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分析中文儿童人工耳蜗植入后听觉和言语功能的发展轨迹及影响因素。

Analysis of the developmental trajectory and influencing factors of auditory and speech functions after cochlear implantation in Mandarin Chinese speaking children.

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, The Second Hospital of Shandong University, Jinan, China.

Ruifeng Auditory-Speech Rehabilitation Institution in Jinan, Jinan, China.

出版信息

Acta Otolaryngol. 2020 Jun;140(6):501-508. doi: 10.1080/00016489.2020.1736622. Epub 2020 Mar 18.

DOI:10.1080/00016489.2020.1736622
PMID:32186221
Abstract

The auditory and speech development of the children with cochlear implants (CIs) are influenced by many factors. To study the developmental trajectory and influencing factors of auditory and speech functions for the Mandarin Chinese speaking children with CIs. The children with CIs undergoing rehabilitation in the same institution from June 2016 to June 2019 were followed up. Their closed monosyllables and disyllables recognition rate, closed average language age, categories of auditory performance (CAP) and speech intelligibility rating (SIR) were evaluated at 0, 1, 3, 6, 12 and 24 months of rehabilitation. The results were analyzed by SPSS 23.0. 49 children were followed up for 1 year, 29 children for 2 years. The evaluated indicators of auditory and speech functions were improved with the prolongation of rehabilitation and influenced by the age of cochlear implantation, the use of hearing aids before surgery, guardian's educational degree, the relationship between guardian and child. The auditory and speech functions of the children with CIs were improved significantly with the prolongation of rehabilitation and influenced by many factors, which can help us to predict the effect of CI more accurately and develop an individualized rehabilitation program.

摘要

人工耳蜗植入儿童的听觉和言语发育受多种因素影响。为研究人工耳蜗植入的普通话儿童听觉和言语功能的发育轨迹及其影响因素。对 2016 年 6 月至 2019 年 6 月在同一机构接受康复治疗的人工耳蜗植入儿童进行随访。在康复后 0、1、3、6、12 和 24 个月分别评估他们的单音节和双音节词识别率、闭合平均语言年龄、听觉能力分类(CAP)和言语可懂度分级(SIR)。使用 SPSS 23.0 对结果进行分析。49 例儿童随访 1 年,29 例儿童随访 2 年。听觉和言语功能的评估指标随着康复时间的延长而改善,并受人工耳蜗植入年龄、手术前助听器使用情况、监护人教育程度、监护人与儿童的关系等因素影响。人工耳蜗植入儿童的听觉和言语功能随康复时间的延长而显著改善,受多种因素影响,这有助于我们更准确地预测 CI 的效果,并制定个体化的康复方案。

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引用本文的文献

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Social Determinants of Health and Language and Academic Outcomes in Pediatric Cochlear Implantation: A Systematic Review and Meta-Analysis.儿童人工耳蜗植入中健康的社会决定因素以及语言和学业成果:一项系统评价和荟萃分析
JAMA Otolaryngol Head Neck Surg. 2025 Jan 1;151(1):29-38. doi: 10.1001/jamaoto.2024.3564.
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Clinical characteristics and hearing loss etiology of cochlear implantees undergoing surgery in their teens, 20s, and 30s.青少年、20 多岁和 30 多岁接受耳蜗植入手术的患者的临床特征和听力损失病因。
Eur Arch Otorhinolaryngol. 2024 Oct;281(10):5169-5177. doi: 10.1007/s00405-024-08737-3. Epub 2024 May 27.
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A Review of Speech Perception of Mandarin-Speaking Children With Cochlear Implantation.
对接受人工耳蜗植入的说普通话儿童的言语感知的综述。
Front Neurosci. 2021 Dec 14;15:773694. doi: 10.3389/fnins.2021.773694. eCollection 2021.