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

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.1672-4933.2025.03.005

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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

听障儿童听觉言语能力发育规律评估 | 更新时间：2026-07-11

- 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
- Long-Term Follow-Up Study of Speech Development in 0~6 Years Old Children after Cochlear Implantation
- 中国听力语言康复科学杂志 2025年23卷第3期页码：240-244
- 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：
  
  孟超硕士主管技师；研究方向：临床听力学
  陈雪清，E-mail：xueqingchen@sohu.com
- 基金信息：
  
  首都卫生发展科研专项项目(首发2022-4-1093;首发2011-1017-01)
- DOI：10.3969/j.issn.1672-4933.2025.03.005
  中图分类号： G762
- 收稿：2025-02-26，
  
  纸质出版：2025-05-15
- 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

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