音乐疗法对语前聋患儿人工耳蜗植入术后听觉言语康复的效果

The Hearing and Speech Rehabilitation Effects by Music Therapy in Prelingually Deaf Children with Cochlear Implantation

目的探讨音乐疗法对语前聋患儿人工耳蜗植入术后听觉言语康复的效果。方法选取107例语前聋人工耳蜗植入患儿,分为对照组(50例)和观察组(57例),对照组采用常规听觉言语康复训练,观察组在采用与对照组相同康复训练的基础上加用音乐疗法,在训练后3、6、12个月分别对两组对象进行听觉能力分级评估(CAP)、言语可懂度分级评估(SIR)及听觉言语识别能力评估,比较两组康复效果。结果训练前,观察组患者CAP为2.85±0.02级,SIR为2.92±0.03级,听觉言语识别能力为59.51±5.41分,对照组分别为2.92±0.03级、1.05±0.02级、58.99±4.31分,两组差异无统计学意义(P>0.05);康复训练3、6、12个月后,两组患儿上述评估指标较训练前均有不同程度改善,康复训练时间越长,改善越明显,且观察组患儿CAP分级、SIR分级和听觉言语识别能力均明显优于对照组相同时间段,差异有统计学意义(P<0.05);训练3个月时,观察组上述各项指标明显优于训练前(P<0.05),而对照组与训练前差异无明显统计学意义(P>0.05);训练12个月时观察组CAP(6.95±0.34级)、SIR(4.37±0.09级)、听觉言语识别能力(92.03±11.32分)均明显优于训练前及训练3、6个月时和对照组(CAP为4.09±0.13级,SIR为3.21±0.08级,听觉言语识别能力为80.01±10.11分)(P<0.05)。结论音乐疗法可明显改善语前聋人工耳蜗植入术后患儿的听觉言语康复训练效果,提高其听觉行为分级、言语可懂度分级和听觉言语识别能力。

Objective To investigate hearing and speech rehabilitation effects of music therapy for prelingual-ly deaf children with cochlear implantation.Methods A total of 107 cases of prelingual deaf children with cochlear implantation were selected and divided into control group （n=50）and observation group （n= 57 ）.The control group was given conventional hearing and speech rehabilitation training while the observation group was given more music therapy.Before and 3 months,6 months and 12 months after rehabilitation training,the auditory behavior level （CAP）,speech understand the grading （SIR）and the auditory speech recognition ability from the 2 groups were compared.ResuIts Before training,CAP of the observation group was 2.85±0.02 level,SIR was 2.92±0.03 and hearing and speech recognition ability was 59.51±5.41,while the control group yielded levels of 2.92±0.03, 1.05±0.02 and 58.99±4.31 respectively.The difference between the two groups was statistically insignificant （P＆gt;0.05）.After training for 3,6,and 12 months,the two groups had different degrees of improvement in hearing and speech rehabilitation：the observation group in the CAP was up to 6.95±0.34 level,SIR up to 4.37±0.09 level,and hearing and speech recognition capacity up to 92.03 ± 11.32,showing significantly more improvements than those of in control group （P〈0.05）.ConcIusion Music therapy can significantly improve the effects of the hearing and speech rehabilitation training in cochlear implantation in prelingually deafened patients.The auditory behavior after rehabilitation training classification,speech intelligibility rating and auditory speech recognition ability can also be improved.