语前聋儿童人工耳蜗植入后听觉言语康复规律

刘雅恬;刘琳;杨蓓蓓;

1:浙江大学医学院附属第四医院

2:浙江大学医学院附属第二医院

摘要

目的探讨语前聋儿童人工耳蜗植入后听觉和言语康复的时间规律。方法研究对象为62例植入人工耳蜗的双侧极重度感音神经性聋患儿,年龄2岁6月～12岁8月,平均6岁11月,术后康复时间11个月～5年10个月,平均3年2个月。按术后康复时间分为三组:11个月～、2年～、4～5年10个月组,每组分别为17、21、24例,每组植入年龄的中位数(四分位数)分别为2岁5个月(1岁6个月)、2岁10个月(1岁11个月)、5岁4个月(2岁10个月),每组分别进行声场下助听听阈测试、有意义听觉整合量表或婴幼儿有意义听觉整合量表(meaningful auditory integration scale/infant-toddler meaningful auditory integration scale,MAIS/IT-MAIS)评估、听觉行为分级(categories of auditory performance,CAP)和言语可懂度分级(speech intelligibility rating,SIR)评估,比较三组间差异。结果康复时间2年～组MAIS/IT-MAIS得分率、CAP和SIR评分显著高于11个月～组(P<0.05),两组助听听阈差异无统计学意义(P>0.05);2年～组助听听阈显著高于4～5年10个月组(P<0.05),4～5年10个月组SIR评分高于2年～组(P<0.05),两组MAIS/IT-MAIS得分率和CAP评分差异无统计学意义(P>0.05)。结论本组语前聋患儿接受人工耳蜗植入手术后听觉言语能力随着康复时间增加而提高,在康复时间4年时,听觉能力达到一个平台期,言语能力仍有进步空间。

关键词

人工耳蜗植入;语前聋儿童;听觉言语康复

基金项目(Foundation):

作者

刘雅恬;刘琳;杨蓓蓓;

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刘雅恬刘琳杨蓓蓓