| 朱建光,白云冬,马瑞颖,王旭燕,赵 辉,韩 娜.单侧人工耳蜗植入对学龄前耳聋儿童听觉言语康复的效果影响因素分析[J].,2019,19(21):4112-4115 |
| 单侧人工耳蜗植入对学龄前耳聋儿童听觉言语康复的效果影响因素分析 |
| Influencing Factors of the Effect of Unilateral Cochlear Implantation on the Hearing and Speech Rehabilitation in Preschool Deaf Children |
| 投稿时间：2019-04-03 修订日期：2019-04-27 |
| DOI：10.13241/j.cnki.pmb.2019.21.025 |
| 中文关键词: 学龄前儿童 听觉言语康复 人工耳蜗植入 影响因素 |
| 英文关键词: Preschool children Hearing and speech rehabilitation Cochlear implantation Influencing factors |
| 基金项目:河北省自然科学基金项目(H20162012389) |
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| 中文摘要: |
| 摘要 目的：探讨单侧人工耳蜗植入(cochlear implantation，CI)对学龄前耳聋儿童听觉语言康复的治疗效果以及相关影响因素。方法：将我院自2017年1月至2017年12月行CI治疗的学龄前儿童72例行作为研究对象，通过问卷调查手术患儿的相关资料，对可能影响患儿听觉言语康复效果的因素和听觉行为分级(Categories of auditory performance,CAP)以及言语可懂程度分级(Speech intelligibility rating,SIR)结果进行二分类变量的单因素分析，再进行多分类变量的Logistic回归分析评估患儿的治疗效果和影响康复效果的因素。结果：耳聋患儿CI植入年龄、术前平均残余听力、术前佩戴助听器时间、使用人工耳蜗时间和术后语训时间等因素和CAP增长倍数之间有明显的相关性(P＜0.05)，除了上述因素之外还有术前语训时间等因素与治疗后患儿SIR增长倍数存在相关性(P＜0.05)；CI植入年龄、术前平均残余听力和术前佩戴助听器时间对患儿术后CAP的恢复具有影响(P＜0.05)；CI植入年龄、术前佩戴助听器时间、术前语训时间等因素对患儿SIR恢复产生影响(P＜0.05)。结论：患儿植入人工耳蜗的年龄、术前平均残余听力、术前佩戴助听器时间和术前言语训练时间是影响学龄前耳聋患儿术后听力言语功能恢复的主要因素。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the therapeutic effect and related factors of unilateral cochlear implantation (CI) on auditory language rehabilitation in preschool children with deafness. Methods: A total of 72 preschool children who underwent CI treatment from January 2017 to December 2017 in our hospital were selected as subjects. The questionnaires were used to investigate the factors affecting the auditory speech rehabilitation of children. The category of auditory performance (CAP) and the speech intelligibility rating (SIR) results were used to perform univariate analysis of the two categorical variables, and then the logistic regression analysis of the multi-categorical variables was used to evaluate the therapeutic effects of the children. Factors affecting the rehabilitation effect. Results: There was a significant correlation between the age of CI implantation, the average residual hearing before surgery, the time of wearing hearing aid before surgery, the time of using cochlear implant and the time of postoperative speech training, and the increase of CAP (P<0.05). In addition to the above factors, there were factors such as preoperative language training time and the SIR growth factor of patients after treatment (P<0.05). The age of CI implantation, the average residual hearing before surgery and the time of wearing hearing aid before operation had an effect on the recovery of postoperative CAP (P<0.05). The age of CI implantation, the time of wearing hearing aid before surgery, and the time of preoperative training time had an effect on the recovery of SIR (P<0.05). Conclusion: The age of the implanted cochlear implant, the preoperative average residual hearing, the main factors affecting the recovery of postoperative hearing and speech function in children with preschool deafness. |
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