语前聋儿童人工耳蜗植入术后前语言交流能力发展的研究  

Comparison of the Development of Pre-verbal Communication Skills in Prelingual Deaf Children after Cochlear Implantation

作　　者：孟超 尤妍颜 郭倩倩 董瑞娟 孔颖 郑妍 陈雪清 Meng Chao;You Yanyan;Guo Qianqian;Dong Ruijuan;Kong Ying;Zheng Yan;Chen Xueqing(Beijing Tongren Hospital,CapitalMedical University,Beijing Institute of Otolaryngology,Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University),Ministry of Education Beijing,100730,China)

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,耳鼻咽喉头颈外科教育部重点实验室(首都医科大学),北京100730 [2]首都医科大学附属北京潞河医院耳鼻咽喉科

出　　处：《听力学及言语疾病杂志》2023年第4期324-328,共5页Journal of Audiology and Speech Pathology

基　　金：首都卫生发展科研专项项目(首发2022-4-1093);首都卫生发展科研专项项目(首发2011-1017-01)。

摘　　要：目的分析年龄因素对语前聋人工耳蜗植入儿童术后前语言交流能力的影响,初步获得不同年龄语前聋人工耳蜗植入儿童术后前语言交流能力发展规律。方法按照人工耳蜗植入年龄将36例儿童分为三组:组1包含13例受试者,植入年龄12~24个月,平均18.4±3.7个月;组2包含13例受试者,植入年龄24~36个月,平均28.7±2.9个月;组3包含10例受试者,植入年龄36~48个月,平均42.8±4.0个月。分别于开机时及开机后1、3、6、9、12个月使用录像分析法对患儿的轮流交流、主动交流、听觉注意和视觉交流四项前语言交流能力进行分析和评估。结果三组儿童的轮流交流和听觉注意能力都随开机时间的延长呈显著增长趋势;在开机6个月时,组1和组2的轮流交流能力得分较组3得分低,差异有统计学意义(P<0.05),余评估阶段组间轮流交流能力两两比较差异无统计学意义(P>0.05);在开机6个月和12个月时,组1和组2的听觉注意能力得分较组3低,差异有统计学意义(P<0.05),余评估阶段组间听觉注意能力两两比较差异无统计学意义(P>0.05)。三组患儿开机后第一年主动交流和视觉交流这两项前语言交流能力都没有显著变化(P>0.05),且组间对比无统计学差异(P>0.05)。结论植入年龄对语前聋人工耳蜗植入儿童术后的前语言能力发展有一定影响;轮流交流和听觉注意能力可以作为汉语言儿童前语言交流能力的主要指标,主动交流和视觉交流作为参考指标。Objective To investigate the influence of age on children s pre-verbal communication skills after cochlear implantation and summarize the development of pre-verbal communication skills in mandarin-speaking children at different implantation age with cochlear implants.Methods We videotaped 36 children,at 0,1,3,6,9,and 12 months after implantation.According to the age of implantation,36 children were divided into three groups.Group 1 included 13 deaf children,aged 12~24 months,group 2 included 13 deaf children,aged 24~36 months and group 3 included 10 deaf children,aged 36~48 months.All the data was measured using Tait video analysis.Tait video analysis was a measure to assess preverbal communication skills and consist of turn-taking,autonomy,eye contact,and auditory awareness.Results For the three groups’children with cochlear implants,the skills of turn-taking and auditory awareness increased significantly(P<0.05).Comparison among three groups,at 6 months after switch-on,the scores of turn-taking of group 1 and group 2 were lower than that of group 3,and the difference was statistically significant(P<0.05).At 6 and 12 months after switch-on,the scores of auditory awareness of group 1 and group 2 were lower than those in group 3,and the difference was statistically significant(P<0.05).Conversely,the scores of autonomy and eye contact were relatively low and there were no significant differences during the first year after surgery(P>0.05).Conclusion The development of pre-verbal communication skills in Mandarin-speaking children at different implantation age had different regularities.The skills of turn-taking and auditory awareness can be used as the main indicators of preverbal communication skills of Chinese deaf children,and autonomy and eye contact skills can be used as reference indicators.

关 键 词：人工耳蜗植入 儿童 前语言交流能力 录像分析法 

分 类 号：H01[语言文字—语言学]