大龄语前聋诺尔康人工耳蜗植入康复效果分析  

An Analysis of the Habilitation Efficacy on Older Pre-lingual Deafness with Cochlear Implantation

作　　者：信静[1] 邱建华[1] 陈阳[1] 岳波[1] 韩丽萍[1] 娄皓 XIN Jing QIU Jian-hua CHEN Yang YUE Bo HAN Ll-ping LOU Hao

机构地区：[1]第四军医大学第一附属西京医院,西安710032 [2]西安赛纳国际耳鼻咽喉科医院,西安710061

出　　处：《中国听力语言康复科学杂志》2017年第1期6-9,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的观察并分析大龄语前聋患者植入诺尔康人工耳蜗后1年的听觉、言语康复效果。方法对18例接受国产诺尔康人工耳蜗植入手术的大龄语前聋患者,分别于术前和开机后2个月、6个月、12个月,采用《听觉能力评估标准及方法》和听觉行为分级标准(CAP)、言语可懂度分级标准(SIR)、有意义听觉整合量表(MAIS)及有意义使用言语量表(MUSS)问卷行听觉言语评估,并对数据进行统计分析。结果声母、韵母和短句识别率,听话识图、主题对话和SIR分级在人工耳蜗植入术前和开机后各时间点之间的差异均无统计学意义(P>0.05)。双音节识别率开机后12个月与术前、开机后6个月差异有统计学意义(P<0.05);CAP分级较术前及开机后各时间点之间的差异均有显著统计学意义(P<0.05);MAIS得分较术前差异均有统计学意义(P<0.05),且开机后6个月的得分最高(P均<0.05);MUSS得分除开机后2个月与术前差异无统计学意义外,其它各时间点之间差异均有统计学意义(P<0.05)。结论大龄语前聋患者开机后经1年康复训练,听觉能力均有不同程度的提高,尤其是在基本声音的感知、识别方面;言语能力虽没有提高,但在语言的使用意识、应用技巧上仍有进步。Objective To analyze the rehabilitation outcomes of auditory and speech ability for older pre-lingual hearing-impaired patients at one year after Nurotron cochlear implantation. Methods 18 pre-lingual hearing-impaired patients who underwent Nurotron cochlear implantation participated in this study. Auditory and speech abilities were evaluated by the Auditory Ability Assessment Criteria and Methods, the Categories of Auditory Performance（CAP）, the Meaningful Auditory Integration Scale（MAIS）, the Speech Intelligibility Rating（SIR） and the Meaningful Use of Speech Scale （MUSS） at pre- operation, 2 months, 6 months and 12 months after operation. The results were statistically analyzed. Results There were no significant differences in Vowels, consonants,short sentence recognition rate,listen and find the associated picture , thematic dialogue and the Speech Intelligibility Rating（SIR） between pre- cochlear implantation and after cochlear implantation at all time points.there was a significant difference in two-syllable recognition between 12 months after operation and pre- operation and 6 months after operation （P〈0.05）.The CAP questionnaire showed there were significant differences between preoperative and each postoperative time point （P〈0.05）. MAIS scores showed there were significant differences（P〈0.05） between preoperative and each postoperative time point, and MUSS scores showed significant differences（P〈0.05）except for 2 months after operation and got the highest score in 6 months after operation. Conclusion The auditory ability of the pre- lingual hearing-impaired patients was improved to different degrees after one year of rehabilitation, especially in the basic sound perception and recognition. Although their speech abilities did not improve substantially, their awareness and skills of language application were still better.

关 键 词：人工耳蜗植入 语前聋 大龄 康复效果 诺尔康 

分 类 号：R493[医药卫生—康复医学] R764.43[医药卫生—临床医学]