学龄前儿童不同间隔时间序贯植入双侧人工耳蜗术后听觉效果分析

崔圆圆; 张标新; 邱建新; 孙琴枝; 汪璐璐; 刘佩; 张纯靖; 吴婷

doi:10.3969/j.issn.1672-4933.2025.01.009

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学龄前儿童不同间隔时间序贯植入双侧人工耳蜗术后听觉效果分析

临床研究 | 更新时间：2026-07-11

- 学龄前儿童不同间隔时间序贯植入双侧人工耳蜗术后听觉效果分析
- An Analysis of Auditory Effects in Preschool Children after Sequential Bilateral Cochlear Implantation at Different Intervals
- 中国听力语言康复科学杂志 2025年23卷第1期页码：34-38
- 作者机构：
  
  安徽医科大学护理学院合肥 230032
- 作者简介：
  
  崔圆圆硕士在读；研究方向：耳康复护理
  张标新，E-mail：532611328@qq.com
- 基金信息：
  
  2024年度安徽医科大学护理学院研究生青苗培育项目(hlqm12024047);安徽省高校自然科学基金重大项目(2024AH040110);安徽医科大学校科研基金项目(2023xkj279)
- DOI：10.3969/j.issn.1672-4933.2025.01.009
  中图分类号： R764.43
- 收稿：2024-07-15，
  
  纸质出版：2025-01-15
- 稿件说明：
移动端阅览
崔圆圆,张标新,邱建新等.学龄前儿童不同间隔时间序贯植入双侧人工耳蜗术后听觉效果分析[J].中国听力语言康复科学杂志,2025,23(01):34-38.

CUI Yuan-yuan,ZHANG Biao-xin,QIU Jian-xin,et al.An Analysis of Auditory Effects in Preschool Children after Sequential Bilateral Cochlear Implantation at Different Intervals[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):34-38.
崔圆圆,张标新,邱建新等.学龄前儿童不同间隔时间序贯植入双侧人工耳蜗术后听觉效果分析[J].中国听力语言康复科学杂志,2025,23(01):34-38. DOI： 10.3969/j.issn.1672-4933.2025.01.009.

CUI Yuan-yuan,ZHANG Biao-xin,QIU Jian-xin,et al.An Analysis of Auditory Effects in Preschool Children after Sequential Bilateral Cochlear Implantation at Different Intervals[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):34-38. DOI： 10.3969/j.issn.1672-4933.2025.01.009.

摘要

目的

比较学龄前儿童不同间隔时间序贯植入双侧人工耳蜗术后听觉效果。

方法

选取2022年2月～2023年5月在本院诊治的45例13～68个月学龄前儿童，按序贯植入的间隔时间分为双侧人工耳蜗序贯植入1组（sequential bilateral cochlear implantation I，SBCI

）10例（间隔

12个月）、SBCI

组23例（间隔12～23个月）及SBCI

组12例（间隔24～36个月），分别在首次人工耳蜗植入时（T

）、对侧耳蜗植入时（T

）及双侧耳蜗植入1年后（T

），采用父母版言语空间特性量表（the speech，spatial and qualities of hearing scale-parent’s version，SSQ-P）、儿童听力/口语评估家长问卷（parents’evaluation of aural/oral performance of children，PEACH）及言语可懂度分级问卷（SIR）评估患儿听觉康复效果。

结果

①双侧人工耳蜗植入1年后（T

），3组儿童的听觉能力相近（

＞0.05）。②双侧人工耳蜗植入1年后（T

），3组儿童的听觉能力较对侧人工耳蜗植入时（T

）显著改善；对侧耳蜗植入时（T

），3组儿童的听觉能力较首次植入时（T

）显著改善（

＜0.01）。③T

～T

期间，SBCI

、SBCI

组的SSQ-P、PEACH得分增长水平高于SBCI

组；SBCI

组SIR得分增长水平显著高于SBCI

组（

＜0.01）。T

～T

期间，SBCI

组的SSQ-P得分增长水平高于SBCI

，SBCI

组高于SBCI

组；SBCI

、SBCI

组PEACH得分增长水平显著高于SBCI

组（

＜0.01）。

结论

学龄前儿童不同间隔时间序贯植入双侧人工耳蜗术后短期听觉能力相近，但植入间隔时间越短的患儿获得听觉效果增益越早，应合理制订康复计划，促进患儿全面康复。

Abstract

Objective

To compare the auditory effects of sequential implantation of bilateral cochlear implants at different intervals in preschool children.

Methods

45 preschool children aged 13-68 months who were treated in our hospital from February 2022 to May 2023 were selected and divided into SBCI

group of 10 cases (interval

12 months)

SBCI

group of 23 cases (interval 12-23 months)

and SBCI

group of 12 cases (interval 24-36 months) according to the interval of sequential implantation. At the time of the first cochlear implantation (T

)

contralateral cochlear implantation (T

)

and one year after bilateral cochlear implantation

)

the auditory effects of the children were evaluated using The Speech

Spatial And Qualities Of Hearing Scale-Parent's Version(SSQ-P) and Parents' Evaluation Of Aural/Oral Performance Of Children (PEACH)

Speech Intelligibility Rate (SIR).

Results

One year after bilateral cochlear implantation (T

)

the auditory abilities of the three groups of children were similar (

0.05). After one year of bilateral cochlear implantation (T

)

the auditory ability of the three groups of children significantly improved compared to the contralateral cochlear implantation (T

). During contralateral cochlear implantation (T

)

the auditory abilities of the three groups of children were significantly improved compared to the first cochlear implantation (T

) (

0.01). From T

to T

the growth levels of SSQ-P and PEACH scores in the SBCI

and SBCI

groups were higher than those in the SBCI

group. The SIR score growth level of SBCI

group was higher than that of SBCI

group (

0.05). From T

to T

the SSQ-P score growth level in the SBCI

group was higher than that in the SBCI

group

and SBCI

was higher than that in the SBCI

group. The growth level of PEACH scores in SBCI

and SBCI

groups was higher than that in SBCI

group (

0.01).

Conclusion

Preschool children who undergo sequential bilateral cochlear implantation at different intervals have similar short-term auditory abilities

but the shorter the implantation interval

the earlier the auditory effect gain. A precise rehabilitation plan should be developed to promote comprehensive recovery of the children.

关键词

Keywords

references

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