【摘要】：背景:目前藥物治療或助聽器均不能改善重度或極重度感音神經(jīng)性耳聾患者的聽力,多導人工耳蝸可恢復其聽力,促進其言語發(fā)育。目的:觀察人工耳蝸置入后患兒言語康復的發(fā)展規(guī)律及影響因素,分析各影響因素與患兒言語康復效果的相關(guān)性。方法:選擇138例7歲以內(nèi)重度以上感音神經(jīng)性耳聾患兒,均接受人工耳蝸置入治療,于置入前后進行聽覺整合量表分數(shù)評估,同時分析年齡、性別、耳聾性質(zhì)、置入前有無言語干預、人工耳蝸置入年齡、置入后時間、父母文化程度、家庭經(jīng)濟狀況及置入后康復模式對聽覺綜合量級測試分數(shù)的影響。結(jié)果與結(jié)論:性別、置入時間長短、耳蝸是否發(fā)育正常對患兒有意義聽覺整合量表分數(shù)無影響(P0.05);患兒年齡越大有意義聽覺整合量表分數(shù)越高(P=0),置入前進行單耳或雙耳言語干預患兒的有意義聽覺整合量表分數(shù)高于未進行言語干預的患兒(P=0.018,P=0),但單耳與雙耳干預對有意義聽覺整合量表分數(shù)無影響(P0.05);父母文化程度越高、家庭收入越高,患兒有意義聽覺整合量表分數(shù)越高(P=0,P=0);接受專業(yè)學校教育康復培訓患兒的有意義聽覺整合量表分數(shù)高于家庭教育康復培訓的患兒(P=0)。表明人工耳蝸置入可促進患兒聽覺言語發(fā)育,置入年齡越大、置入前有言語干預、家庭經(jīng)濟收入較高、父母文化程度較高及置入后接受康復訓練患兒的言語康復效果越好。
[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.
【作者單位】： 蘭州大學第二醫(yī)院耳鼻咽喉頭頸外科;甘肅省腫瘤醫(yī)院頭頸腫瘤外科;甘肅省人民醫(yī)院耳鼻咽喉頭頸外科;
【基金】：國家自然科學基金項目(81172765)~~
【分類號】：R764.9

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