语前聋听障儿童人工耳蜗植入术后听觉言语能力和生活质量评估

Evaluation of Hearing and Speech Ability and Quality of Life in Hearing-Impaired Children after Cochlear Implantation

目的评估语前聋听障儿童人工耳蜗植入术后听觉言语能力及生活质量,探讨二者的相关性,为听障儿童制订康复方案提供理论依据。方法以104例人工耳蜗植入儿童为研究对象,分为人工耳蜗刚开机(17例)、开机6个月(15例)、开机12个月(23例)、开机18个月(26例)、开机24个月(23例)5组。使用听觉能力分级(CAP-Ⅱ)、言语可懂度分级(SIR)、中文版人工耳蜗植入儿童家长观点调查问卷(mandarin children with cochlear implants:parental perpectives,MPP)对被试进行听觉言语能力及生活质量评估,比较开机后0、6、12、18、24月听觉及言语能力,探讨人工耳蜗植入后开机时间、听觉及言语能力是否为影响生活质量的重要因素。结果术后人工耳蜗使用时间越长,听障儿童的听觉能力及言语可懂度得分越高(P<0.01);MPP问卷交流、基本功能、幸福感3个维度得分均有显著改善(P<0.05);听觉能力影响生活质量评估交流及基本功能2个维度,言语功能影响交流及社会关系2个维度。结论人工耳蜗植入者听觉言语能力进步明显,听觉言语对生活质量有影响。

Objective To provide a theoretical basis for the development of rehabilitation programs for children with presingual hearing impairment,we evaluate the hearing and speech ability and quality of life of children with presingual hearing impairment after cochlear implantation,and explored the correlation between the two.Methods 104 hearing-impaired children with severe sensorineural hearing loss who had been implanted with CI were divided into 5 groups:0 months group(17 cases),6 months group(15 cases),12 months group(23 cases),18 months group(26 cases)and 24 months group(23 cases).The CAP-Ⅱ,SIR,MPP are used to evaluate the auditory speech ability and quality of life of the 104 hearing-impaired children.To compare the hearing and speech abilities of 5 groups,and explore whether boot time,hearing and speech ability are important factors affecting quality of life after cochlear implantation.Results The longer the CI was used,the higher the hearing ability and speech intelligibility of hearing-impaired children.The MPP improved the scores of communication,basic function and well-being(P<0.05).Hearing abilities affects two dimensions of quality of life,that is,communication and basic functions,while speech function affects two dimensions of communication and social relations.Conclusion The auditory speech ability of CI patients has improved significantly,and auditory speech has influence on quality of life.