术前助听器佩戴史对婴幼儿人工耳蜗植入者术后开放式言语识别的影响

Effects of Pre-implant Hearing Aid Fitting on the Open-set Word Recognition in Children with Cochlear Implants during Infants

刘欣;刘海红;孔颖;任寸寸;杨宜林;刘莎;

1:首都医科大学附属北京同仁医院北京市耳鼻咽喉科研究所耳鼻咽喉头颈外科学教育部重点实验室(首都医科大学)

2:首都医科大学附属北京儿童医院儿童听力诊疗中心儿童耳鼻咽喉头颈疾病北京市重点实验室(首都医科大学)

摘要
目的初步探讨术前助听器佩戴史对婴幼儿人工耳蜗植入(cochlear implant,CI)者早期开放式言语识别的影响。方法植入年龄0.93.0岁的CI儿童306例,按照术前是否佩带助听器分为助听器(hearing aid,HA)组94例,非助听器(non-hearing aid,NHA)组212例,用普通话词汇相邻性测试(Mandarin lexical neighborhood test,M-LNT)分别对两组受试儿童进行开放式言语识别能力评估,比较两组儿童M-LNT正确识别率。结果年龄相同或人工耳蜗使用时长相同的助听器组与非助听器组间M-LNT正确识别率的差异均无统计学意义(P>0.05);术前佩戴助听器不同时长者与非助听器组之间M-LNT识别率差异无统计学意义(P>0.05)。结论对于0.93.0岁的CI儿童306例,按照术前是否佩带助听器分为助听器(hearing aid,HA)组94例,非助听器(non-hearing aid,NHA)组212例,用普通话词汇相邻性测试(Mandarin lexical neighborhood test,M-LNT)分别对两组受试儿童进行开放式言语识别能力评估,比较两组儿童M-LNT正确识别率。结果年龄相同或人工耳蜗使用时长相同的助听器组与非助听器组间M-LNT正确识别率的差异均无统计学意义(P>0.05);术前佩戴助听器不同时长者与非助听器组之间M-LNT识别率差异无统计学意义(P>0.05)。结论对于0.93.0岁行人工耳蜗植入术的重度和极重度听力损失儿童,术前有无助听器佩戴史对其术后开放式言语识别能力无显著影响。
关键词
儿童;人工耳蜗植入;助听器;开放式言语识别测试
基金项目(Foundation):
国家自然科学基金(81170916);; 首都卫生发展科研专项(首发2011-1017-05)资助
作者
刘欣;刘海红;孔颖;任寸寸;杨宜林;刘莎;
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