2—5岁小儿人工耳蜗植入术后的言语康复  

An approach to the speech rehabilitation of children at the age of 2 to 5 years after cochlear implantation

作　　者：郑秀瑾[1,2,3] 李海珍[4] 张谊[4] 张文露[4] 

机构地区：[1]中国科学院心理研究所 [2]中国科学院研究生院 [3]首都医科大学附属北京同仁医院儿科,北京市100730 [4]首都医科大学附属北京同仁医院儿科

出　　处：《中国康复医学杂志》2007年第1期41-43,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:探讨2—5岁语前聋小儿人工耳蜗植入术后听力语言言语训练的效果。方法:选择2001—2005年人工耳蜗植入术后1个月开机即来我院言语训练的2—5岁小儿64例。进行每周5d、3h/d的小组训练,坚持7个月以上,回家后继续按语训教师的计划进行家庭训练。由单纯听功能训练开始,约4周后在听功能训练的同时加入言语训练。结果:能正确发音单复韵母总数的50%、开始听觉复述、自主说出第一个有特定意义的词、能说出70个词汇并由此进入三音词及双词句阶段的康复时间分别为108.0±7.7d、115.0±7.8d、135.3±10.9d、200.3±13.9d。2—3岁组开机后平均10个月进入正常幼儿园。2—5岁内的不同年龄组、不同性别组在言语语言进程各阶段的康复时间均无显著性差异;不同智商组在言语语言进程各阶段的康复时间均有显著性差异(均为P<0.01)。结论:2—5岁语前聋小儿人工耳蜗植入术后,经听力语言训练,言语语言发生发展顺序与正常小儿相同,各阶段时间明显缩短。影响康复速度的主要因素是智力因素,与性别无关;高年龄者并未因认知优势而使康复速度增快。Objective： To study the effects of speech rehabilitation training which was applied to prelingually deaf children after cochlear implantation at the age of 2-5 years. Method： Sixty-four children received a cochlear implant at the age of 2-5 years from 2001-2005. They began to be trained after switch on 1 month. They were trained 3 hours per day and 5 days per week by single auditory training at the beginning. After about 4 weeks, they were trained by both auditory training and speech-language training. The whole training program lasted more than 7 months; after that, according to the teacher＇s plan the training programe was to be continued at home. Result： The period was 108±7.7 days that they could pronounce correctly 50% of all of simple-finals and compound-finals, the period was 115.0±7.8 days that they began auditory repeating, the period was 135.3±10.9 days that they could speak the first specific words independently and the period was 200.3±13.9 days that they could speak 70 words and come into tri-gamut-word and two-word sentence period. The children at the age of 2-3 years could be admitted into normal kindergarten after switch on about 10 months. There was no significant difference in various grades of speech-language development in different age groups and so do in different sex groups. There were significant differences in various grade of speech-language development in various IQ group （P〈 0.01）. Conclusion： The speech and language development sequence was on the same level between the normal children and prelingually deaf children of 2-5 years who received cochlear implant after speech training. The rehabilitation time was significantly shorten. The intelligence was the mainly factor that affect rehabilitation speed. There was no relation between rehabilitation speeds and children＇s sex. In senior children, their cognition dominant hadn＇t accelerated the rehabilitation speeds.

关 键 词：人工耳蜗 言语治疗 儿童康复 

分 类 号：R764[医药卫生—耳鼻咽喉科]