儿童多导人工耳蜗植入者康复效果影响因素分析  

Analysis of the factors that influence the rehabilitation efficacy in children w ith multi-channel artificial cochlear implant

作　　者：孔颖[1] 陈雪清[1] Fiona Sutherland 王靓[1] 宋妍[3] 李海珍[4] 孟黎晖[4] 刘莎[1] 刘博[1] 莫玲燕[1] 吴燕君[1] 王硕[5] 

机构地区：[1]北京市耳鼻咽喉科研究所,北京市100730 [2]Royal Darwin Hospital Northern Territory,Australia [3]首都医科大学附属北京喉科研究所,北京市100730 [4]首都医科大学附属北京同仁医院儿科,北京市100005 [5]北京市耳鼻咽同仁医院耳鼻咽喉-头颈外科,北京市100005

出　　处：《中国临床康复》2004年第15期2906-2907,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨儿童人工耳蜗植入效果的影响因素及对康复效果的影响,为提高儿童人工耳蜗植入者的康复效果提供参考依据。方法:对76例使用人工耳蜗装置超过1年的儿童患者;使用《儿童人工耳蜗植入者调查问卷》,由经过培训的专业人员与患者及家属通过面对面或电话进行调查。结果:①术前使用过助听器并接受过康复训练时间超过3个月(康复训练组)和未使用过助听器也无康复训练(对照组)的两组患者,在开机后能对环境声音进行识别所需的时间不同,康复训练组患者所需的时间平均为0.9个月,对照组患者为1.9个月,两组差异有显著性(t=2.899,P<0.05)。②6岁以下接受手术(A组)和6岁以上手术(B组)的两组患者,经训练后可以进行基本交流、对话的人数不同,A组为81.4%(35/43),B组为59.3%(16/27),两组差异有显著性(χ2=4.110,P<0.05)。③术前患者及家属的期望值合理(C组)和不合理(D组)的两组患者,术后的满意度存在差异,C组满意率为73.6%(39/53),D组为42.1%(8/19),两组差异有显著性(χ2=6.115,P<0.05)。结论:术后康复效果与术前是否接受过助听器适应训练和康复训练有关;手术年龄越小,术后康复效果越好;术后患者家属的满意度与术前期望值是否合理有关,同时也可影响术后康复效果。AIM:To explore the factors that influence the effect of multi-channel cochlea r implants in children,and to evaluate its effect in the rehabilitation. METHODS:Seventy-six children with cochlear implant for more than one year par ticipated in this study.The parents were evaluated by a questionnaire for childr en with multi-channel cochlear implant either face to face or telephone. RESULTS:①There was a significant difference in the period before the patients could recognize environmental sounds after switch-on between the patients who had pre-implant use of hearing aids and aural rehabilitation of over 3 months(r ehabilitation group) and those who had never used hearing aids or had aural reha bilitation before cochlear implantation(control group) . The period in the rehab ilitation group was 0.9 month,while that in the control group was 1.9 months(t=2 .899,P< 0.05).②There was a significant difference in the level of communication skills after speech training between the patients who received cochlear implant before 6 years old(group A,35/43,81.4%) and those who received it after 6 year s old(group B,16/27,59.3%) (χ2=4.110,P< 0.05) .③There was a significant diffe rence in the satisfaction levels with the cochlear implant between the parents w ho had expectation counseling about the impact of a cochlear implant(group C,39/ 53,73.6%) and those who didn't(group D,8/19, 42.1%)before surgery(χ2=6.115,P< 0.05) . CONCLUSION:The effectiveness of rehabilitation after implantation depends on w hether the patients have used hearing aids and attended aural rehabilitation bef ore implantation or not;The younger the patients received cochlear implantation, The better the effect of rehabilitation after the operation is.The level of expe ctation of the parent before operation can predict the degree of their satisfact ion with the post-implantation outcomes,and also influence the effect of rehabi litation after implantation.

关 键 词：儿童 多导人工耳蜗植入 康复 影响因素 调查 重度耳聋 

分 类 号：R764.5[医药卫生—耳鼻咽喉科] R49[医药卫生—临床医学]