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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity.
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Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity.

机译：人工耳蜗植入对生活质量，耳鸣和心理合并症有积极影响。

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OBJECTIVES: To determine the effect of cochlear implantation (CI) on health-related quality of life (HRQoL), tinnitus, and psychological comorbidity in patients with severe to profound postlingual hearing loss and to analyze the relationship between these parameters. STUDY DESIGN: Prospective study. METHODS: Using six validated questionnaires, we evaluated the pre-CI and post-CI scores of HRQoL, tinnitus, perceived stress, symptoms of depression and anxiety, and coping strategies in 43 patients implanted unilaterally with a multichannel implant for at least 6 months. RESULTS: In addition to improvements in hearing, speech understanding, and disease-specific HRQoL, psychological comorbidity was reduced and coping strategies were improved following CI. In the 39 tinnitus patients, their tinnitus was reduced. We found negative correlations between HRQoL and stress, depression, and anxiety. Pre-CI, tinnitus severity did not correlate with HRQoL and psychological comorbidity. However, patients with a high-level tinnitus had lower HRQoL as well as a higher level of perceived stress and anxiety symptoms than patients with a low-level tinnitus and no/incidental tinnitus before CI. Moreover, patients with severe hearing loss had a higher level of perceived symptoms of stress and depression than patients with profound hearing loss before CI. CONCLUSIONS: The present study provides evidence that tinnitus and psychological comorbidity may play an important role in the rehabilitation of CI patients, and that there is a correlation between HRQoL and these parameters. In addition to hearing tests, tinnitus, stress, and psychological comorbidity should be assessed using validated questionnaires before and after CI. This will help to improve the rehabilitation process.
机译：目的：确定重度至重度舌后听力损失患者耳蜗植入（CI）对健康相关生活质量（HRQoL），耳鸣和心理合并症的影响，并分析这些参数之间的关系。研究设计：前瞻性研究。方法：使用六份经过验证的问卷，我们评估了43例单侧多通道植入物植入至少6个月的患者的HRQoL，耳鸣，知觉压力，抑郁和焦虑症状的CI前和CI后评分。结果：除了改善听觉，语言理解和特定疾病的HRQoL外，CI后还降低了心理合并症并改善了应对策略。在39名耳鸣患者中，他们的耳鸣减少了。我们发现HRQoL与压力，抑郁和焦虑之间存在负相关关系。 CI前耳鸣的严重程度与HRQoL和心理合并症无关。然而，与CI前先有低水平耳鸣和无/偶发性耳鸣的患者相比，高水平耳鸣的患者HRQoL较低，感知压力和焦虑症状的水平也较高。而且，重度听力下降的患者比重度CI前严重听力下降的患者具有更高的压力和抑郁感觉症状。结论：本研究提供证据，耳鸣和心理合并症可能在CI患者的康复中起重要作用，并且HRQoL与这些参数之间存在相关性。除听力测试外，在CI之前和之后，应使用经过验证的问卷评估耳鸣，压力和心理合并症。这将有助于改善康复过程。

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