语前聋成人助听器验配效果个案分析  

A Case Study of Effect of Hearing Aid Fitting for a Prelingual Deaf Adult

作　　者：何赛金 陶仁霞 林海英 李永勤[1] 傅传威 赵伟时 HE Sai-jin;TAO Ren-xia;LIN Hai-ying;LI Yong-qin;FU Chuan-wei;ZHAO Wei-shi

机构地区：[1]上海市残疾人康复职业培训中心,上海200127

出　　处：《中国听力语言康复科学杂志》2020年第4期311-313,共3页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的验证听力干预较晚的语前聋成人听觉言语康复效果。方法选择1名21岁双耳配戴助听器成年人,采用一对一康复训练模式,对其听觉、言语能力进行为期3个月的康复训练,定期进行康复评估,对比康复前后的变化。结果训练后被试的单音节、双音节及短句识别率分别上升至66%、60%、55%。有意义使用言语量表得分提高4分,言语可懂度等级维持1级。通过配戴合适的助听器并经过针对性的康复训练,被试听觉功能有明显改善,但仍不能依靠听觉理解日常交流;发音清晰度改善不明显,干预后患者的沟通方式仍然以手语为主。结论对于长期听力剥夺的语前聋成人,需要谨慎考虑助听方式,对听觉言语康复成效有合适的期望值,且需接受较长时间的听觉言语康复。Objective To verify the effectiveness of auditory rehabilitation for an adult with long-term hearing deprivation. Methods The subject was a 21-year-old binaural hearing aid wearing adult. He underwent a three-month "one-toone" rehabilitation training which included intensive intervention training on her auditory and verbal abilities, as well as regular rehabilitation evaluation. Results After training, the recognition rate of monosyllables disyllables and short sentences were increased to 66%, 60%, and 55% respectively. The score of meaningful use of speech scale increased from 0 to 4, and the level of speech intelligibility remained at 1. Conclusion After three months of intensive rehabilitation, the subject’s auditory function improved significantly, but he still could not understand daily communication by listening. The improvement of articulatory clarity was not significant, and his communication mode after intervention was still mainly in sign language.

关 键 词：听觉剥夺 语前聋 助听器 听觉言语康复 

分 类 号：R764.5[医药卫生—耳鼻咽喉科] R493[医药卫生—临床医学]