脑白质异常的语前聋患儿人工耳蜗植入术后听觉言语康复效果评估

A questionnaires study on cochlear implantation in patients with white matter changes

目的:评价脑白质异常的极重度感音神经性聋患儿人工耳蜗植入术后的听觉言语康复效果。方法:采用听觉行为分级标准(CAP)和言语可懂度分级标准(SIR)对伴脑白质异常的语前聋患儿(研究组)进行术后效果调查,并与无综合征及明显病因的人工耳蜗植入患儿(对照组)进行比较。采用两配对样本的t检验比较两组不同阶段的CAP和SIR的结果。结果:经统计学分析,研究组人工耳蜗植入术后6个月CAP和SIR得分与对照组比较差异有统计学意义(P<0.05),术后12个月、24个月差异无统计学意义(P>0.05)。结论:从短期来看,轻度脑白质异常的语前聋患儿人工耳蜗植入术后,经过正规康复训练,其听力言语康复效果与无综合征及明显病因的语前聋患儿无显著差别。

This article evaluates the auditory and speech perception outcomes of sensorneural hear- group and white matter changes group with sensorineural hearing loss after 6 month. No statistical difference was found after 12 month and 24 month. Conclusion：In the short term, the cochlear implant can be performed safely in patients with white matter changes. After a formal rehabilitation training, no significant difference in auditory or language ability was found between normal group and white matter changes group with sensorinenral hearing loss.