青少年语前聋人工耳蜗植入患者听觉言语康复效果观察研究

赵旭旭; 戴光炆; 高晓慧; 杨照; 吴飞扬; 康厚墉

doi:10.3969/j.issn.1672-4933.2025.03.004

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青少年语前聋人工耳蜗植入患者听觉言语康复效果观察研究

听障儿童听觉言语能力发育规律评估 | 更新时间：2025-05-12

- 青少年语前聋人工耳蜗植入患者听觉言语康复效果观察研究
- The Effects of Auditory Speech Rehabilitation in Adolescent Prelingually Deafened with Cochlear Implantation
- 中国听力语言康复科学杂志 2025年23卷第3期页码：236-239
- 作者机构：
  
  1.重庆医科大学附属第一医院重庆 400016
  2.重庆师范大学教育科学学院重庆 401331
  3.重庆市渝悦听医学工程技术有限公司重庆 400041
- 作者简介：
  
  赵旭旭硕士住院医师；研究方向：人工耳蜗，听力言语康复
  康厚墉，E-mail：kanghouyong@sohu.com
- 基金信息：
  
  重庆市科学技术局大健康项目：人工耳蜗植入患者听觉与言语精准康复技术研究与应用(CSTC2021jscx-gksb-N0009);重庆市教改项目“互联网+”技术在言语科学课程教学改革中的应用研究(193087);教育部“春晖计划”合作科研项目：大龄青少年语前聋人工耳蜗植入听觉言语精准康复技术研究(HZKY20220213)
- DOI：10.3969/j.issn.1672-4933.2025.03.004
  中图分类号： G762
- 收稿日期：2024-07-10，
  
  纸质出版日期：2025-05-15
- 稿件说明：
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赵旭旭,戴光炆,高晓慧等.青少年语前聋人工耳蜗植入患者听觉言语康复效果观察研究[J].中国听力语言康复科学杂志,2025,23(03):236-239.

ZHAO Xu-xu,DAI Guang-wen,GAO Xiao-hui,et al.The Effects of Auditory Speech Rehabilitation in Adolescent Prelingually Deafened with Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):236-239.
赵旭旭,戴光炆,高晓慧等.青少年语前聋人工耳蜗植入患者听觉言语康复效果观察研究[J].中国听力语言康复科学杂志,2025,23(03):236-239. DOI： 10.3969/j.issn.1672-4933.2025.03.004.

ZHAO Xu-xu,DAI Guang-wen,GAO Xiao-hui,et al.The Effects of Auditory Speech Rehabilitation in Adolescent Prelingually Deafened with Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):236-239. DOI： 10.3969/j.issn.1672-4933.2025.03.004.

摘要

目的

探究青少年语前聋人工耳蜗植入患者听觉言语康复方法及效果。

方法

纳入9名青少年语前聋人工耳蜗植入患者，通过为期40天的听觉言语康复训练，观察随访患者训练前、训练后1月、3月的言语可懂度、听觉行为分级、有意义听觉整合量表、有意义言语使用量表、人工耳蜗植入生活质量量表、听力言语空间质量量表；训练前、训练后2周、4周测量的助听听阈。

结果

与训练前相比，4名患者4周后助听听阈明显改善；与训练前相比，3月后，1名患者人工耳蜗植入生活质量量表评分上升，5名患者有意义听觉整合量表评分改善，2名患者有意义言语使用量表评分改善，所有患者听觉言语空间质量量表评分改善不明显。

结论

短期听觉言语康复训练可改善部分大龄语前聋患者的听觉言语能力，大部分患者生活质量改善需要长期持续的康复训练。现阶段，急需新的康复训练方法，加快康复进程，家校协同全场景、多要素线上康复平台有望达成目标。

Abstract

Objective

To explore the methods and effects of hearing and speech rehabilitation in prelingually Deafened Late Implanted Cochlear Implant User

so as to provide referential experience for such patients to return to the world of sound.

Methods

9 elderly patients with prelingual deafness were included in the study. After 40 days of hearing and speech rehabilitation training

SIR

CAP

MAIS

MUSS

NCIQ

SSQ were collected before training

1 month and 3 months after training. The hearing aid threshold was measured before training

2 weeks and 4 weeks after the begin of training.

Results

Compared with before training

the hearing threshold of 4 patients was significantly improved after 4 weeks. Compared with before training

after three months

1 patient's NCIQ increased

5 patients' MUSS improved

2 patients' MAIS improved

and all patients' SSQ did not improve significantly.

Conclusion

Short-term hearing and speech rehabilitation training can improve the hearing and speech ability of some elderly patients with prelingual deafness

and most patients need long-term continuous rehabilitation training to improve their quality of life. In addition

there is an urgent need to develop new rehabilitation training means to speed up this rehabilitation process

and the home-school collaborative full-scene multi-element online rehabilitation platform is expected to achieve this goal.

关键词

Keywords

references

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