学龄前人工耳蜗术后儿童听觉言语能力长期随访及相关性研究  

The Long-term Follow-up and Correlation Study of Auditory and Speech Ability in Preschool Children after Cochlear Implantation

作　　者：孟超[1] 陈雪清[1] 郭倩倩[1] 孔颖[1] 徐天秋 吕静[1] 尤妍颜 李玉玲[1] 董瑞娟[1] 亓贝尔[1] 王硕[1] 吴燕君[1] 

机构地区：[1]首都医科大学附属北京同仁医院北京市耳鼻咽喉科研究所首都医科大学耳鼻咽喉头颈科学教育部重点实验室

出　　处：《中国听力语言康复科学杂志》2016年第4期259-261,共3页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：北京市医院管理局临床医学发展专项—2015年度“扬帆”计划临床技术创新项目(XMLX201514);首都市民健康项目培育专项项目(Z141100002114033);首都卫生发展科研专项项目(首发2011-1017-01)

摘　　要：目的：分析学龄前人工耳蜗术后儿童听觉言语能力的发展规律，为临床康复效果评估提供依据。方法选取52名学龄前人工耳蜗术后儿童进行5年的跟踪随访，采用听觉能力分级（categories of auditory performance，CAP）和言语可懂度分级（speech intelligibility rating，SIR）问卷于开机时、开机后6、12、18、24、36、48和60个月对其进行评估。结果学龄前人工耳蜗术后儿童听觉能力分级在开机后12个月内增长最快，差异具有统计学意义（P＜0.05）；12个月后呈较慢的增长趋势（P＞0.05）。言语可懂度能力在开机后24个月内增长最快，差异具有统计学意义（P＜0.05）；24个月后呈较慢的增长（P＞0.05）。CAP得分和SIR得分有显著相关性（P=0.000）。结论学龄前人工耳蜗术后儿童的听觉能力和言语可懂度能力分别于1年和2年内快速增长，CAP和SIR问卷可有效用于学龄前人工耳蜗术后儿童听觉言语能力的评估。Objective To summarize the rules of auditory and speech development in preschool children with cochlear implants, and to provide evidence for the rehabilitation outcome assessment.Methods 52 preschool children with cochlear implants participated in this study. The age at cochlear implantation ranged from 36 to 72 months with a mean of 48.9±9.9 months. The CAP and SIR were used to evaluate the subjects at switch-on session and 6,12, 18,24,36,48 and 60 months after switch-on.Results The scores of CAP increased significantly, especially in the first 12 months after switch-on （P〈0.05）. The scores of SIR also had a significant increase in the first 24 months（P〈0.05）. There was a significant correlation between CAP and SIR scores（P=0.000）.Conclusion The auditory and speech abilities develop rapidly within 1 and 2 years after the cochear implantation.CAP and SIR is useful in the assessment of auditory and speech abilities of preschool children with cochear implants.

关 键 词：人工耳蜗 儿童 听觉能力分级问卷 言语可懂度问卷 

分 类 号：R764[医药卫生—耳鼻咽喉科]