Long-Term Follow-Up Study of Speech Development in 0~6 Years Old Children after Cochlear Implantation

MENG Chao; GUO Qian-qian; KONG Ying; LV Jing; LI Yu-ling; DONG Rui-juan; QI Bei-er; WANG Shuo; CHEN Xue-qing

doi:10.3969/j.issn.1672-4933.2025.03.005

您当前的位置：

首页 >

文章列表页 >

Long-Term Follow-Up Study of Speech Development in 0~6 Years Old Children after Cochlear Implantation

Questionnaire Evaluation of the Developmental Patterns of Auditory and Verbal Abilities in Children with Hearing Impairment | 更新时间：2026-07-11

- Long-Term Follow-Up Study of Speech Development in 0~6 Years Old Children after Cochlear Implantation
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 3, Pages: 240-244(2025)
- 作者机构：
  
  1.首都医科大学附属北京同仁医院神经耳科北京100730
  2.首都医科大学附属北京同仁医院/北京市耳鼻咽喉科研究所/首都医科大学耳鼻咽喉头颈科学教育部重点实验室北京100730
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.03.005
  CLC： G762
- Received：26 February 2025，
  
  Published：15 May 2025
- 稿件说明：
移动端阅览
孟超,郭倩倩,孔颖等.0～6岁儿童人工耳蜗植入术后言语能力发展长期随访研究[J].中国听力语言康复科学杂志,2025,23(03):240-244.

MENG Chao,GUO Qian-qian,KONG Ying,et al.Long-Term Follow-Up Study of Speech Development in 0~6 Years Old Children after Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):240-244.
孟超,郭倩倩,孔颖等.0～6岁儿童人工耳蜗植入术后言语能力发展长期随访研究[J].中国听力语言康复科学杂志,2025,23(03):240-244. DOI： 10.3969/j.issn.1672-4933.2025.03.005.

MENG Chao,GUO Qian-qian,KONG Ying,et al.Long-Term Follow-Up Study of Speech Development in 0~6 Years Old Children after Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):240-244. DOI： 10.3969/j.issn.1672-4933.2025.03.005.

摘要

目的

探讨不同人工耳蜗植入年龄听障儿童术后言语能力发展规律，以及植入年龄对术后言语能力的影响。

方法

将1258例儿童根据人工耳蜗植入年龄分为6组：组①植入年龄6～12个月，组②13～24个月，组③25～36个月，组④37～48个月，组⑤49～60个月，组⑥61～72个月。在开机时、开机后6、12、24、36、48和60个月采用有意义使用言语量表（meaningful use of speech scale，MUSS）对6组儿童进行言语能力评估。

结果

组①～③的MUSS得分率在开机后0～48个月呈显著增长趋势（

＜0.05）；组④～⑤在开机后0～36个月呈快速增长（

＜0.05）；组⑥在开机后0～24个月呈显著增长（

＜0.05）；其余评估阶段呈较慢增长（

＞0.05）。

结论

MUSS问卷是评价人工耳蜗植入儿童言语能力行之有效的方法，不同植入年龄儿童的言语产出能力总体趋势相同，但又各有特点，3岁前植入者的言语能力增长速度快且持续时间长；3岁后植入者虽然早期言语能力较3岁前植入者得分高，但言语能力增长速度较3岁前植入者慢且快速增长期持续短，有必要早期进行人工耳蜗植入。

Abstract

Objective

The main purpose of the study was to assess the development of speech perception and the effects of the age at implantation in CI children after long-term follow up.

Methods

A total of 1

258 participants were divided into six groups based on their cochlear implantation age: Group 1 (6～12 months)

Group 2 (13～24 months)

Group 3 (25～36 months)

Group 4 (37～48 months)

Group 5 (49～60 months)

and Group 6 (61～72 months). The Meaningful Use of Speech Scale (MUSS) was used to assess speech abilities at 0

and 60 months post-surgery.

Results

Speech abilities of groups 1～3 showed significant

increases from 0 to 48 months post-surgery (

0.05). Groups 4～5 exhibited rapid growth from 0 to 36 months post-surgery (

0.05). Group 6 demonstrated a significant increases from 0 to 24 months post-surgery

0.05)

followed by slower growth in subsequent assessment periods (

0.05).

Conclusion

The MUSS questionnaire is an effective tool for evaluating speech abilities in infants and children after cochlear implantation. While the trend in speech ability is similar across different implantation ages

each group exhibits distinct characteristics. The growth rate of speech ability is faster and lasts longer in those implanted before the age of 3. Although early speech ability are higher in those implanted after 3 compared to those implanted earlier

their speech development progresses at a slower rate

and the period of rapid growth is shorter. Therefore

early cochlear implantation is necessary

关键词

Keywords

references

Colletti L , Mandala M , Shann RV , et al . Estimated net saving to society from cochlear implantation in infants: A preliminary analysis [J ] . Laryngoscope , 2011 , 21 : 2455 - 2460 .

