不同干预模式听觉言语康复效果比较

黄玮津; 余乐茵; 蔡颖琳; 刘佳浩; 王俊博; 梁茂金

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不同干预模式听觉言语康复效果比较

康复教育 | 更新时间：2026-10-28

- 不同干预模式听觉言语康复效果比较
- The Differences of Outcome for Patients with Binaural Cochlear Implantation, Binaural-bimodal, Unilateral Cochlear Implantation
- 中国听力语言康复科学杂志 2021年19卷第3期页码：215-218
- 作者机构：
  
  1. 广东省中医院
  2. 广州新华学院,广州,510520
  3. 中山大学孙逸仙纪念医院,广州,510000
  4. 广东中山大学
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R764.9;R493
- 纸质出版：2021
- 稿件说明：
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黄玮津, 余乐茵, 蔡颖琳, 等. 不同干预模式听觉言语康复效果比较[J]. 中国听力语言康复科学杂志, 2021,19(3):215-218.

黄玮津, 余乐茵, 蔡颖琳, et al. The Differences of Outcome for Patients with Binaural Cochlear Implantation, Binaural-bimodal, Unilateral Cochlear Implantation[J]. 2021, 19(3): 215-218.
黄玮津, 余乐茵, 蔡颖琳, 等. 不同干预模式听觉言语康复效果比较[J]. 中国听力语言康复科学杂志, 2021,19(3):215-218. DOI：

黄玮津, 余乐茵, 蔡颖琳, et al. The Differences of Outcome for Patients with Binaural Cochlear Implantation, Binaural-bimodal, Unilateral Cochlear Implantation[J]. 2021, 19(3): 215-218. DOI：

摘要

目的评估双侧人工耳蜗植入、一侧人工耳蜗一侧助听器(双模式干预)与仅单侧人工耳蜗植入(对侧未配戴助听器)不同干预模式下患者听觉及言语能力。方法追踪回访2012～2018年以重度及以上感音神经性听力损失行双侧及单侧人工耳蜗植入手术的患儿300例

双侧人工耳蜗植入患者40例

双模式干预患者77例

单侧人工耳蜗植入患者183例。运用听觉行为分级标准(CAP)和言语可懂度分级标准(SIR)对患者的听觉及言语能力进行评估

比较不同干预模式下患者的康复效果。结果双侧人工耳蜗植入、双侧双模式与仅单侧人工耳蜗植入患者的CAP评分结果中位数均为7;SIR评分结果中位数分别为5、4、4;唇读能力评分中位数为4。3组被试仅在SIR评分中存在显著差异(P<0.05)

双侧人工耳蜗植入和双侧双模式干预患者的SIR评分结果显著高于单侧人工耳蜗植入患者(P<0.05)

但双模式干预患者的SIR评分结果与双侧人工耳蜗植入患者间无显著性差异(P>0.05)。结论双侧人工耳蜗植入患者及双侧双模式干预的人工耳蜗植入患者术后的言语可懂度优于仅单侧人工耳蜗植入患者。

Abstract

Objective To assess the hearing and verbal ability of patient with binaural cochlear implantation

binauralbimodal

unilateral cochlear implantation. Methods We tracked and visited 300 patients with severe to profound sensorineural hearing loss who were diagnosed and received operation between 2012 and 2018

including 40 binaural cochlear implantation patients

77 binaural-bimodal patients

and 183 unilateral cochlear implantation patients. We assessed the hearing and verbal ability of patients with CAP and SIR

then compared the rehabilitation effects of patient with different intervention modes. Results The median of CAP scores for patients with bilateral cochlear implants

dual-mode and unilateral cochlear implants was 7; the median of SIR scores were 5

4 and 4; the median score of lip-reading ability was 4. There was a significant difference in SIR scores among the three intervention modes（P<0.05）. The SIR score results of binaural cochlear implantation and binaural-bimodal were also higher than patients with unilateral cochlear implantation significantly（P<0.05）

but the SIR score results of patients with binauralbimodal had no significant difference with binaural cochlear implantation（P>0.05）. Conclusion The speech intelligibility of the patients with bilateral cochlear implants and the patients with bimodal intervention is better than that of the patients with unilateral cochlear implant.

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references

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