语前聋听障儿童人工耳蜗植入术后听觉言语能力和生活质量评估

芦婷; 赵霞; 崔梓燕; 刘静; 周馨宇; 王鸣霄; 陈雅丽; 黄丽华

doi:10.3969/j.issn.1672-4933.2023.06.011

您当前的位置：

首页 >

文章列表页 >

语前聋听障儿童人工耳蜗植入术后听觉言语能力和生活质量评估

临床研究 | 更新时间：2023-12-06

- 语前聋听障儿童人工耳蜗植入术后听觉言语能力和生活质量评估
- Evaluation of Hearing and Speech Ability and Quality of Life in Hearing-Impaired Children after Cochlear Implantation
- 中国听力语言康复科学杂志 2023年21卷第6期页码：597-600
- 作者机构：
  
  宁夏残疾人康复中心银川 750001
- 作者简介：
  
  芦婷本科主治医师；研究方向：听力语言康复
  黄丽华，E-mail：happyhuanglh@163.com
- 基金信息：
  
  2021年宁夏回族自治区卫生健康委科研课题(2021-NW055)
- DOI：10.3969/j.issn.1672-4933.2023.06.011
  中图分类号：
- 纸质出版日期：2023-11-15，
  
  收稿日期：2022-12-23，
- 稿件说明：
移动端阅览
芦婷,赵霞,崔梓燕等.语前聋听障儿童人工耳蜗植入术后听觉言语能力和生活质量评估[J].中国听力语言康复科学杂志,2023,21(06):597-600.

LU Ting,ZHAO Xia,CUI Zi-yan,et al.Evaluation of Hearing and Speech Ability and Quality of Life in Hearing-Impaired Children after Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(06):597-600.
芦婷,赵霞,崔梓燕等.语前聋听障儿童人工耳蜗植入术后听觉言语能力和生活质量评估[J].中国听力语言康复科学杂志,2023,21(06):597-600. DOI： 10.3969/j.issn.1672-4933.2023.06.011.

LU Ting,ZHAO Xia,CUI Zi-yan,et al.Evaluation of Hearing and Speech Ability and Quality of Life in Hearing-Impaired Children after Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(06):597-600. DOI： 10.3969/j.issn.1672-4933.2023.06.011.

摘要

目的

评估语前聋听障儿童人工耳蜗植入术后听觉言语能力及生活质量，探讨二者的相关性，为听障儿童制订康复方案提供理论依据。

方法

以104例人工耳蜗植入儿童为研究对象，分为人工耳蜗刚开机（17例）、开机6个月（15例）、开机12个月（23例）、开机18个月（26例）、开机24个月（23例）5组。使用听觉能力分级（CAP-Ⅱ）、言语可懂度分级（SIR）、中文版人工耳蜗植入儿童家长观点调查问卷（mandarin children with cochlear implants：parental perpectives，MPP）对被试进行听觉言语能力及生活质量评估，比较开机后0、6、12、18、24月听觉及言语能力，探讨人工耳蜗植入后开机时间、听觉及言语能力是否为影响生活质量的重要因素。

结果

术后人工耳蜗使用时间越长，听障儿童的听觉能力及言语可懂度得分越高（

0.01）；MPP问卷交流、基本功能、幸福感3个维度得分均有显著改善（

0.05）；听觉能力影响生活质量评估交流及基本功能2个维度，言语功能影响交流及社会关系2个维度。

结论

人工耳蜗植入者听觉言语能力进步明显，听觉言语对生活质量有影响。

Abstract

Objective

To provide a theoretical basis for the development of rehabilitation programs for children with presingual hearing impairment

we evaluate the hearing and speech ability and quality of life of children with presingual hearing impairment after cochlear implantation

and explored the correlation between the two.

Methods

104 hearing-impaired children with severe sensorineural hearing loss who had been implanted with CI were divided into 5 groups: 0 months group (17 cases)

6 months group (15 cases)

12 months group (23 cases)

18 months group (26 cases) and 24 months group (23 cases). The CAP-Ⅱ

SIR

MPP are used to evaluate the auditory speech ability and quality of life of the 104 hearing-impaired children. To compare the hearing and speech abilities of 5 groups

and explore whether boot time

hearing and speech ability are important factors affecting quality of life after cochlear implantation.

