【摘要】：目的:探討語前聾患兒人工耳蝸植入術(shù)后患兒前語言交流能力的發(fā)展規(guī)律,初步分析影響前語言交流能力的相關(guān)因素。為患兒后期康復計劃提供一定的參考依據(jù)。方法:收集于2015年09月至2015年11月在貴州醫(yī)科大學接受人工耳蝸植入術(shù)的語前聾患兒31進行隨訪調(diào)查,平均年齡為46.71±24.78月,使用人工耳蝸時間均在12月以內(nèi),采用視頻分析法分別于開機后1、3、6、9、12月對患兒的輪流交流、主動交流、視覺交流及聽覺注意等4項前語言交流能力進行分析。根據(jù)患兒人工耳蝸植入年齡、術(shù)前有無康復、術(shù)前有無使用助聽器、術(shù)前殘余聽力進行分組,分析可能影響前語言交流能力相關(guān)因素。結(jié)果:1.隨著開機時間增加,前語言交流能力中的輪流交流及聽覺注意顯著增長,且各階段均值比較有統(tǒng)計學差異(p0.05)。主動交流及視覺交流得分較低,且各階段比較無統(tǒng)計學差異(p0.05)。2·術(shù)前有無康復、術(shù)前有無佩戴助聽器、術(shù)前殘余聽力這三因素中,各組間比較差異均存在顯著統(tǒng)計學意義(p0.05)。各階段人工耳蝸植入年齡組組間比較差異無統(tǒng)計學意義(p0.05)。結(jié)論:1.語前聾患兒人工耳蝸植入術(shù)后前語言交流能力的發(fā)展隨著開機時間增加,輪流交流(有聲回應(yīng))和聽覺注意顯著增長�；純涸谇罢Z言期建立"先聽后說"的模式。2.在前語言交流能力相關(guān)因素分析中發(fā)現(xiàn)術(shù)前殘余聽力好、術(shù)前佩戴助聽器、術(shù)前進行正規(guī)康復可能影響人工耳蝸植入術(shù)后患兒前語言交流能力的發(fā)展。3·早發(fā)現(xiàn)、早診斷、早干預(yù)、早治療,有利于患兒前語言交流能力發(fā)展,為聾兒后期的聽覺言語康復奠定良好的基礎(chǔ)。
[Abstract]:Objective: to investigate the development of preverbal communication in children with prelingual deafness after cochlear implantation, and to analyze the related factors affecting preverbal communication. To provide a certain reference for the later rehabilitation plan of children. Methods: children with prelingual deafness received cochlear implantation in Guizhou Medical University from September 2015 to November 2015 were followed up. The mean age was 46.71 鹵24.78 months, and the time of cochlear implantation was within 12 months. Video analysis method was used to analyze the four preverbal communication abilities of the children in turn on communication, active communication, visual communication and auditory attention in 12 months. According to the age of cochlear implant, the recovery before operation, the hearing aid before operation and the residual hearing before operation, the factors related to the ability of preverbal communication were analyzed. The result is 1: 1. With the increase of boot time, the rotational communication and auditory attention increased significantly in the preverbal communication ability, and the mean values of each stage were significantly different (p0.05). The scores of active communication and visual communication were low, and there was no statistical difference between the three stages (p0.05). 2 among the three factors, there was no recovery before operation, hearing aids before operation, residual hearing before operation. There was significant difference between the groups (p 0.05). There was no significant difference in cochlear implantation age group (p 0.05). Conclusion: 1. After cochlear implantation in children with prelingual deafness, the development of communication ability before cochlear implantation increased with the increase of boot time, and the alternation (sound response) and auditory attention increased significantly in children with prelingual deafness. Children in the pre-language period to establish a "listen before speaking" model. 2. In the analysis of factors related to preverbal communication ability, good residual hearing before operation, hearing aid before operation and normal rehabilitation before operation may affect the development of pre-verbal communication ability after cochlear implantation. 3 early detection and early diagnosis. Early intervention and early treatment are beneficial to the development of pre-verbal communication ability of children and lay a good foundation for the recovery of hearing and speech in later stage of deaf children.
【學位授予單位】：貴州醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R764.43

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