运用视频分析法探讨语前聋患儿人工耳蜗植入术后前语言交流能力的发展规律及影响因素

发布时间：2018-11-06 20:26

【摘要】：目的:探讨语前聋患儿人工耳蜗植入术后患儿前语言交流能力的发展规律,初步分析影响前语言交流能力的相关因素。为患儿后期康复计划提供一定的参考依据。方法:收集于2015年09月至2015年11月在贵州医科大学接受人工耳蜗植入术的语前聋患儿31进行随访调查,平均年龄为46.71±24.78月,使用人工耳蜗时间均在12月以内,采用视频分析法分别于开机后1、3、6、9、12月对患儿的轮流交流、主动交流、视觉交流及听觉注意等4项前语言交流能力进行分析。根据患儿人工耳蜗植入年龄、术前有无康复、术前有无使用助听器、术前残余听力进行分组,分析可能影响前语言交流能力相关因素。结果:1.随着开机时间增加,前语言交流能力中的轮流交流及听觉注意显著增长,且各阶段均值比较有统计学差异(p0.05)。主动交流及视觉交流得分较低,且各阶段比较无统计学差异(p0.05)。2·术前有无康复、术前有无佩戴助听器、术前残余听力这三因素中,各组间比较差异均存在显著统计学意义(p0.05)。各阶段人工耳蜗植入年龄组组间比较差异无统计学意义(p0.05)。结论:1.语前聋患儿人工耳蜗植入术后前语言交流能力的发展随着开机时间增加,轮流交流(有声回应)和听觉注意显著增长。患儿在前语言期建立"先听后说"的模式。2.在前语言交流能力相关因素分析中发现术前残余听力好、术前佩戴助听器、术前进行正规康复可能影响人工耳蜗植入术后患儿前语言交流能力的发展。3·早发现、早诊断、早干预、早治疗,有利于患儿前语言交流能力发展,为聋儿后期的听觉言语康复奠定良好的基础。
[Abstract]:Objective: to investigate the development of preverbal communication in children with prelingual deafness after cochlear implantation, and to analyze the related factors affecting preverbal communication. To provide a certain reference for the later rehabilitation plan of children. Methods: children with prelingual deafness received cochlear implantation in Guizhou Medical University from September 2015 to November 2015 were followed up. The mean age was 46.71 卤24.78 months, and the time of cochlear implantation was within 12 months. Video analysis method was used to analyze the four preverbal communication abilities of the children in turn on communication, active communication, visual communication and auditory attention in 12 months. According to the age of cochlear implant, the recovery before operation, the hearing aid before operation and the residual hearing before operation, the factors related to the ability of preverbal communication were analyzed. The result is 1: 1. With the increase of boot time, the rotational communication and auditory attention increased significantly in the preverbal communication ability, and the mean values of each stage were significantly different (p0.05). The scores of active communication and visual communication were low, and there was no statistical difference between the three stages (p0.05). 2 among the three factors, there was no recovery before operation, hearing aids before operation, residual hearing before operation. There was significant difference between the groups (p 0.05). There was no significant difference in cochlear implantation age group (p 0.05). Conclusion: 1. After cochlear implantation in children with prelingual deafness, the development of communication ability before cochlear implantation increased with the increase of boot time, and the alternation (sound response) and auditory attention increased significantly in children with prelingual deafness. Children in the pre-language period to establish a "listen before speaking" model. 2. In the analysis of factors related to preverbal communication ability, good residual hearing before operation, hearing aid before operation and normal rehabilitation before operation may affect the development of pre-verbal communication ability after cochlear implantation. 3 early detection and early diagnosis. Early intervention and early treatment are beneficial to the development of pre-verbal communication ability of children and lay a good foundation for the recovery of hearing and speech in later stage of deaf children.
【学位授予单位】：贵州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R764.43

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