双侧极重度感音神经性聋患儿人工耳蜗植入效果分析

蔡爱军; 张社江; 王团; 马喆; 逯鹏

doi:10.3969/j.issn.1672-4933.2024.01.015

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双侧极重度感音神经性聋患儿人工耳蜗植入效果分析

临床研究 | 更新时间：2024-03-22

- 双侧极重度感音神经性聋患儿人工耳蜗植入效果分析
- Analysis of the Effect of Cochlear Implantation in Children with Bilateral Profound Sensorineural Prelingual Deafness
- 中国听力语言康复科学杂志 2024年22卷第1期页码：54-57
- 作者机构：
  
  邯郸市眼科医院（邯郸市第三医院）邯郸 056001
- 作者简介：
  
  蔡爱军本科副主任医师；研究方向：耳显微外科疾病相关临床研究
  逯鹏，E-mail：1843794556@qq.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.01.015
  中图分类号： R764.5
- 纸质出版日期：2024-01-15，
  
  收稿日期：2023-09-14，
- 稿件说明：
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蔡爱军,张社江,王团等.双侧极重度感音神经性聋患儿人工耳蜗植入效果分析[J].中国听力语言康复科学杂志,2024,22(01):54-57.

CAI Ai-jun,ZHANG She-jiang,WANG Tuan,et al.Analysis of the Effect of Cochlear Implantation in Children with Bilateral Profound Sensorineural Prelingual Deafness[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(01):54-57.
蔡爱军,张社江,王团等.双侧极重度感音神经性聋患儿人工耳蜗植入效果分析[J].中国听力语言康复科学杂志,2024,22(01):54-57. DOI： 10.3969/j.issn.1672-4933.2024.01.015.

CAI Ai-jun,ZHANG She-jiang,WANG Tuan,et al.Analysis of the Effect of Cochlear Implantation in Children with Bilateral Profound Sensorineural Prelingual Deafness[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(01):54-57. DOI： 10.3969/j.issn.1672-4933.2024.01.015.

摘要

目的

分析双侧极重度感音神经性聋患儿人工耳蜗植入效果。

方法

选取2018年2月～2022年2月本院接诊的80例双侧极重度感音神经性聋患儿，将40例非对称性听力损失患儿纳入对照组，行单侧人工耳蜗植入；将40例对称性听力损失患儿纳入观察组，行双侧人工耳蜗植入；分析两组开机前和干预6、12、36个月后的听觉行为分级（CAP）、言语可懂度分级（SIR），并建立多因素logistic模型，分析双侧人工耳蜗植入后影响CAP、SIR评分的独立危险因素。

结果

观察组干预后12、36个月CAP、SIR评分显著高于对照组（

＜0.05）。多因素logistic分析显示，年龄＞3岁、术前未使用助听器、植入时间＜1年、内耳畸形是影响双侧人工耳蜗植入儿童CAP、SIR评分的独立危险因素（

＜0.05）。

结论

双侧人工耳蜗植入是极重度感音神经性聋患儿听觉补偿的有效手段，年龄、植入时间、内耳畸形等因素可能影响患儿的听觉、言语功能康复，尽早为患儿植入双侧人工耳蜗，加强相关干预，才能有效促使患儿听觉言语功能康复。

Abstract

Objective

To analyze the effect of cochlear implantation in children with bilateral profound sensorineural prelingual deafness.

Methods

A total of 80 children with bilateral extremely severe sensorineural prelingual deafness admitted to our hospital from February 2018 to February 2022 were selected

and 40 children with asymmetric hearing loss were included in the control group for unilateral cochlear implantation. In addition

40 children with symmetrical hearing loss were included in the observation group

and bilateral unilateral cochlear implantation was performed. The auditory behavior classification (CAP) and speech intelligibility classification (SIR) of the two groups before and after 6

12 and 36 months of intervention were analyzed

and a multivariate logistic model was established to analyze the independent risk factors affecting CAP and SIR scores after bilateral cochlear implantation.

Results

The CAP and SIR scores of the observation group were significantly higher than those of the control group at 12 and 36 months after intervention (

0.05)

Multivariate logistic analysis showed that age

3 years old

no use of hearing aids before surgery

time after implantation

1 year

and inner ear malformation were all independent risk factors affecting CAP and SIR scores in children with bilateral cochlear implantation (

0.05)

Conclusion

Bilateral cochlear implantation is an effective means for hearing compensation in children with bilateral profound sensorineural prelingual deafness. However

age

time after implantation

inner ear malformation and other factors may affect the recovery of hearing and speech function in children. Bilateral cochlear implantation as soon as possible and strengthening the prevention and intervention of related influencing factors can effectively promote the recovery of hearing and speech function in children.

关键词

双侧感音神经性聋极重度人工耳蜗植入听觉能力言语功能

Keywords

Bilateral sensorineural deafnessProfoundCochlear implantationAuditory abilityLanguage ability

references

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