老年肝移植患者的人工耳蜗植入病例报告和文献复习

刘新颖; 郝莹; 陈元星; 孙悍军

doi:10.3969/j.issn.1672-4933.2024.06.021

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老年肝移植患者的人工耳蜗植入病例报告和文献复习

病例报道 | 更新时间：2026-07-11

- 老年肝移植患者的人工耳蜗植入病例报告和文献复习
- A Case Report and Literature Review: Cochlear Implantation in an Older Liver Transplant Recipient
- 中国听力语言康复科学杂志 2024年22卷第6期页码：650-653
- 作者机构：
  
  解放军总医院第三医学中心耳鼻咽喉头颈外科北京 100089
- 作者简介：
  
  刘新颖硕士在读副主任护师；研究方向：听力损失防护和护理
  孙悍军，E-mail：fangqizhao@sina.com
- 基金信息：
  
  军队护理创新与培育专项计划培育项目“针对训练和作业噪声所致听力损伤的护理策略研究”(2021HL087)
- DOI：10.3969/j.issn.1672-4933.2024.06.021
  中图分类号： R764.35
- 收稿：2024-07-16，
  
  纸质出版：2024-11-15
- 稿件说明：
移动端阅览
刘新颖,郝莹,陈元星等.老年肝移植患者的人工耳蜗植入病例报告和文献复习[J].中国听力语言康复科学杂志,2024,22(06):650-653.

LIU Xin-ying,HAO Ying,CHEN Yuan-xing,et al.A Case Report and Literature Review: Cochlear Implantation in an Older Liver Transplant Recipient[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):650-653.
刘新颖,郝莹,陈元星等.老年肝移植患者的人工耳蜗植入病例报告和文献复习[J].中国听力语言康复科学杂志,2024,22(06):650-653. DOI： 10.3969/j.issn.1672-4933.2024.06.021.

LIU Xin-ying,HAO Ying,CHEN Yuan-xing,et al.A Case Report and Literature Review: Cochlear Implantation in an Older Liver Transplant Recipient[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):650-653. DOI： 10.3969/j.issn.1672-4933.2024.06.021.

摘要

目的

探讨肝移植术后植入人工耳蜗的感音神经性耳聋老年患者临床处治特点和注意事项。

方法

肝移植术后老年患者1例，62岁女性，双耳感音神经性耳聋（全聋）超过10年，肝移植术后长期服用抗排异、激素药物，移植后8年行人工耳蜗植入术。针对患者的特殊病史和身体条件，人工耳蜗植入术后除进行常规开机外，给予肝功能保护、监测他克莫司浓度、感染、心理护理等处治措施。

结果

肝移植老年患者开机1年8个月后助听听阈≤35 dB HL，单音节识别率70.67%，双音节识别率85%，言语空间音质听力量表（the speech，spatial and qualities of hearing scale，SSQ）得分19分。未见与肝移植相关并发症，术后心理状态明显改善，生活质量显著提高。

结论

人工耳蜗植入术对肝移植后接受免疫抑制治疗的老年患者是一种安全有效的干预手段。突出抗感染、提升免疫力对确保手术安全性、有效性至关重要。

Abstract

Objective

To investigate the characteristics and precautions of postoperative nursing for elderly patient of cochlear implantation with sensorineural hearing loss after liver transplantation.

Methods

A 62-year-old female with sensorineural hearing loss in both ears (total deafness according to WHO 2021 classification criteria) for more than 10 years after liver transplantation. Anti-rejection and hormone have been used for a long time after liver transplantation

and cochlear implantation was implemented 8 years after liver transplantation. According to the patient's special medical history and physical conditions

systematic management was given after cochlear implantation

including postoperative observation of the operative area

liver function protection

postoperative psychological nursing and discharge guidance

and other measures

to evaluate the patient's hearing and psychological state.

Results

Through reasonable treatment and post operation care

the hearing of the patient was restored after cochlear implantation. The psychological state and the quality of life were significantly improved. No complication related to liver transplantation was observed.

Conclusions

A cochlear implant is a safe and effective intervention for elderly patients receiving immunosuppressive therapy after liver transplantation. In view of the special requirements of the safety of cochlear implantation for liver transplant patients

comprehensive professional and meticulous nursing should be carried out to highlight anti-infection and enhance immunity.

关键词

Keywords

references

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刘日渊 , 王倩 , 康烁烁 , 等 . 大龄语前聋患者人工耳蜗植入术后康复早期评估 [J ] . 中华儿科学杂志 , 2020 , 18 ( 3 ): 489 - 493 .

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