摘要
目的 分析儿童人工耳蜗植入术后听觉言语康复情况的影响因素。方法 回顾性收集2015年1月至2020年1月南阳市中心医院收治的120例人工耳蜗植入术后耳聋儿童临床资料,术后均随访24个月,比较所有儿童开机前及术后1、3、6、9、12、24个月听觉行为分级、语言可懂度分级、婴幼儿有意义听觉整合量表评分,以多重线性回归分析耳聋儿童人工耳蜗植入术后24个月听觉言语康复情况的影响因素。结果 开机前及术后1、3、6、9、12、24个月,耳聋儿童人工耳蜗植入术后听觉行为分级、语言可懂度分级、婴幼儿有意义听觉整合量表评分均呈逐渐升高趋势,不同时间点比较,差异有统计学意义(P<0.05)。多重线性回归分析结果显示,术前有残余听力且佩戴助听器、植入时年龄≤3岁、人工耳蜗植入术电极类型为弯电极、监护人受教育程度为中及以上、康复模式为康复机构联合家庭、基因突变类型为GJB2、监护人为父母均为影响耳聋儿童人工耳蜗植入术后24个月听觉行为分级评分、婴幼儿有意义听觉整合量表评分的保护因素(P<0.05);术前有残余听力且佩戴助听器、植入时年龄≤3岁、人工耳蜗植入术电极类型为弯电极、康复模式为康复机构联合家庭、基因突变类型为GJB2、监护人受教育程度为高中及以上均为影响耳聋儿童人工耳蜗植入术后24个月语言可懂度分级评分的保护因素(P<0.05)。结论 影响耳聋儿童人工耳蜗植入术后24个月婴幼儿听觉言语康复的相关因素包括植入时年龄、术前有残余听力且佩戴助听器情况、人工耳蜗植入术电极类型情况、监护人情况、康复模式、基因突变类型,临床可针对以上因素对耳聋儿童进行干预,促进其听觉言语康复。
Objective To analyze the influencing factors of the score results of auditory speech rehabilitation after cochlear implantation in children.Methods The clinical data of 120 deaf children after cochlear implant in Nanyang Central Hospital from January 2015 to January 2020 were retrospectively collected.All of them were followed up for 24 months.All children’s auditory behavior grades,language intelligibility grades and scores of infant meaningful auditory integration scale were compared before and 1,3,6,9,12,24 months after surgery,and the single factors influencing deaf children’s auditory and verbal rehabilitation 24 months after cochlear implant were counted.The influencing factors of hearing and speech rehabilitation in deaf children 24 months after cochlear implantation were analyzed by multiple linear regression.Results The scores of auditory behavior,language intelligibility,and infant meaningful auditory integration scale of deaf children after cochlear implant were gradually increasing before and 1,3,6,9,12,and 24 months after the surgery,and the differences were statistically significant at different time points(P<0.05).Multiple linear regression analysis showed that age≤3 years old at the time of implantation,having residual hearing before operation and wearing a hearing aid,electrode type of cochlear implant being bent electrode,guardian’s parents,guardian’s education level of high school or above,rehabilitation mode of rehabilitation institution joint family,and gene mutation type GJB2 were all the protective factors that influenced the scores of auditory behavior grading and eaningful auditory integration scale of deaf children 24 months after cochlear implant(P<0.05).Age at implantation≤3 years old,having residual hearing before operation and wearing a hearing aid,electrode type of cochlear implant being bent electrode,guardian’s education level of high school or above,rehabilitation mode being rehabilitation institution joint family,and gene mutation type GJB2 were all protective fact
作者
杨琛
袁泉良
杨荣松
尹中普
YANG Chen;YUAN Quanliang;YANG Rongsong;YIN Zhongpu(Department of ENT,Nanyang Central Hospital,Nanyang 473005,China)
出处
《河南医学研究》
CAS
2024年第10期1797-1802,共6页
Henan Medical Research
基金
南阳市2019年市级科技计划项目(KJGG176)。
关键词
耳聋
儿童
人工耳蜗植入术
听觉
言语
康复
因素
deafness
children
cochlear implant
auditory
verbal
rehabilitation
factors
