| 植入年龄对婴幼儿人工耳蜗植入患者早期言语可懂度的影响 |
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| 引用本文： | 陈雪清,程佳佳,刘博,刘莎,莫玲燕,孔颖,刘海红,亓贝尔,董瑞娟,李玉玲,王硕,吴燕君. 植入年龄对婴幼儿人工耳蜗植入患者早期言语可懂度的影响[J]. 中国耳鼻咽喉头颈外科, 2012, 0(10): 529-531 |
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| 作者姓名： | 陈雪清 程佳佳 刘博 刘莎 莫玲燕 孔颖 刘海红 亓贝尔 董瑞娟 李玉玲 王硕 吴燕君 |
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| 作者单位： | [1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,耳鼻咽喉头颈科学教育部重点实验室（首都医科大学）,北京市耳鼻咽喉科研究所,北京100730 [2]首都医科大学宣武医院医学工程科,北京100053 |
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| 基金项目： | 北京市卫生系统高层次卫生技术人才培养计划基金（2009-3-29,2011-3-042）; 首都卫生发展科研专项项目（首发2011-1017-01）; 首都医科大学基础-临床科研合作基金重点项目（12JL12）; 国家自然科学基金项目（81070796）; 北京市自然科学基金预探索项目（7123210）,北京市自然科学基金面上项目（7122034）联合资助 |
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| 摘 要： | 目的本研究评估使用人工耳蜗的婴幼儿患者早期言语可懂度发育并探讨植入年龄对言语可懂度的影响,为患儿的听力言语康复提供指导。方法共有272例极重度语前聋人工耳蜗植入婴幼儿参加本次研究。手术年龄9～36个月,平均（21±7）个月。根据植入年龄将患儿分为3个组：A组小于18个月,B组为19～24个月,C组为25～36个月。使用言语可懂度分级（speech intelligibility rating,SIR）问卷在术前及术后开机后1、3、6、9个月和1年时对患儿进行评估。结果患儿SIR平均得分在术前、术后开机后1、3、6、9个月和1年之间的差异有显著性。3个组患儿SIR平均得分在术后开机后3个月、6个月之间的差异有显著性,在术前、术后开机后1个月、9个月、1年之间的差异无显著性。结论极重度语前聋人工耳蜗植入婴幼儿患者的言语可懂度在术后1年内有显著提高。植入年龄对婴幼儿人工耳蜗患者术后早期言语可懂度发育没有显著影响。
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| 关 键 词： | 儿童 耳蜗植入术 听力障碍 言语可懂度分级问卷 |
Effect of age on speech intelligibility at the early stage after surgery in infants with cochlear implantation |
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| CHEN Xueqing,CHENG Jiajia,LIU Bo,LIU Sha,MO Lingyan,KONG Ying,LIU Haihong,QI Beier,DONG Ruijuan,LI Yuling,WANG Shuo,WU Yanjun. Effect of age on speech intelligibility at the early stage after surgery in infants with cochlear implantation[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2012, 0(10): 529-531 |
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| Authors: | CHEN Xueqing CHENG Jiajia LIU Bo LIU Sha MO Lingyan KONG Ying LIU Haihong QI Beier DONG Ruijuan LI Yuling WANG Shuo WU Yanjun |
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| Affiliation: | 1 Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University),Ministry of Education,Beijing Institute of Otolaryngology,Beijing,100730,China;2 Medical Engineering Section,Xuanwu Hospital,Capital Medical University,Beijing,100053,China) |
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| Abstract: | OBJECTIVE The aim of this research is to assess the speech intelligibility of infants with cochlear implants within the first year after operation and to explore the effect of age on speech intelligibility in order to provide a database for their hearing and speech rehabilitation program.METHODS 272 infants participated in this study,ranging in age from 9 to 36 months with a mean of 21 months.They were all diagnosed with prelingually profound hearing loss before surgery.They were divided into three groups according to their age at implantation.Infants in group A were implanted under 18 months.Infants in group B were implanted between 19 and 24 months of age.Infants in group C were implanted between 25 and 36 months of age.Speech Intelligibility Rating（SIR）was used to evaluate their speech intelligibility.The evaluation was performed by audiologists before operation and 1 month,3 months,6 months,9 months,1 year after switch-on.RESULTS The mean scores of SIR showed significant differences at each interval for all infants with cochlear implants.The differences were statistically significant in mean scores of SIR among these three groups in 3 and 6 months after switch-on.However no significant differences were observed in pre-operation,1,9 months and 1 year after switch-on.CONCLUSION Speech intelligibility of infants with prelingually profound hearing loss developed rapidly at the early stage after cochlear implantation.The age of cochlear implantation in infants had no significant influence on the development of speech intelligibility within the first year after surgery. |
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| Keywords: | Child Cochlear Implantation Hearing Disorders speech intelligibility rating |
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