婴幼儿人工耳蜗植入术后听觉能力的发育  

The development of auditory capability for infants after cochlear implantation

作　　者：陈雪清[1] 王靓[1] 孟黎晖[2] 李海珍[2] 孔颖[1] 刘莎[1] 刘博[1] 莫玲燕[1] 王硕[1] 吴燕君[1] 韩娜[1] 

机构地区：[1]北京市耳鼻咽喉科研究所听力康复室首都医科大学附属北京同仁医院,北京100730 [2]首都医科大学附属北京同仁医院儿科

出　　处：《临床耳鼻咽喉科杂志》2005年第10期442-445,共4页Journal of Clinical Otorhinolaryngology

摘　　要：目的:观察行人工耳蜗植入术的婴幼儿听觉能力的发展规律,试图为患儿制定合理的术后听力言语康复训练计划提供依据。方法:共有86例患儿参加本次调查,手术年龄为1～3岁,均为语前聋患儿。评估使用婴幼儿有意义听觉整合量表(ITMAIS),由经过培训的听力学专业人员进行评估。评估人员逐一询问量表中的10个问题,主要调查患儿的发声情况、对声音的觉察能力和对声音的理解能力等三方面的内容,由家长对患儿在日常生活中听力方面的自发性反应做出详细的描述。分别在术前和术后开机后1、3、6、12个月时对患儿的上述情况进行评估。评估人员根据患儿听觉行为出现的频率进行评分。结果:经单因素方差分析,问题1的得分在术前与开机后1、3、6、12个月之间差异均有统计学意义(均P<0.01);问题2的得分在术前与开机后6、12个月之间差异均有统计学意义(均P<0.01);问题3的得分在术前与开机后3、6、12个月之间差异均有统计学意义(均P<0.01);问题4的得分在术前与开机后3、6、12个月之间差异均有统计学意义(均P<0.01);问题5的得分在术前与开机后1、3、6、12个月之间差异均有统计学意义(分别为P<0.05,P<0.01和P<0.01,P<0.01);问题6的得分在术前与开机后3、6、12个月之间差异均有统计学意义(分别为P<0.05,P<0.01,P<0.01);问题7的得分在术前与开机后3、6、12个月之间差异均有统计学意义(均P<0.01);问题8的得分在术前与开机后6、12个月之间差异均有统计学意义(均P<0.01);问题9的得分在术前与开机后3、6、12个月之间差异均有统计学意义(分别为P<0.05,P<0.01,P<0.01);问题10的得分在术前与开机后12个月之间的差异有统计学意义(P<0.05)。结论:患儿术前对日常生活中的声音不能作出准确的反应,而术后的发声情况、对声音的觉察能力和对声音的理解能力均有显著改善。患儿术后对声音理解能力�Objective:The purpose of this study is to analyze the auditory capability of infants before and after cochlear implantation by using IT-MAIS questionnaire.Method:Eighty-six prelingually deaf patients participated in this study. They received a cochlear implant at the age of 1 to 3 yr.The audiologists who were trained for the research used the IT-MAIS questionnaire. Audiologists asked for the parents' answers face to face and recorded all the information about the patient's spontaneous auditory behavioural responses including vocalization, behaviour, spontaneous alerting to sound and deriving meaning from sound. The evaluation was performed before operation and 1 month,3 months,6 months,1 year after switch-on.Result:The scores of question 1 were significantly different between pre-operation and 1, 3, 6, 12 months after switch-on(P=0.000,0.000,0.000, 0.000). The scores of question 2 were significantly different between pre-operation and 6, 12 months after switch-on (P=0.000, 0.000 ).The scores of question 3 were significantly different between pre-operation and 3, 6, 12 months after switch-on (P=0.001, 0.000, 0.000). The scores of question 4 were significantly different between pre-operation and 3, 6, 12 months after switch-on(P=0.002, 0.000, 0.000). The scores of question 5 were significantly different between pre-operation and 1, 3, 6, 12 months after switch-on(P=0.046, 0.000, 0.000, 0.000). The scores of question 6 were significantly different between pre-operation and 3, 6, 12 months after switch-on (P= 0.037 , 0.000, 0.000). The scores of question 7 were significantly different between pre-operation and 3, 6, 12 months after switch-on (P=0.000, 0.000, 0.000). The scores of question 8 were significantly different between pre-operation and 6, 12 months after switch-on (P=0.001, 0.001). The scores of question 9 were significantly different between pre-operation and 3, 6, 12 months after switch-on (P=0.023, 0.000, 0.000). The scores of question 10 were significantly different between pre-operation and 12 months af

关 键 词：婴幼儿 人工耳蜗 婴幼儿有意义听觉整合量表 听力障碍康复 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]