CAJ | 학술논문

目的对语后聋成年人工耳蜗植入者的言语识别能力和术后生活质量进行评估,并探讨二者之间的相关性.方法12例植入手术半年以上的语后聋人工耳蜗植入者,男性5例,女性7例.应用噪声下普通话言语测试系统(Mandarin Hearing in Noise Test, MHINT)评估植入者在安静条件下和噪声条件下的言语识识别能力,其噪声条件下测试以每一个体在安静条件下所得言语识别率的50%为标准,获得该标准下的信噪比;应用Nijmegen人工耳蜗植入量表(Nijmegen Cochlear Implantation Questionnaire,NCIQ)评价植入者的术后生活质量.结果所有植入者术后言语识别率和生活质量均有明显改善.①安静条件下平均言语识别率为63.5±26.6%;②噪声条件下的平均信噪比为10.3±3.7dB;③NCIQ总分及基本声音感知、高级声音感知、言语功能、自信心、活动能力和交流能力等六个子维度得分均有改善(P<0.05);④NCIQ总分及各子维度得分与言语测试结果间均无显著相关(P>0.05).结论语后聋成年人工耳蜗植入者术后生活质量获得显著改善,其自我主观评价明显优于言语识别能力评价.
목적대어후롱성년인공이와식입자적언어식별능력화술후생활질량진행평고,병탐토이자지간적상관성.방법12례식입수술반년이상적어후롱인공이와식입자,남성5례,녀성7례.응용조성하보통화언어측시계통(Mandarin Hearing in Noise Test, MHINT)평고식입자재안정조건하화조성조건하적언어식식별능력,기조성조건하측시이매일개체재안정조건하소득언어식별솔적50%위표준,획득해표준하적신조비;응용Nijmegen인공이와식입량표(Nijmegen Cochlear Implantation Questionnaire,NCIQ)평개식입자적술후생활질량.결과소유식입자술후언어식별솔화생활질량균유명현개선.①안정조건하평균언어식별솔위63.5±26.6%;②조성조건하적평균신조비위10.3±3.7dB;③NCIQ총분급기본성음감지、고급성음감지、언어공능、자신심、활동능력화교류능력등륙개자유도득분균유개선(P<0.05);④NCIQ총분급각자유도득분여언어측시결과간균무현저상관(P>0.05).결론어후롱성년인공이와식입자술후생활질량획득현저개선,기자아주관평개명현우우언어식별능력평개.
Objective To evaluate impacts of cochlear implantation on speech perception and quality of life in postlin?gual deaf adults. Method Twelve adult cochlear implant users (7 females and 5 males) participated in this study. Mandarin Hearing in Noise Test (MHINT) was used to assess speech perception. Test score in noise was defined as the sig?nal-to-noise ratio (SNR) at which speech perception in noise was approximately 50%of the score in quiet. The Nijmegen Cochlear Implantation Questionnaire (NICQ) was administered to quantify quality of life. Result Cochlear implants demon?strated a large and significant positive impact on quality of life and auditory perception. 1) The average speech perception scores in quiet was 63.5% (SD=26.6). 2) The average score in noise was 10.3 dB (SD=3.7). 3) Differences between pre-and post-implant total and all sub-domain NCIQ scores were statistically significant (P<0.05). 4) No obvious correlations were found between NCIQ outcomes and auditory perception (P>0.05). Conclusion Cochlear implants have a large and sig?nificant positive impact on quality of life. Improvement in quality of life is greater than that in auditory perception.