邹馨悦 , 陈彪 , 李永新 . 双侧人工耳蜗植入现状及研究进展 [J ] . 临床耳鼻咽喉头颈外科杂志 , 2024 , 38 ( 7 ): 666 - 670 .

Robbins AM , Osberger MJ . The meaningful use of speech scale [R ] . Indianopolis, Indiana University School of Medicine , 1990 .

Mondain M , Sillon M , Vieu A , et al . Cochlear implantation in prelingually deafened children with residual hearing [J ] . Int J Pediatr Otorhinolaryngol , 2002 , 63 ( 2 ): 91 - 97 .

Lu S , Wei X , Kong Y , et al . A 3-year follow-up and radiological analysis of cochlear implantation patients with cochlear nerve deficiency and modiolar deficiency-type malformations [J ] . Otol Neurotol , 2023 , 44 ( 1 ): 26 - 33 .

郭倩倩 , 陈雪清 , 孟超 , 等 . 3～6岁儿童人工耳蜗植入后听觉言语能力发育规律探讨 [J ] . 中国听力语言康复科学杂志 , 2016 , 14 ( 4 ): 255 - 258 .

Dettman SJ , Dowell RC , Choo D , et al . Long-term Communication Outcomes for Children Receiving Cochlear Implants Younger Than 12 Months: A Multicenter Study [J ] . Otology & Neurotology , 2016 , 37 ( 2 ): e82 - e95 .

Lyu J , Kong Y , Xu TQ , et al . Long-term follow-up of auditory performance and speech perception and effects of age on cochlear implantation in children with pre-lingual deafness [J ] . Chinese Medical Journal , 2019 , 132 ( 16 ): 1925 - 1934 .

Mikic B , Miric D , Nikolic-Mikic M , et al . Age at implantation and auditory memory in cochlear implanted children [J ] . Cochlear Implants Int , 2014 , 15 ( 1 ): 33 - 35 .

梁爽 , 刘思诗 , 李永新 , 等 . 听力言语康复在人工耳蜗植入术后的应用及效果评估 [J ] . 听力学及言语疾病杂志 , 2009 , 17 ( 1 ): 61 - 63 .

孟超 , 钟妍 , 徐天秋 , 等 . 使用普通话听力正常婴幼儿和学龄前儿童言语能力发育研究 [J ] . 中华耳鼻咽喉头颈外科杂志 , 2024 , 59 ( 7 ): 714 - 718 .

Meng C , Guo Q , Kong Y , et al . A Long-Term Follow-Up Study on the Auditory Performance and Speech Intelligibility of Mandarin-Speaking Prelingually Deaf Children With Isolated Large Vestibular Aqueduct Syndrome After Cochlear Implantation [J ] . Am J Audiol , 2024 , 33 ( 1 ): 225 - 232 .

卢星 , 王斌 , 宋凡 , 等 . 人工耳蜗植入儿童术后长期言语识别及语言理解表达能力研究 [J ] . 听力学及言语疾病杂志 , 2023 , 31 ( 2 ): 138 - 143 .

陈雪清 . 听障儿童听觉言语能力问卷评估 [J ] . 中国听力语言康复科学杂志 , 2024 , 22 ( 5 ): 449 - 454 .

王宁波 , 尚婉媛 , 朱丽 , 等 . 语前聋儿童人工耳蜗植入后言语康复的影响因素分析 [J ] . 中国听力语言康复科学杂志 , 2020 , 18 ( 3 ): 238 - 241 .

Gathercole SE , Adams A . Phonological working memory in very young children [J ] . Dev Psychol , 1993 , 29 : 770 - 778 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Quality of Life Assessment of Children with Cochlear Implants in Shanghai: A Retrospective Analysis Based on the Nijmegen Scale

Exploring the Developmental Characteristics and Mechanisms of Self-Awareness in Children with Autism Spectrum Disorder

Interpretation of the Group Standard Guidelines of the Association for Fitting Hearing Aids to Children

Analysis of Screening Results of Children's Speech and Cognitive Development Based on ICF Theory

Preoperative Multidisciplinary Assessment for Cochlear Implantation

Related Author

ZHU Li-guo

SHEN Min

YI Hai-yan

GU Li-hui

SHEN min

QIAN Cheng

LI Ying

JIN Xin

Related Institution

上海市特殊儿童康复中心

上海交通大学医学院附属上海儿童医学中心

国家儿童医学中心/首都医科大学附属北京儿童医院耳鼻咽喉头颈外科

白银市第一人民医院

白银市妇幼保健院

⁰