听障婴幼儿人工耳蜗术后听觉能力发育规律

尤妍颜; 孟超; 郭倩倩; 孔颖; 吕静; 李玉玲; 董瑞娟; 亓贝尔; 王硕; 陈雪清

doi:10.3969/j.issn.1672-4933.2024.05.002

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听障婴幼儿人工耳蜗术后听觉能力发育规律

听障儿童听觉言语能力问卷评估 | 更新时间：2024-09-05

- 听障婴幼儿人工耳蜗术后听觉能力发育规律
- The Development of Auditories Ability for infants after Cochlear Implantation
- 中国听力语言康复科学杂志 2024年22卷第5期页码：455-459
- 作者机构：
  
  1.首都医科大学附属北京潞河医院耳鼻咽喉头颈颌面中心北京 101149
  2.首都医科大学附属北京同仁医院神经耳科北京 100730
  3.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：
  
  尤妍颜硕士助理研究员；研究方向：耳科与临床听力学
  陈雪清，E-mail：xueqingchen@sohu.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.05.002
  中图分类号： R764.5
- 纸质出版日期：2024-09-15，
  
  收稿日期：2024-06-25，
- 稿件说明：
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尤妍颜,孟超,郭倩倩等.听障婴幼儿人工耳蜗术后听觉能力发育规律[J].中国听力语言康复科学杂志,2024,22(05):455-459.

YOU Yan-yan,MENG Chao,GUO Qian-qian,et al.The Development of Auditories Ability for infants after Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):455-459.
尤妍颜,孟超,郭倩倩等.听障婴幼儿人工耳蜗术后听觉能力发育规律[J].中国听力语言康复科学杂志,2024,22(05):455-459. DOI： 10.3969/j.issn.1672-4933.2024.05.002.

YOU Yan-yan,MENG Chao,GUO Qian-qian,et al.The Development of Auditories Ability for infants after Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):455-459. DOI： 10.3969/j.issn.1672-4933.2024.05.002.

摘要

目的

使用婴幼儿有意义听觉整合量表（infant-toddler meaningful auditory integration scale，IT-MAIS）研究0～3岁听障婴幼儿人工耳蜗植入后听觉能力变化，总结其发育规律，探讨植入年龄对患儿人工耳蜗术后5年内听觉能力发育的影响，为康复提供临床资料。

方法

共有518例极重度语前聋婴幼儿参加人工耳蜗植入术后为期5年的追踪随访，人工耳蜗植入年龄9～36个月。根据植入年龄将患儿分3组：A组，植入年龄≤12个月（121例）；B组，植入年龄13～24个月（277例）；C组，植入年龄25～36个月（120例）。分别在术前及术后开机1、2、3、6、9、12、18、24、30、36、42、48、54、60个月由经过培训的听力学专业人员使用IT-MAIS量表对患儿术后的听觉能力、发音能力、察觉能力及理解能力进行评估。

结果

患儿IT-MAIS总分在术前和术后开机1、2、3、6、9、12、18、24、30个月之间差异有统计学意义（

0.05），开机36、42、48、54、60个月之间差异无统计学意义（

0.05）；患儿发音能力得分在术前和术后开机1、2、3、6、9、12、18个月之间差异有统计学意义（

0.05），开机30、36、42、48、54、60个月之间得分无统计学意义；患儿的察觉能力得分在术前和术后开机1、2、3、6、9、12、18、24、30个月之间差异有统计学意义（

0.05），开机后36、42、48、54、60个月之间差异无统计学意义（

0.05）；患儿的理解能力得分在术前和术后开机1、2、3、6、9、12、18、24、30个月之间差异有统计学意义（

0.05），开机后36、42、48、54、60个月之间差异无统计学意义（

0.05）。在术前和术后开机1、2、3、6、9、12、18、24个月时患儿的发音能力、觉察能力和理解能力得分间的差异具有统计学意义（

0.05），术后开机30、36、42、48、54、60个月时，3种能力间的差异无统计学意义（

0.05）。A、B、C 3组患儿的IT-MAIS总分在术前和术后开机1个月间差异有统计学意义（

0.05），而开机2个月以后各评估点间差异均无统计学意义（

0.05）。

结论

听障婴幼儿在人工耳蜗植入术后听觉能力随开机时间的延长逐步提高，开机30个月内听觉能力发育有显著增加。植入年龄对3岁以内人工耳蜗植入患儿的术后早期听觉发育影响不显著。

Abstract

Objective

The purpose of the study is to evaluate the auditory performance of infants with cochlear implants

to summarize the development of auditory abilities

investigate the effects of age at cochlear implantation on auditory ability within five years after surgery and provide a reference for their rehabilitation program.

Method

518 infants with pre-lingually profound hearing loss participated in the study

ranging in age at cochlear implantation from 9 to 36 months. The infants with cochlear implants were divided into three groups according to their ages at implantation. The infants in Group A were implanted under 12 months of age. The infants in Group B were implanted between 13 and 24 months of age. The infants in Group C were implanted between 25 and 36 months of age. Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS) was used to evaluate the auditory ability including vocalization behavior

spontaneous alerting to sound and deriving meaning from sound.

Result

The overall scores of IT-MAIS for infants improved with time after cochlear implantation

and rapidly increased with time in first 30 months after switch-on as a whole. Specifically the score of vocalization behavior rapidly improved with time in 18 months after switch-on. The score of spontaneous alerting to sound and deriving meaning from sound rapidly improved with time in 30 months after switch-on. The difference among the skills of vocalization behavior

spontaneous alerting to sound and deriving meaning from sound was significant in first 24 months after switch-on. Significance was observed in overall scores of IT-MAIS among these three groups in pre-operation and 1 month after switch-on. However

there were no significant differences in other intervals after switch-on.

Conclusion

The auditory performance of infants developed gradually with the time of switch-on after cochlear implantation

including vocalization behavior

spontaneous alerting to sound and deriving meaning from sound. Most of infants demonstrated rapid improvement in auditory ability within first 30 months after switch-on. The auditory ability for infants within 3 years after cochlear implantation developed rapidly at the early stage regardless of the age of cochlear implantation.

关键词

婴幼儿有意义听觉整合量表人工耳蜗听觉能力发育

Keywords

Infant-Toddler Meaningful Auditory Integration Scalecochlear implantationthe development of auditory ability

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