不同听觉补偿方式下听障儿童的听觉言语康复效果比较

发布时间：2018-03-08 11:24

本文选题：听力损失　切入点：儿童　出处：《听力学及言语疾病杂志》2015年02期 　论文类型：期刊论文

【摘要】：目的比较选配助听器与人工耳蜗植入术后听障儿童的听觉言语康复效果,探讨不同听觉补偿方式对其听觉言语康复效果的影响。方法选取32例6~43月龄选配助听器或人工耳蜗植入后的重度及极重度感音神经性语前聋患儿为研究对象,其中助听器组18名,人工耳蜗组14名,两组的听力损失程度无统计学差异,均在干预1年内进行相同的听觉言语康复训练,使用声场测听测试助听听阈;使用婴幼儿有意义听觉整合量表评估干预前及干预后3、6、9、12个月时的听觉能力;采用《听障儿童听觉言语能力评估》测试两组康复训练前后的言语能力。结果两组患儿助听听阈均优于助听前,但人工耳蜗组各频率助听听阈显著优于助听器组(P0.05);两组听觉能力得分均随听觉补偿时间的延长而提高(P0.05);助听器组在干预后9个月的听觉能力得分明显高于干预前、干预3个月及干预6个月(P0.05);人工耳蜗组在术后6个月的听觉能力得分高于术前及术后3个月(P0.05);人工耳蜗组在干预后6、9、12个月的听觉能力得分均高于助听器组(P0.05);两组助听后康复级别及言语年龄均高于助听前,人工耳蜗组康复级别及言语年龄均高于助听器组(P0.05)。结论对于极重度以上感音神经性聋婴幼儿,人工耳蜗植入者听觉言语康复效果优于助听器选配者。
[Abstract]:Objective to compare the effects of hearing and speech rehabilitation in children with hearing impairment after selective hearing aid and cochlear implantation. To explore the effect of different ways of auditory compensation on the recovery of hearing and speech. Methods 32 children with severe or extremely severe sensorineural hearing loss after hearing aid or cochlear implantation were selected as subjects. There were 18 hearing aids and 14 cochlear implants. There was no significant difference in hearing loss between the two groups. The auditory ability of infants was evaluated with meaningful auditory integration scale before and 3 months after intervention. The speech ability of the two groups before and after rehabilitation training was tested. Results the hearing aid threshold of the two groups was better than that before hearing aid. However, the hearing threshold of cochlear implant group was significantly better than that of hearing aid group (P 0.05), the score of hearing ability in both groups increased with the prolongation of auditory compensation time, and the hearing ability score in hearing aid group was significantly higher than that before intervention at 9 months after intervention. The score of auditory ability in cochlear group was higher than that in preoperation and 3 months after operation, and the score of auditory ability in cochlear implant group was higher than that in hearing aid group in 6 months and 12 months after intervention, and the score of auditory ability in cochlear implant group was higher than that in hearing aid group at 6 months and 6 months after intervention, and the score of auditory ability in cochlear implant group was higher than that in preoperation and 3 months after operation. The rehabilitation grade and speech age after hearing aid were higher than those before hearing aid. The rehabilitation grade and speech age of cochlear implant group were higher than that of hearing aid group P0.050.Conclusion for infants with extremely severe sensorineural hearing loss, cochlear implants have better effects on auditory speech rehabilitation than on hearing aid selection.
【作者单位】：贵州省人民医院听力中心;
【基金】：贵州省科技合作基金[黔科合LS字(2011)023号]资助
【分类号】：R764

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