{
  "abstract": "随着人口老龄化进程加快，老年语后聋患者人工耳蜗植入需求逐渐增加。对于老年患者而言，人工耳蜗植入后的早期管理是影响后续长期听觉获益和生活质量改善的重要环节。相较于儿童及中青年患者，老年人工耳蜗植入者常存在前庭代偿能力下降、耳鸣发生率高、听觉剥夺时间长、声音适应慢、合并基础疾病多、认知及操作能力减退、心理适应困难和康复依从性差异大等特点，使其术后早期管理更具复杂性。本文作为系列综述的中篇，结合临床实践与相关研究，围绕老年耳聋患者人工耳蜗植入后的术后早期管理、耳鸣评估、耳聋持续时间对康复预期的影响、开机调试策略及心理支持干预等问题进行系统梳理。术后眩晕与平衡障碍可影响患者早期康复并增加跌倒风险，应重视风险评估、早期识别和前庭康复干预；耳鸣是老年听力损失患者常见伴随症状，人工耳蜗植入后多数患者耳鸣困扰可能获得一定缓解，但仍需避免将其简单视为耳鸣治疗手段；耳聋持续时间是影响术后言语识别康复信心的重要因素，应纳入康复目标设定和预期管理；开机调试应遵循个体化、循序渐进和动态优化原则，在保证舒适佩戴的基础上逐步提高听觉输入质量；心理支持和同伴交流有助于缓解患者焦虑、失望和康复信心不足。本文旨在为老年人工耳蜗植入者术后早期管理和听觉康复提供参考。",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "name": "林以鹏"
    },
    {
      "name": "高珊仙"
    },
    {
      "name": "张丽娜"
    },
    {
      "name": "刘天翊"
    },
    {
      "name": "梁爽"
    },
    {
      "name": "梁巍"
    },
    {
      "name": "银力"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/492jf2yptm0fv.bib",
  "cited_by": 0,
  "doi": null,
  "fulltext_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.05.021/",
  "id": "492jf2yptm0fv",
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  "language": "zh",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ]
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  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "Limited Liability Company of Chinese Scientific Journal of Hearing and Speech Rehabilitation",
  "ris": "https://research.draconitic.com/paper/492jf2yptm0fv.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:23Z",
      "native_id": "e807d4c90ef942d782ce26c72cc2de2c",
      "source": "doaj",
      "url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.05.021/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:R",
      "subfield": "general"
    }
  ],
  "title": "老年听障患者人工耳蜗植入临床问题探讨（Ⅱ）——术后早期管理与开机调试策略",
  "title_text": "老年听障患者人工耳蜗植入临床问题探讨（Ⅱ）——术后早期管理与开机调试策略",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:23Z",
  "url": "https://research.draconitic.com/paper/492jf2yptm0fv",
  "venue": "Zhongguo tingli yuyan kangfu kexue zazhi",
  "versions": []
}