语后聋患者人工耳蜗植入后听觉行为及言语可懂度分级的相关因素分析

发布时间：2018-06-21 05:11

本文选题：人工耳蜗植入 + 语后聋　；参考：《临床耳鼻咽喉头颈外科杂志》2014年13期

【摘要】：目的:应用听觉行为分级(CAP)和言语可懂度分级(SIR)评估语后聋患者人工耳蜗植入后言语交流状况,探讨其得分与听力下降时间、植入时间、术前助听器使用情况的关系。方法:回顾分析23例语后聋人工耳蜗植入者的临床资料,收集其听力下降时间、植入时间、术前助听器使用情况等相关资料,应用CAP、SIR分级评估其言语交流状况。运用IBM SPSS Statistics 19软件进行统计描述及结果分析。结果:CAP分级平均得分为6.13分,统计分析示CAP分级与听力下降时间、植入时间、术前助听器使用时间无显著相关关系(均P0.05)。患者均为语后聋,其SIR分级的平均得分为4.91分。结论:语后聋患者人工耳蜗植入后CAP分级与听力下降时间、植入时间、术前助听器使用情况无相关性。这可能是由于CAP分级的精确性和细节上的欠缺或该研究样本量限制,未显示出其与3个变量之间的关系。SIR不适用于评估语后聋患者人工耳蜗植入后的言语状况。
[Abstract]:Objective: To evaluate the status of speech communication after cochlear implantation in deaf patients with auditory behavioral classification (CAP) and speech intelligibility classification (SIR), and to explore the relationship between the score and time of hearing loss, time of implantation and the use of hearing aids. Methods: the clinical data of 23 cases of post deaf cochlear implants were reviewed and analyzed, and their hearing was collected. The time of descent, time of implantation, the use of hearing aids, and other related data, CAP and SIR classification were used to evaluate their speech communication. The statistical description and results were analyzed with IBM SPSS Statistics 19 software. Results: the average score of CAP classification was 6.13. Statistical analysis showed the time of CAP classification and hearing loss, time of implantation and hearing aids. There was no significant correlation between the use of time (all P0.05). The patients were all post lingual deafness with an average score of 4.91. Conclusion: there is no correlation between the time of CAP grading and hearing loss, time of implantation and the use of hearing aids after cochlear implantation in the post deaf patients. This may be due to the accuracy of CAP classification and the lack of details. The limitation of sample size did not show its relationship with the 3 variables..SIR was not suitable for assessing speech condition after hearing loss in cochlear implant patients.
【作者单位】：复旦大学附属眼耳鼻喉科医院耳神经颅底外科;
【基金】：卫生部公益行业基金(No:201202001,CFD) 国家自然科学基金面上项目(No:81371087CB)资助
【分类号】：R764.43

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