脑白质异常语前聋听障儿童人工耳蜗植入术后听觉言语康复效果  

The Ability of Speech Discrimination and Aural Rehabilitation for Prelingual Deaf Children with White Matter Abnormalities after Cochlear Implantation

作　　者：马天宝 徐芝芳 

机构地区：[1]山东省临沂市妇女儿童医院-听力诊断康复中心,临沂276000

出　　处：《中国听力语言康复科学杂志》2018年第1期77-80,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的对脑白质异常的语前聋听障儿童行人工耳蜗植入术后听觉言语康复效果进行分析。方法选取我院收治的伴有脑白质异常的语前聋人工耳蜗植入术后听障儿童25例(25耳)为治疗组,另随机抽取脑白质正常的语前聋人工耳蜗植入术后听障儿童45例(45耳)为对照组。观察比较两组患儿术后开机调试、重建听阈和听觉言语康复效果。结果两组患儿于术后1个月开机调试均有听觉反应;术后6个月治疗组的CAP和SIR评分等级显著低于对照组(P<0.01),术后12个月、24个月两组间CAP、SIR评分等级比较无统计学意义(P>0.05);术后两组在不同频率下的重建听阈测试结果较术前显著提高(P<0.01),但两组间比较差异无统计学意义(P>0.05)。结论对脑白质异常的语前聋听障儿童行人工耳蜗植入术,经过系统、科学的康复训练,可有效提高其听觉言语能力,安全性高。Objective To explore the ability of speech discrimination and aural rehabilitation for prelingual deaf children with white matter abnormalities after cochlear implantation. Methods 25 cases of prelingual deaf children with white matter abnormalities （25 ears） selected as treatment group, and 45 cases of prelingual deaf children （45 ears） with normal white matter as control group.Two groups all received cochlear implantation. Observed and compared debugging results, aided threshold test results and the effect of hearing and speech rehabilitation of the two groups after treatment. Results One months after the operation commissioning of two groups all had auditory reaction; CAP and SIR grades of the treatment group after operation were significantly lower than that of the control group （P〈0.01）.After 12 months and 24 months between the two groups of CAP, SIR grades were not statistically significant（P〉0.05）. After the operation the two groups at difference frequencies hearing threshold test results were significantly better than preoperative （P〈0.01）, but there had no significant difference between the two groups （P〉0.05）. Conclusion The cochlear implantation for prelingual deaf children with white matter abnormalities, after scientific system rehabilitation training can effectively improve the auditory verbal ability, be of high safety, be worthy of clinical application.

关 键 词：人工耳蜗植入术 脑白质异常 语前聋 听觉 言语 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]