老年性聋人工耳蜗植入进展

目的耳聋是全球第三大导致老年人残疾障碍的原因，不仅仅影响声音的感知，还会引发一系列日常交流和社交障碍。目前，人工耳蜗植入是重度 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，但众多原因导致我国老年耳聋患者人工耳蜗植入开展得不够，并且老年人本身耳聋发生及其听力学和听觉康复有其特殊性。本文从老年耳聋的发生率、老年性聋的病因、人工耳蜗植入的适应证及疗效特点等方面进行分析和讨论，并对老年耳聋患者人工耳蜗植入的未来前景做展望。

Progress of cochlear implantation in the elderly

ObjectiveDeafness is the third leading cause of disability in the elderly worldwide, affecting not only the perception of sound, but also a range of daily communications and social impairments. At present, cochlear implant (CI) is the most effective method for hearing and speech rehabilitation of the elderly with severe profound sensorineural deafness with hearing aid showing poor effect. However, the popularity of CI for elderly deafness patients in China is not enough due to many reasons, and the occurrence, audiology as well as the hearing rehabilitation of deafness in the elderly have their own characteristics. This paper analyzes and discusses the incidence, the etiology of senile deafness, the indications and the characteristics of curative effect of CI, and looks forward to the future development of CI in senile deafness patients