语前聋儿童人工耳蜗植入术后康复效果评估

Evaluation of Rehabilitation Effect after Cochlear Implantation in Children with Prelingual Deafness

张秋;华清泉;曹永茂;

1:武汉市第一医院耳鼻咽喉科

2:武汉大学人民医院耳鼻咽喉-头颈外科

摘要
目的探讨7岁以下语前聋儿童人工耳蜗植入后不同阶段的听觉、言语和交流康复效果及年龄、康复时间对效果的影响。方法选取50例7岁以下语前聋人工耳蜗植入儿童,根据人工耳蜗植入时的年龄分为≤3岁组(23例)及>3岁组(27例),分别于术后3、6、9、12个月进行听觉行为分级(categories of auditory performance,CAP)及言语可懂度分级(speech intelligibility rating,SIR)测试,比较两组对象的听觉能力、言语能力和交流能力。结果人工耳蜗植入术后1年内,随着植入时间的延长,两组对象的听觉能力、言语能力和交流能力均逐渐提高,且术后3、6、9、12个月,≤3岁组的听觉能力、交流能力均优于>3岁组(P<0.05),术后6、12个月,≤3岁组的言语能力优于>3岁组(P<0.05)。结论语前聋人工耳蜗植入儿童植入年龄越小、术后一年内康复训练时间越长,效果越好。
关键词
人工耳蜗植入;语前聋;听觉能力;言语能力;交流能力
基金项目(Foundation):
作者
张秋;华清泉;曹永茂;
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