脑白质异常的语前聋患儿人工耳蜗植入术后康复效果分析

The Rehabilitation Effects of the Cochlear Implantation on Prelingually Deaf Children with Alba Abnormality

张鸿宇;叶胜难;林有辉;黄冬冬;张榕;

1:福建医科大学附属第一医院耳鼻咽喉科

摘要

目的评估脑白质异常的语前聋患儿人工耳蜗植入(cochlear implant,CI)术后康复效果。方法对行CI的11例伴脑白质异常(研究组)及18例脑组织正常(对照组)的语前聋患儿于CI术后6个月及12个月采用听觉行为分级标准(categories of auditory performance,CAP)和言语可懂度分级标准(speech intelligibility rate,SIR)进行康复效果评估,分析其结果。结果术后6个月时研究组患儿CAP平均分级为2.41±0.47级,SIR平均分级为1.27±0.44级,而对照组患儿CAP平均分级为3.28±0.45级,SIR平均分级为1.89±0.31级,研究组患儿CAP和SIR平均分级均低于对照组,差异有统计学差异(t=4.983,P<0.05;t=4.371,P<0.05);术后12个月时研究组患儿CAP平均分级为4.00±0.43级,SIR平均分级为2.36±0.48级,对照组患儿CAP平均分级为4.22±0.63级,SIR平均分级为2.44±0.50级,两组间CAP和SIR平均分级差异均无统计学意义(P>0.05)。结论脑白质异常的语前聋患儿CI术后经过12个月的康复训练,其康复效果与脑白质正常的语前聋患儿无明显差异。

关键词

脑白质异常;双侧极重度感音神经性聋;语前聋;人工耳蜗植入;康复效果

基金项目(Foundation):

作者

张鸿宇;叶胜难;林有辉;黄冬冬;张榕;

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