遗传性耳聋儿童人工耳蜗植入的效果：一项多中心回顾性研究。
The Effectiveness of Cochlear Implantation for Children of Hereditary Deafness: A Multicenter Retrospective Study.
机构信息
Department of ENT, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia 010021, China.
Department of Clinical Laboratory, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia 010021, China.
出版信息
J Healthc Eng. 2021 Oct 26;2021:1182949. doi: 10.1155/2021/1182949. eCollection 2021.
AIM
To study the effectiveness of cochlear implantation in deaf children with gene mutation.
METHOD
420 children from three medical centers with cochlear implants were selected. Before wearing the cochlear implant and 6 months after wearing the cochlear implant, the children's rehabilitation efficacy was evaluated through categories of auditory performance (CAP) and speech intelligibility rating (SIR). The SSF-MCDI and MUSS before and after the treatment were also compared.
RESULTS
The CAP and SIR scores of the children after the intervention were higher than those before the intervention ( < 0.05). Univariate analysis found that the age of cochlear implantation, parents' education level, and monthly family income were all influencing factors of the CAP score of children with prelingual cochlear implantation ( < 0.05). Multivariate logistic regression analysis shows that the age of cochlear implantation <5 years, parents' education level, and monthly household income are all independent risks of CAP scores in children with prelingual deaf cochlear implantation. Univariate analysis found that the age of cochlear implantation, parents' education level, and monthly household income are all based on the SIR scores of children with prelingual cochlear implantation. Multivariate logistic regression analysis can be obtained: the age of cochlear implantation less than 5 years, the education level of parents, and the monthly family income are independent risk factors for SIR scores in children with prelingual deaf cochlear implantation ( < 0.05).
CONCLUSION
The rehabilitation effect of cochlear implants is significant, and the age of cochlear implantation, parents' education level, and monthly family income are all related factors that affect the rehabilitation effect.
目的
研究基因突变聋儿人工耳蜗植入的效果。
方法
选取在 3 家医学中心植入人工耳蜗的 420 例患儿，在佩戴人工耳蜗前及佩戴人工耳蜗 6 个月后，采用言语可懂度分级（CAP）和言语清晰度分级（SIR）对患儿康复效果进行评估，比较治疗前后的 SSF-MCDI 和 MUSS。
结果
干预后患儿的 CAP 和 SIR 评分均高于干预前（ < 0.05）。单因素分析发现，耳蜗植入年龄、父母文化程度、家庭月收入均是语前聋患儿耳蜗植入 CAP 评分的影响因素（ < 0.05）。多因素 logistic 回归分析显示，耳蜗植入年龄<5 岁、父母文化程度、家庭月收入均是语前聋儿童耳蜗植入 CAP 评分的独立危险因素。单因素分析发现，耳蜗植入年龄、父母文化程度、家庭月收入均是语前聋患儿 SIR 评分的影响因素。多因素 logistic 回归分析可得：耳蜗植入年龄<5 岁、父母文化程度、家庭月收入是语前聋儿童耳蜗植入 SIR 评分的独立危险因素（ < 0.05）。
结论
人工耳蜗植入后的康复效果显著，且耳蜗植入年龄、父母文化程度、家庭月收入均是影响康复效果的相关因素。
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