人工耳蜗置入后患儿有意义听觉整合量表分数的变化

发布时间：2018-11-19 09:25

【摘要】：背景:目前药物治疗或助听器均不能改善重度或极重度感音神经性耳聋患者的听力,多导人工耳蜗可恢复其听力,促进其言语发育。目的:观察人工耳蜗置入后患儿言语康复的发展规律及影响因素,分析各影响因素与患儿言语康复效果的相关性。方法:选择138例7岁以内重度以上感音神经性耳聋患儿,均接受人工耳蜗置入治疗,于置入前后进行听觉整合量表分数评估,同时分析年龄、性别、耳聋性质、置入前有无言语干预、人工耳蜗置入年龄、置入后时间、父母文化程度、家庭经济状况及置入后康复模式对听觉综合量级测试分数的影响。结果与结论:性别、置入时间长短、耳蜗是否发育正常对患儿有意义听觉整合量表分数无影响(P0.05);患儿年龄越大有意义听觉整合量表分数越高(P=0),置入前进行单耳或双耳言语干预患儿的有意义听觉整合量表分数高于未进行言语干预的患儿(P=0.018,P=0),但单耳与双耳干预对有意义听觉整合量表分数无影响(P0.05);父母文化程度越高、家庭收入越高,患儿有意义听觉整合量表分数越高(P=0,P=0);接受专业学校教育康复培训患儿的有意义听觉整合量表分数高于家庭教育康复培训的患儿(P=0)。表明人工耳蜗置入可促进患儿听觉言语发育,置入年龄越大、置入前有言语干预、家庭经济收入较高、父母文化程度较高及置入后接受康复训练患儿的言语康复效果越好。
[Abstract]:Background: current drug therapy or hearing aid can not improve the hearing of patients with severe or extremely severe sensorineural hearing loss. Multichannel cochlea implantation can restore hearing and promote speech development in patients with severe or extremely severe sensorineural hearing loss. Aim: to observe the development and influencing factors of speech rehabilitation in children with cochlear implantation, and to analyze the correlation between the influencing factors and the effect of speech rehabilitation. Methods: 138 children with severe sensorineural hearing loss under 7 years of age were treated with cochlear implantation. The scores of auditory integration scale were evaluated before and after implantation, and age, sex and deafness were analyzed. The effects of speech intervention before implantation, age of cochlear implantation, time after implantation, parents' education level, family economic status and rehabilitation model after implantation on the score of auditory comprehensive test. Results and conclusion: sex, length of implantation time and normal cochlea development had no effect on the score of meaningful auditory integration scale (P0.05). The more significant the age, the higher the score of auditory integration scale (P0). The score of significant auditory integrative scale in children with monaural or biaural speech intervention before placement was higher than that in children without speech intervention (P0. 018 / P0). But monaural and biaural intervention had no effect on the score of meaningful auditory integration scale (P0.05). The higher the education level of parents, the higher the family income, the higher the score of meaningful auditory integration scale (P0 / P0). The scores of significant auditory integrative scale were higher in children receiving rehabilitation training in professional schools than in those receiving family education and rehabilitation training (P0). The results showed that cochlear implantation could promote the development of auditory speech in children. The older the children were, the better the speech intervention was before implantation, the higher the family income was, the higher the educational level of parents was and the better the speech rehabilitation effect of the children who received rehabilitation training after implantation.
【作者单位】：兰州大学第二医院耳鼻咽喉头颈外科;甘肃省肿瘤医院头颈肿瘤外科;甘肃省人民医院耳鼻咽喉头颈外科;
【基金】：国家自然科学基金项目(81172765)~~
【分类号】：R764.9

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