patients over 75 Years of Age. J Clin Med. Jul 2021

 

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    2022-05-04 丁鹏鹏
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    2021-08-11 ysjykql
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    2021-08-11 jiyangfei
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