婴幼儿有意义听觉整合量表对人工耳蜗植入幼儿康复效果的评估

Clinical Value of ITMAIS During Early Rehabilitation in Young Children with Early Cochlear Implantation

李刚;郑芸;孟照莉;陶勇;朱倩;金蕾;王恺;郑虹;

1:四川大学华西医院耳鼻咽喉-头颈外科听力中心/听觉言语科学实验室

摘要

目的研究婴幼儿有意义听觉整合量表(infant-toddler meaningful auditory integration scale,IT-MAIS)对早期植入人工耳蜗(cochlear implant,CI)幼儿康复效果评估的价值。方法使用ITMAIS对开机年龄在18个月以内的12名人工耳蜗植入幼儿(CI组)于开机时及开机后3、6、12个月分别进行评估,并将其得分与同龄健听幼儿(健听组)得分比较。结果开机时CI组的听觉发育总体能力、声音察觉能力和声音识别能力得分分别为10.8%±7.6%、16.6%±12.6%、1.1%±2.4%,开机后1年时分别为78.0%±11.2%、76.6%±16.1%、80.0%±19.8%。从开机时到开机后1年内,CI组ITMAIS得分(即其对言语声的察觉和识别能力)值升高迅速且发展速度超过同龄健听幼儿,在开机1年时ITMAIS得分已达健听儿童水平。结论早期植入CI幼儿随着年龄增长,其听觉发育能力可接近同龄健听幼儿,ITMAIS可简单、有效地评估其初期康复效果。

关键词

婴幼儿有意义听觉整合量表;人工耳蜗植入;语前听能发育;听觉言语康复

基金项目(Foundation):

作者

李刚;郑芸;孟照莉;陶勇;朱倩;金蕾;王恺;郑虹;

参考文献

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