人工耳蜗植入术后听力及言语康复效果相关因素的初步研究

Influencing factors on hearing and speech rehabilitation efficacy of deaf children with a cochlear implant

目的通过对55例人工耳蜗植入患儿的听力及言语能力进行评估,分析各种可能因素在人工耳蜗植入术后听力及言语康复过程中的作用。方法通过问卷调查的方式对人工耳蜗植入患者的各项可能影响因素进行统计,并根据听觉行为分级标准(CAP)和言语可懂度分级标准(SIR)对患儿的听力及言语能力进行评估。使用卡方检验对影响术后康复效果的相关因素进行单因素分析;最后将从单因素分析中筛选出来的听觉及言语康复效果的影响因素进行logistic回归分析。结果logistic回归结果显示植入后时间及家庭经济状况与CAP显著相关,植入后时间、居住地、术后康复模式与SIR显著相关。结论人工耳蜗植入术后时间、经济因素是影响人工耳蜗植入术后患儿康复效果的重要因素。

Objective To study possible influencing factors on children＇s rehabilitation process by evaluating the speech and language rehabilitation efficacy of 55 cochlear implanter patients. Methods In this survey, we utilized a questionnaire of level discriminating standards of Categories of Auditory Performance （CAP） and Speech Intelligibility Rating criteria （SIR） to evaluate the speech perception and producing abilities after cochlear-implant operation. Using the Chi square test, we analysed the association between some factors and the aural and oral rehabilitation represented by CAP and SIR rating results. Correlation factors were analyzed using the Forward Conditional logistic regression model. Results Multivariate analysis showed that the implanted period and financial conditions were the significantly associated factors with CAP, and the implanted period.rehabilitation mode and residence environment were significantly associated with SIR. Conclusion The implanted period and financial condition contributed to rehabilitation.