人工耳蜗植入术后听力、言语及生活质量的评估  

Evaluation on the hearing,speech and quality of life for cases received cochlear implant

作　　者：孙懿[1] 邱建新[1] 刘业海[1] 余得志[1] 童步升[1] 

机构地区：[1]安徽医科大学第一附属医院耳鼻咽喉科,合肥230601

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第18期1622-1626,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：通过使用听觉行为分级-Ⅱ（CAP-Ⅱ）、父母版言语空间特性（SSQ-P）、听力植入体使用的儿童的家庭生活质量（CuHI-QoL）对语前聋患者术前与术后的听觉行为、言语空间特性、生活质量进行问卷调查,从而评估人工耳蜗植入术前与术后听力、言语及家庭生活质量的变化情况,并同时了解术后康复的效果是否与年龄有关。方法：主要采用的分类方法为将50例人工耳蜗植入者术前的听力、言语、家庭生活质量的情况与其使用两年半后的相应情况做比较。同时将同样的50例人工耳蜗植入者的年龄分成A组（1.0~5.9岁）和B组（6.0~10.9岁）,比较2组患者使用人工耳蜗2.5年后的听力、言语、家庭生活情况。结果：比较同一组受试者术前、术后及不同年龄组的CAP-Ⅱ,均差异有统计学意义;对CuHI-QoL和SSQ-P的相关资料分析,同一组受试者术前、术后的健康与幸福差异无统计学意义,2种年龄组术后的父母压力的差异无统计学意义。除了以上2项无统计学意义外,其余均差异有统计学意义。结论：人工耳蜗植入术后的听觉、言语、家庭生活质量均较术前有所提高;并且年纪越小,术后的听觉行为、言语空间特性、家庭生活质量的康复效果越好。Objective：Through the use of the categories of auditory performance （CAP-Ⅱ ）, the speech, spa- tial and qualities of hearing scale-parents＇ version （SSQ-P）, children using hearing implants quality of life （CuHI- QoL） in patients with prelingual hearing impairment to compare the rehabilitation effect between preoperative and postoperative auditory performance, speech behavior and quality of life and at the same time to figure out dose re- habilitation effect connected to age. Method：Mainly used classification method to compare the audotory perform- ance, speech behavior and quality of life of 50 patients before and after 2.5 years after the implantation. At the same time these 50 patients are divided on the basis of the age received the surgery, A group received the surgery before 6（1.0--5.9） years old and group B received the therapy after this age （6.0--10.9）. Their auditory per- formance, speech behavior and quality of life were all evaluated. Result：There were statistical difference between two kinds of classification method of CAP-U. In the study of SSQ-P and CuHI-QoL, there was no statistical difference in well-being and happiness before and 3 years after the implant, also there was no statistical difference in parental stress between two age groups. In addition to the above two, the rest all have statistical significance. Conclusion： After the implant, postoperative auditory performance, speech behavior and quality of life all had im- proved and the smaller the age, the better the performance.

关 键 词：人工耳蜗植入 语前聋 听觉行为分级 言语空间特性 儿童的家庭生活质量 

分 类 号：R318.18[医药卫生—生物医学工程]