中华耳科学杂志2017，Vol.15Issue(2)：207-212,6.DOI:10.3969/j.issn.1672-2922.2017.02.013
大龄儿童及青少年人工耳蜗植入后早期认知功能发展的评估
Evaluation of Early Cognitive Functions in Older Children and Teenager Recipients of Cochlear Implants
摘要
Abstract
Objective To explore the effect of early rehabilitation of cognitive function after cochlear implantation in prelingually older children and teenagers. Methods The categories of auditory performance (CAP), speech intelligibil-ity rating (SIR) and the electronic cognitive assessment system (E-CAS) were used to evaluate twenty prelingually heavy-profound hearing loss patients'auditory, speech performances and cognitive function. The rehabilitation of cogni-tive function was analyzed after cochlear implantation. Results The scores of CAP、SIR and E-CAS in different ages groups were all increased with time after cochlear implantation. Significance differences in the older childrens'simulta-neous processing capacity (P=0.02), attention capacity (P=0.03) and in the teenagers'attention capacity (P=0.00) were observed at the end of the 6th month after cochlear implantation. Significance differences in planning processing capaci-ty of two groups at the end of 1 year (P<0.001). But normal people's score is still higher than patients with cochlear im-plantation (P<0.001). Conclusion Although auditory,language ability and cognitive function are found to be enhanced after cochlear implantation,but the overall cognitive level is still lower than normal children. The restore of cognitive funtion needs a longer time. E-CAS is a useful instrument to evaluate the effect of rehabilitation of cognitive functionin children after CI.关键词
大龄儿童/青少年/人工耳蜗植入术/康复/认知功能Key words
Older children/Teenagers/Cochlear implantation/Rehabilitation分类
医药卫生引用本文复制引用
胥亮,刘闽,唐凤珠,史敏,瞿申红,梁建平,陆秋天,秦岭,李丹丹..大龄儿童及青少年人工耳蜗植入后早期认知功能发展的评估[J].中华耳科学杂志,2017,15(2):207-212,6.基金项目
国家自然科学基金资助项目(No:81460097) （No:81460097）
广西医疗卫生适宜技术研究与开发课题(No:S20142105) （No:S20142105）
广西壮族自治区卫生厅自筹经费科研课题(No:Z2014215、Z2015351、Z2016593及Z2016608) Fund project:the national natural science fund project (No:81460097) （No:Z2014215、Z2015351、Z2016593及Z2016608）
Guangxi healthcare suitable technology research and devel-opment project (No:S201421_05) （No:S201421_05）
The guangxi zhuang autonomous region health department self-financing scientific research subject (No:Z2014215 Z2015351 Z2016593 and Z2016608) （No:Z2014215 Z2015351 Z2016593 and Z2016608）