Results

The longer the CI was used

the higher the hearing ability and speech intelligibility of hearing-impaired children. The MPP improved the scores of communication

basic function and well-being (

0.05). Hearing abilities affects two dimensions of quality of life

that is

communication and basic functions

while speech function affects two dimensions of communication and social relations.

Conclusion

The auditory speech ability of CI patients has improved significantly

and auditory speech has influence on quality of life.

关键词

人工耳蜗植入听觉言语能力生活质量

Keywords

Cochlear implantationHearing speech abilityQuality of life

references

Balkany TJ, Hodges A, Miyamoto RT, et al. Cochlear implants in children[J]. Otolaryngol Clin North Am, 2001, 34(2):455-467.

Balkany TJ, Hodges AV, Eshraghi AA, et al.Cochlear implants in children--a review[J]. Acta Otolaryngol, 2002, 122(4): 356-362.

王宇, 潘涛, 周娜, 等.大前庭水管综合征患者ABR和人工耳蜗术后EABR反应特征分析[J].中华耳科杂志,2018,16(16):802-806.

孙懿, 邱建新, 刘业海, 等.人工耳蜗植入术后听力、言语及生活质量的评估[J].临床耳鼻咽喉头颈外科杂志,2015,29(18):1622-1626.

Archbold S, Lutman ME, Marshall DH, et al. Categories of Auditory Performance[J]. Ann Otol Rhinol Laryngol Suppl, 1995, 166: 312-314.

Nikolopoulos TP, Archbold SM, Gregory S. Young deaf children with hearing aids or cochlear implants: early assessment package for monitoring progress[J]. Int J Pediatr Otorhinolaryngol,2005,69(2):175-186.

王丽燕, 申敏, 梁巍, 等.扩展版CAP问卷的中文版开发及其信度研究[J].中国听力语言康复科学杂志, 2020, 18(05): 367-369.

Allen C, Nikolopoulos TP, Dyar D,et al . Reliability of a rating scale for measuring speech intelligibility after pediatric cochlear implantation[J]. Otol Neurotol, 2001, 22(5): 631-633.

王丽燕, 申敏, 梁巍, 等.言语可懂度分级问卷中文版的研发及其信度效度研究[J]. 听力学及言语疾病杂志, 2021,29(05):483-486.

O`Neil C,Luman ME.Archblod SM,et al. Parents and their Cochlear Implanted child:questionnaire development to assess parental views and experiences[J].Int J Pediatr Otorhinolaryngol, 2004, 68(2): 149-160.

赵雅雯, 刘海红, 李颖, 等.中文版人工耳蜗植入儿童家长观点调查问卷的建立与信度和效度研究[J]. 听力学及言语疾病杂志, 2017, 25(2):173-142.

李琳, 文开学, 赵惠芳, 等.儿童人工耳蜗术后听觉言语发育状况及影响因素分析[J].中国中西医结合耳鼻咽喉科杂志,2021,29(01):18-21.

郑文雯, 陈善文, 姚昆, 等. 婴儿人工耳蜗植入术后听力言语康复的影响因素[J]. 中华耳科学杂志, 2022, 20(04): 576-580.

吴孟波, 李欢, 李少红, 等.人工耳蜗植入术提高语前聋患者听觉言语能力及生活质量[J].中南大学学报(医学版),2021,46(9):989-994.

Czerniejewska-Wolska H, Kałos M, Gawłowska M, et al. Evaluation of quality of life in patients after cochlear implantation surgery in 2014-2017[J]. Otolaryngol Pol, 2019, 73(2): 11-17.

芦婷, 周馨宇, 赵霞, 等. 听障儿童人工耳蜗植入术后生活质量评估及影响因素分析[J]. 宁夏医学杂志, 2021, 43(8): 718-720.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

大龄语前聋患者人工耳蜗植入术后康复效果评估

Noonan综合征人工耳蜗植入患者1例

Mondini畸形婴幼儿人工耳蜗术后听觉能力长期随访研究

II型神经纤维瘤病疾病特征与人工耳蜗植入

伴有中耳胆脂瘤的重度或极重度感音神经性耳聋患者的人工耳蜗植入