中国听力语言康复科学杂志2016，Vol.14Issue(4)：255-258,4.DOI:10.3969/j.issn.1672-4933.2016.04.004
3～6岁儿童人工耳蜗植入后听觉言语能力发育规律探讨
The Development of Auditory and Speech Abilities in Preschool Children after Cochlear Implantation
摘要
Abstract
Objective The purpose of this study is to analyze the auditory and speech abilities of preschool children before and after cochlear implantation by using MAIS and MUSS and to provide clinical evidence for rehabilitation. Methods 61 prelingually hearing-impaired preschool children with cochlear implants participated in this study. The age at cochlear implantation ranged from 36 to 72 months. The audiologists who were trained for the research used the MAIS and MUSS questionnaires. The evaluation was performed before operation and 6, 12, 24, 36, 48, and 60 months after switch-on.Results The score percentages of MAIS were significantly different between pre-operation and 6, 12, 24, 36, 48, and 60 months after switch-on (P<0.05). The scores of MAIS were significantly different between 6 months and 12, 24, 36, 48, and 60 months after switch-on (P<0.05). The score percentages of MAIS were significantly different between 12 months and 36, 48, and 60 months after switch-on (P<0.05). The score percentages of MAIS were significantly different between 24 months and 36, 48, and 60 months after switch-on (P<0.05). The score percentages of MAIS were not significantly different between 36 months and 48, 60 months after switch-on (P>0.05). The scores of MAIS were not significantly different between 48 months and 60 months after switch-on (P>0.05). The score percentages of MUSS were significantly different between pre-operation and 6, 12, 24, 36, 48, and 60 months after switch-on (P<0.05). The score percentages of MUSS were significantly different between 6 months and 12, 24, 36, 48, and 60 months after switch-on (P<0.05). The score percentages of MUSS were significantly different between 12 months and 24, 36, 48, and 60 months after switch-on (P<0.05). The scores of MUSS were significantly different between 24 months and 36, 48, and 60 months after switch-on (P<0.05). The score percentages of MUSS were significantly different between 36 months and 60 months after switch-on (P<0.05). The score percentages of MUSS were not significantly different between 48 months and 60 months after switch-on (P>0.05). The score percentages of MAIS had a significant increase in the first 36 months after switch-on (P<0.05). The scores of MUSS increased significantly,especially in the first 48 months after switch-on (P<0.05).Conclusion After the cochlear implantation, a significant increase in auditory and speech capability occurred, and the development of speech ability was slower than the auditory capability. These two questionnaires could be used for the assessment of cochlear implant outcomes in preschool children.关键词
学龄前儿童/人工耳蜗/有意义听觉整合量表/有意义使用言语量表/康复训练Key words
Preschool child/Cochlear implant/MAIS/MUSS/Rehabilitation引用本文复制引用
郭倩倩,亓贝尔,王硕,吴燕君,陈雪清,孟超,孔颖,徐天秋,吕静,尤妍颜,李玉玲,董瑞娟..3～6岁儿童人工耳蜗植入后听觉言语能力发育规律探讨[J].中国听力语言康复科学杂志,2016,14(4):255-258,4.基金项目
北京市医院管理局临床医学发展专项-2015年度“扬帆”计划临床技术创新项目（XMLX201514)；首都市民健康项目培育专项项目（Z141100002114033）；首都卫生发展科研专项项目 （）
