人工耳蜗数据记录与生活质量指标的纵向变化
Longitudinal Changes in Cochlear Implant Datalogging and Quality of Life Measures.
文献信息
| PMID | 42709569 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Kara C Schvartz-Leyzac |
| 作者单位 | Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC. |
| 期刊 | Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology |
| SCI 分区 | Q2 |
| IF | 1.9 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 探讨成人人工耳蜗（CI）使用者在植入后第一年内数据记录统计的变化，并评估其与人工耳蜗生活质量-35（CIQOL-35）评分的关联。
研究设计： 回顾性纵向队列研究。
地点： 三级医疗中心。
患者： 104名患有双侧听力损失的成人CI使用者。
主要结局指标： 在激活后1、3、6和12个月记录每日设备使用小时数（h/d）、在各种聆听环境（安静、噪声、言语、音乐）中的使用百分比，以及CI前/后的CIQOL-35 Profile评分。数据采用线性混合效应模型进行评估。
结果： 每日CI使用小时数从激活后1个月（11.2±3.3 h/d）到3个月（11.8±3.2 h/d）显著增加，随后从激活后3个月到12个月（11.8±3.6 h/d）趋于平稳。在1至12个月之间，处于安静环境的时间百分比增加（42% vs. 46%，P<0.001），而处于言语（31% vs. 28%，P=0.007）和噪声（20% vs. 18%，P=0.025）环境的时间下降。设备使用（h/d）与CIQOL-35评分呈正相关（P<0.01）。噪声环境时间百分比增加与较差的沟通、情感、环境和社会CIQOL-35评分相关（P<0.01）。音乐百分比增加与较高的娱乐评分相关（P<0.05）。
结论： 患者在激活后前3个月内越来越多地使用其CI，并在前12个月内花更少时间聆听言语和噪声。聆听环境与某些CIQOL领域之间的关联表明，聆听模式和功能能力可能相互影响。在未来的研究中确定因果关系，可能有助于对设备使用进行更个体化的咨询，以改善早期CI体验。
英文摘要
OBJECTIVE: To examine changes in datalogging statistics in adult cochlear implant (CI) users during their first post-CI year and evaluate their association with cochlear implant quality of life-35 (CIQOL-35) scores.
STUDY DESIGN: Retrospective longitudinal cohort study.
SETTING: Tertiary medical center.
PATIENTS: 104 adult CI users with bilateral hearing loss.
MAIN OUTCOME MEASURES: Hours of device use per day (h/d), percentage of use in various listening environments (quiet, noise, speech, music), and pre-/post-CI CIQOL-35 Profile scores were recorded at 1-, 3-, 6-, and 12-months postactivation. Data were assessed using linear mixed-effects models.
RESULTS: Daily hours of CI use increased significantly from 1-month ( 11.2±3.3 h/d) to 3-months ( 11.8±3.2 h/d) postactivation, then plateaued from 3-months to 12-months ( 11.8±3.6 h/d) postactivation. Between 1 and 12 months, the percentage of time spent in Quiet increased (42% vs. 46%, P<0.001), while time spent in speech (31% vs. 28%, P=0.007) and Noise (20% vs. 18%, P=0.025) declined. Device use (h/d) was positively associated with CIQOL-35 scores (P<0.01). Increased percentage of time in noise was associated with poorer communication, emotional, environment, and social CIQOL-35 scores (P<0.01). Increased Music percentage was associated with higher Entertainment scores (P<0.05).
CONCLUSIONS: Patients increasingly use their CI during the first 3 months postactivation and spend less time listening to speech and noise over the first 12 months. Associations between listening environments and certain CIQOL domains demonstrate that listening patterns and functional abilities might influence each other. Determining causality in future studies may enable more individualized counseling on device use for an improved early CI experience.