语前聋儿童人工耳蜗使用者语言发育能力研究  

The Study of Language Development in Cochlear Implant Children with Prelingual Deafness

作　　者：刘潼 董瑞娟[1] 吕静[1] 孟超[1] 郭倩倩[1] 李玉玲[1] 古鑫[1] 孔颖[1] 王硕[1] LIU Tong;DONG Rui-juan;LV Jing;MENG Chao;GUO Qian-qian;Li Yu-ling;GU Xin;KONG Ying;WANG Shuo

机构地区：[1]首都医科大学附属北京同仁医院/耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)/北京市耳鼻咽喉科研究所,北京100730

出　　处：《中国听力语言康复科学杂志》2024年第5期465-470,共6页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：首都卫生发展科研专项(首发2022-1-2023);高层次公共卫生技术人才建设项目(学科骨干-02-42)

摘　　要：目的依据现有完善的语言评估方式,观察人工耳蜗植入患儿语言康复情况,研究早期植入人工耳蜗患儿语言习得能力及影响康复效果的因素。方法选取首都医科大学附属北京同仁医院158例语前聋患儿为研究对象,人工耳蜗植入年龄平均17.6±8.8个月,应用汉语沟通发展量表(mandarin communicative development inventory,MCDI)研究开机时、开机后6、12、24、36个月的差异;按照植入年龄分为A组(0~18个月龄)、B组(19~36个月龄),根据内耳形态分为C组(内耳正常)、D组(内耳畸形),分析在植入人工耳蜗后开机时及开机后6、12个月患儿语言能力得分。结果患儿在康复后语言能力普遍有所提升,但提升速度存在差异。除句子与语句部分得分外,其余得分在开机时与开机后6个月之间有显著差异(P<0.05),在开机后24个或36个月接近满分。A、B组MCDI会说的词汇得分在开机后12个月无显著差异(P>0.05),C、D组在开机时无显著差异(P>0.05)。结论在开机前期,患儿语言能力增长较为迅速,18个月前植入与19~36个月植入人工耳蜗对患儿的语言发育能力在开机后12个月无显著差异,内耳畸形对患儿开机后的语言发育有显著影响。Objective Based on the existing comprehensive language assessment methods,this study aimed to observe the language rehabilitation progress of children with cochlear implants and investigate the language acquisition abilities of children with early implantation of cochlear implants,while summarizing the potential factors that may affect the rehabilitation outcomes.Methods A total of 158 prelingually deaf children from the Beijing Tongren Hospital,Capital Medical University's Artificial Auditory Center were selected as the research subjects.The average age of implantation was(17.6±8.8)months.The Mandarin Communicative Development Inventory(MCDI)was used to study the differences in scores at the time of activation,and at 6,12,24,and 36 months post-activation.The subjects were divided into Group A(0-18 months old)and Group B(19-36 months old)based on the age of implantation,and Group C(normal inner ear morphology)and Group D(inner ear malformation)based on inner ear morphology.The language ability scores of the children were analyzed at the time of cochlear implant activation and at 6 and 12 months post-activation.Results The language abilities of the children generally improved after rehabilitation,but the rate of improvement varied.Except for the"sentences and phrases"section,the scores of the other sections showed statistically significant differences between activation and 6 months post-activation,and approached maximum scores at 24 or 36 months post-activation.There was no statistically significant difference in the MCDI"spoken vocabulary"scores of Group A and Group B at 12 months post-activation.The MCDI"spoken vocabulary"scores of Group C and Group D was no statistically significant differences at the time of activation.Conclusion The language abilities of children with cochlear implants showed relatively rapid growth in the early stages of activation.There was no significant difference in the language development abilities of children implanted before 18 months and those implanted between 19 and 36 months af

关 键 词：语前聋 人工耳蜗 语言能力 汉语沟通发展量表 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]