【摘要】：目的探討影響語前聾患兒人工耳蝸植入術(shù)后前語言交流能力的相關(guān)因素。方法對(duì)接受人工耳蝸植入術(shù)的語前聾患兒31例進(jìn)行隨訪調(diào)查,平均植入年齡為46.71±24.78月,術(shù)后1個(gè)月開機(jī)進(jìn)行康復(fù)訓(xùn)練;采用視頻分析法于開機(jī)后12個(gè)月對(duì)患兒的輪流交流、主動(dòng)交流、視覺交流及聽覺注意等進(jìn)行分析,并根據(jù)以下方面分組:按植入年齡分為≤36個(gè)月組16例,36個(gè)月組15例;按術(shù)前有無正規(guī)康復(fù)訓(xùn)練(時(shí)間超過3個(gè)月)分為康復(fù)組14例,未康復(fù)組17例;按術(shù)前殘余聽力分為≤80dB HL組6例,80dB HL組25例;按術(shù)前是否使用助聽器(時(shí)間超過3個(gè)月)分為使用組21例,未使用組10例。應(yīng)用Wilcoxon秩和檢驗(yàn)分析各組前語言交流能力的差別。結(jié)果術(shù)前進(jìn)行康復(fù)訓(xùn)練、術(shù)前佩戴助聽器、術(shù)前殘余聽力好的人工耳蝸植入患兒的前語言交流能力得分高于術(shù)前未進(jìn)行康復(fù)訓(xùn)練、術(shù)前未佩戴助聽器、術(shù)前殘余聽力差的人工耳蝸植入患兒(P0.05);植入年齡≤36個(gè)月組與36個(gè)月組間比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論術(shù)前殘余聽力好、佩戴助聽器、進(jìn)行過正規(guī)康復(fù)訓(xùn)練的語前聾患兒人工耳蝸植入術(shù)后其前語言交流能力較好,而植入年齡對(duì)其無明顯影響。
[Abstract]:Objective to investigate the related factors of language communication after cochlear implantation in children with prelingual deafness. Methods 31 children with prelingual deafness underwent cochlear implantation were followed up. The average age of implantation was 46.71 鹵24.78 months. Video analysis was used to analyze the rotational communication, active communication, visual communication and auditory attention of the children 12 months after operation. According to the implantation age, 16 patients were divided into 鈮，

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