人工耳蜗植入后言语康复效果的相关因素

目的：初步分析语前聋儿童耳蜗植入后言语康复效果的相关因素。方法：对多通道人工耳蜗植入的42例语前聋的聋儿，进行重建听阈、听觉能力、言语能力、智力评估，并调查他们的一般情况、家庭情况、术前助听器佩戴和训练情况等。结果：影响聋儿言语能力的因素包括：性别、年龄、植入后时间和开机时间长短及听觉能力。Logistic回归分析结果显示：植入后时间、耳聋到植入人工耳蜗时间、听觉能力情况与言语能力呈正相关，重建听阈与言语能力呈负相关。结论：对语前聋的聋儿，在人工耳蜗植入前佩戴助听器康复训练时间较长，植入后的重建听阈、听觉能力越好，进行科学培训的时间越长，其言语能力康复效果会更好。

A research on influential factors of language rehabilitation of prelingually deafened children with multichannel cochlear implant

Objective:To access the relative influential factors of language rehabilitation of the deafened children. Method: 42 prelingually deafened children with multichannel cochlear implant were investigated. Their hearing ability, hearing thresholds, language ability and talent level were also evaluated. Result: The influential factors of language in the deafened children were sex, age, the time after the cochlear implant operation, hearing level etc. The results of the Logistic regression showed that the time after the cochlear implant,the hearing level,the time between deaf and operation were positive correlative factors, and the auditory threshold was the negative correlative factor of language ability. Conclusion: For prelingually deafened children,the longer scientific rehabilitation training time between deaf and operation and the more enough systemic training time after the cochlear implant operation exist,the better language ability and better auditory and the hearing level they will get.