青海地区人工耳蜗植入患儿临床评价与康复效果分析

李忠莹; 郭斌

doi:10.3969/j.issn.1672-4933.2026.01.019

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青海地区人工耳蜗植入患儿临床评价与康复效果分析

短篇报道 | 更新时间：2026-07-30

- 青海地区人工耳蜗植入患儿临床评价与康复效果分析
- Clinical Evaluation and Rehabilitation Effect Analysis of Children with Cochlear Implantation
- 中国听力语言康复科学杂志 2026年24卷第1期页码：92-96
- 作者机构：
  
  1.甘肃省第二人民医院兰州 730000
  2.青海大学附属医院西宁 810000
- 作者简介：
  
  李忠莹硕士研究方向：耳科学
  郭斌，E-mail：2216506960@qq.com
- 基金信息：
  
  青海大学附属医院中青年科研基金重点项目(ASRF-2022-ZD-01)
- DOI：10.3969/j.issn.1672-4933.2026.01.019
  中图分类号： R764.35
- 收稿：2025-08-04，
  
  网络首发：2026-01-09，
  
  纸质出版：2026-01-15
- 稿件说明：
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李忠莹,郭斌.青海地区人工耳蜗植入患儿临床评价与康复效果分析[J].中国听力语言康复科学杂志,2026,24(01):92-96.

LI Zhong-ying,GUO-Bin Zhong-ying.Clinical Evaluation and Rehabilitation Effect Analysis of Children with Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(01):92-96.
李忠莹,郭斌.青海地区人工耳蜗植入患儿临床评价与康复效果分析[J].中国听力语言康复科学杂志,2026,24(01):92-96. DOI： 10.3969/j.issn.1672-4933.2026.01.019.

LI Zhong-ying,GUO-Bin Zhong-ying.Clinical Evaluation and Rehabilitation Effect Analysis of Children with Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(01):92-96. DOI： 10.3969/j.issn.1672-4933.2026.01.019.

摘要

目的

分析青海地区人工耳蜗植入患儿的临床特征及康复效果，明确影响人工耳蜗植入术后患儿康复效果的相关因素，为构建符合青海省多民族特点的康复体系提供参考。

方法

选取2012年9月～2020年12月于青海大学附属医院耳鼻咽喉科行单侧人工耳蜗植入的重度或极重度感音神经性聋患儿84例为研究对象，回顾分析患儿临床资料，应用言语可懂度评级（speech intelligibility rating，SIR）、听觉能力分级（categories of auditory performance，CAP）、听觉识别能力及言语能力评估表评估患儿术后听觉、言语康复效果分析其影响因素。

结果

植入年龄、家庭语言环境、监护人文化程度、民族、康复时间5个因素与术后听觉能力康复效果具有相关性（

＜0.05）；家庭语言环境、监护人文化程度、民族、有无双耳聆听模式、康复时间5个因素与言语康复效果具有强相关（

＜0.05）。

结论

人工耳蜗植入能显著提高听障患儿的听觉言语能力。随着康复时间的延长，患儿听觉言语能力逐步提高。康复时间、家庭语言环境、监护人文化程度、民族是影响青海地区人工耳蜗植入患儿听觉言语康复效果的重要因素。

Abstract

Objective

By analyzing the clinical characteristics and rehabilitation effects of children with cochlear implantation in Qinghai region

to clarify the related factors affecting the rehabilitation effect of children after cochlear implantation

and to provide a reference for the initial construction of a rehabilitation system that conforms to the multi-ethnic characteristics of Qinghai Province.

Methods

A total of 84 children with severe or profound sensorineural hearing loss who underwent unilateral cochlear implantation in the Department of Otorhinolaryngology of the Affiliated Hospital of Qinghai University from September 2012 to December 2020 were selected as the research subjects. The clinical data of the 84 children were retrospectively analyzed. Four assessment scales

namely SIR

CAP

auditory recognition ability and speech ability assessment scale

were used to evaluate the postoperative auditory and speech rehabilitation effects of the children and analyze the influencing factors.

Results

Five factors

including implantation age

family language environment

guardian's educational level

ethnicity

and rehabilitation time

were all significantly correlated with the postoperative auditory rehabilitation effect (

0.05); five factors

including family language environment

guardian's educational level

ethnicity

whether there was a binaural listening mode

and rehabilitation time

were significantly correlated with the speech rehabilitation effect (

0.05).

Conclusion

Cochlear implantation can significantly improve the auditory and speech abilities of children with hearing loss. As the rehabilitation time increases

the auditory and speech abilities of the children also gradually improve. Rehabilitation time

family language environment

guardian's educational level

and ethnicity are important factors affecting the auditory and speech rehabilitation effect of children with cochlear implantation in Qinghai region.

关键词

Keywords

references

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