1~5岁语前聋儿童人工耳蜗植入术后听能发展特点研究

马莹; 郑芸; 李刚; 陆涛; 聂敏

doi:10.13201/j.issn.1001-1781.2018.12.006

1~5岁语前聋儿童人工耳蜗植入术后听能发展特点研究

- 四川大学华西医院耳鼻咽喉-头颈外科听力中心听觉言语科学实验室(成都, 610041)

详细信息

通讯作者: 郑芸,E-mail:1141679315@qq.com

中图分类号: R764.43

收稿日期: 2018-01-12

Auditory development in 1-5 years prelingual hearing loss children after cochlear implantation

- Otolaryngology Head and Neck Surgery Hearing Center, West China Hospital of Sichuan University, Hearing and Speech Science Laboratory, Chengdu, 610041, China

More Information

Corresponding author: ZHENG Yun, E-mail: 1141679315@qq.com

Received Date: 12 January 2018

摘要

摘要: 目的：初步探讨1~5岁语前聋儿童人工耳蜗植入术后的早期语前听能发展特点。方法：根据植入年龄，将103例完成人工耳蜗植入术后开机的极重度感音神经性语前聋患儿分为1~2岁组、>2~3岁组、>3~4岁组和>4~5岁组，通过混合效应模型分析4组患儿在术前（或开机时）及术后3、6、12个月时的IT-MAIS/MAIS得分（包括听觉发育总体能力、声音察觉能力和声音识别能力得分）变化规律。结果：各组患儿术后的IT-MAIS/MAIS得分均随开机时间的延长而显著提高（P<0.01）；不同植入年龄组之间在术后各随访点的听觉发育总体能力、声音察觉能力和声音识别能力得分差异无统计学意义（P>0.05）；各组患儿的听觉发育总体能力、声音察觉能力和声音识别能力随时间的变化趋势与健听儿童相似，组间差异无统计学意义（P>0.05）。结论：1~5岁植入人工耳蜗的语前聋患儿术后1年内的早期语前听能随时间延长而提高，植入年龄对其语前听能的发展无显著影响。
- 耳蜗植入术 /
- 早期语前听能 /
- 有意义听觉整合量表 /
- 语前聋
Abstract: Objective: To study the early prelingual auditory development in the pediatric cochlear implant(CI) recipients from 1 years old to 5 years old.Method: The study was designed as retrospectively. A total of 103 children with profound prelingual sensorineural hearing loss were included in this study. All participants were divided into four groups as 1-2 yr,>2-3 yr,>3-4 yr and >4-5 yr,according to the age of cochlear implantation. The scores of IT-MAIS/MAIS(total scores,sound detection scores and sound recognition scores)before implantation(or at switch-on)and 3,6,12 months after implantation were analyzed with Mixed linear model.Result: The scores of IT-MAIS/MAIS improved notably after cochlear implantation in all four groups as time prolonged(P<0.01).There were no significant difference in total scores,sound detection scores and sound recognition scores among those four different implant age groups(P>0.05)after switch-on. As the rehabilitation duration,the abilities of overall auditory,sound detection and sound recognition for those CI recipients showed a similar increasing trend in normal hearing pediatrics,and there were no significant difference among the four groups(P>0.05).Conclusion: The early prelingual auditory abilities of pediatric CI recipients implanted at 1-year-old up to 5-year-old developed considerably within the first year after cochlear implantation. What's more, the implant age has no obvious influence on their early prelingual auditory abilities after implant surgery.
- cochlear implantation /
- early prelingual auditory development /
- the meaningful auditory integration scale /
- prelingual deafness

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