家庭环境对语前聋儿童人工耳蜗植入后言语能力影响研究  

Effect of Family Environment on Speech Ability of Prelingual Deaf Children after Cochlear Implantation

作　　者：李晓静 夏余芝[1] 郁梦梦 杨见明[1] LI Xiao-jing;XIA Yu-Zhi;YU Meng-meng;YANG Jian-ming

机构地区：[1]安徽医科大学第二附属医院耳鼻喉科,合肥230601

出　　处：《中国听力语言康复科学杂志》2024年第1期79-81,98,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：国家自然科学基金(82071055)。

摘　　要：目的探讨家庭环境对语前聋儿童人工耳蜗植入后言语功能康复的影响。方法选择2021年10月~2023年3月在本院行人工耳蜗植入的84例语前聋儿童为调查对象,术后1、3、6个月采用家庭环境量表中文版(fmily environment scaleChinese version,FES-CV)评估患儿家庭环境;采用听觉能力分级标准(CAP)及言语可懂度分级评估标准(SIR)评估患儿术后听觉言语能力,检验FES-CV各维度与CAP、SIR的相关性。结果语前聋儿童在人工耳蜗植入后6个月CAP、SIR评分显著提升;植入后1、3、6个月家庭环境中亲密度、情感表达、独立性、知识性及娱乐性维度与CAP、SIR评分呈正相关,矛盾性与之呈负相关,差异具有统计学意义(P<0.05)。结论临床医护人员可通过制订以家庭为单位的康复训练计划,调动儿童术后康复训练的积极性,提升言语康复效果。Objective To explore the influence of family environment on the speech function recovery of prelingual deaf children after cochlear implantation.Methods 84 children with prespeech deafness who underwent cochlear implantation in our hospital from October 2021 to October 2022 were selected as the investigation objects.The Family Environment Scale-Chinese Version(FES-CV)was used to evaluate the family environment of the children at 1 months,3 months,and 6 months after the operation;categories of auditory performance(CAP)and speech intelligibility rating(SIR)were used to evaluate the degree of postoperative speech ability recovery in children,and the correlation between each dimension of FES-CV and CAP and SIR was tested.Results The CAP and SIR scores of prelingual deaf children were significantly improved 6 months after cochlear implantation;the intimacy,emotional expression,independence,knowledge,and entertainment dimensions were positively correlated with CAP and SIR scores,and contradictory was negatively correlated with them,and the difference was statistically significant(P<0.05).Conclusion Clinical medical staff can mobilize the enthusiasm of prelingual deaf children for postoperative training and improve the effect of postoperative speech ability recovery by formulating a family-based rehabilitation training plan.

关 键 词：人工耳蜗植入 语前聋 家庭环境 康复训练 言语能力 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]