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一项确定影响儿童人工耳蜗植入结果因素的研究。

A study to determine factors influencing outcomes of paediatric cochlear implants.

作者信息

Swami Himanshu, James E, Sabrigirish K, Singh S K, Ohal Meena

机构信息

Associate Professor, Dept of ENT, Armed Forces Medical College, Pune 411040, India.

Ex-Professor & Head, Dept of ENT, Armed Forces Medical College, Pune 411040, India.

出版信息

Med J Armed Forces India. 2013 Oct;69(4):366-8. doi: 10.1016/j.mjafi.2012.10.008. Epub 2013 Jul 8.

DOI:10.1016/j.mjafi.2012.10.008
PMID:24600145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3862552/
Abstract

BACKGROUND

Cochlear implantation is a powerful tool for helping children with severe to profound sensorineural hearing loss to gain the ability to hear, achieve age appropriate communication skills. However patient selection is of utmost importance to achieve optimum results.

METHOD

A cross sectional study was done on 75 children who had undergone unilateral cochlear implantation. Hearing was assessed by, The Meaningful Auditory Integration Scale (MAIS) and speech perception was assessed by the Meaningful Use of Speech Scale (MUSS) as a parent reported scale in an interview format.

RESULTS

The cochlear implantation improved auditory skills and speech perception of the children who underwent cochlear implantation. Children who had less than 40 months auditory deprivation and those who had higher educated parents had better auditory skills and speech perception.

CONCLUSION

Early cochlear implantation and good auditory verbal therapy have better outcomes of hearing and speech.

摘要

背景

人工耳蜗植入是帮助重度至极重度感音神经性听力损失儿童获得听力并实现与其年龄相适应的沟通能力的有力工具。然而,患者选择对于取得最佳效果至关重要。

方法

对75名单侧人工耳蜗植入儿童进行了一项横断面研究。听力通过有意义听觉整合量表(MAIS)进行评估,言语感知通过言语有意义使用量表(MUSS)进行评估,该量表是一种家长以访谈形式报告的量表。

结果

人工耳蜗植入改善了接受人工耳蜗植入儿童的听觉技能和言语感知。听觉剥夺少于40个月的儿童以及父母受教育程度较高的儿童具有更好的听觉技能和言语感知。

结论

早期人工耳蜗植入和良好的听觉言语治疗对听力和言语有更好的效果。

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本文引用的文献

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Clinical audit of outcomes in Cochlear Implantation an Indian experience.人工耳蜗植入术结局的临床审计:一项印度的经验
Indian J Otolaryngol Head Neck Surg. 2006 Jan;58(1):69-73. doi: 10.1007/BF02907745.
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Outcomes in cochlear implantation: variables affecting performance in adults and children.人工耳蜗植入的结果:影响成人和儿童表现的变量
Otolaryngol Clin North Am. 2012 Feb;45(1):155-71. doi: 10.1016/j.otc.2011.08.023.
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Assessing the use of speech and language measures in relation to parental perceptions of development after early cochlear implantation.评估早期人工耳蜗植入后言语和语言测量方法与家长对发育认知的相关性。
Otol Neurotol. 2008 Feb;29(2):208-13. doi: 10.1097/mao.0b013e31812f6fa6.
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Long-term effects of cochlear implants in children.儿童人工耳蜗植入的长期影响。
Otolaryngol Head Neck Surg. 2002 May;126(5):505-11. doi: 10.1067/mhn.2002.124472.
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Relationships among speech perception, production, language, hearing loss, and age in children with impaired hearing.听力受损儿童的言语感知、言语产生、语言、听力损失和年龄之间的关系。
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Evaluating meaningful auditory integration in profoundly hearing-impaired children.评估重度听力障碍儿童中有意义的听觉整合情况。
Am J Otol. 1991;12 Suppl:144-50.