人工耳蜗植入患者术后言语康复效果的问卷评估.pdfVIP

中国中西医结合耳鼻咽喉科杂志2008年第16卷第5期 341 人工耳蜗植入患者术后言语康复效果的问卷评估 陈穗俊 郑亿庆 许庚 梁象逢 区永康 刘翔。李湘辉 【摘要l目的 评价两种问卷式分级标准对人工耳蜗植入效果的直观评估效能。方法 应用问卷式听觉行为分级标准和 言语识别率分级标准分别评估人工耳蜗植入患者术后的言语感知能力和言语产生能力，并对患者的病程、术前助听器使用情 况、植入时间、康复模式4个因素与康复效果之间的相关性进行统计学分析。结果 人工耳蜗植入效果与患者的病程、植入时间 的长短以及康复模式有关，而与术前助听器使用情况无关。结论 听觉性行为分级标准及言语识别率分级标准能较客观地反映 人工耳蜗植入患者术后听觉言语能力的真实水平。 【关键词】人工耳蜗；言语康复；问卷 Evaluationonthespeechandlanguagerehabilitationeffectsforcasesreceived cochlearimplantbyquestionnaires CHENSuijun,ZHENYiqing．XUGeng,LIAGYiangfeng,0[／Yongkang,LIUXiang,LIXianghu 1)ept．of OtorhinoJsryngoJogy,thoSecondAffiliated]]ospital ofSun-Yat-Sen University,6uangzho~ 5io12o．Chnia [Abstract]0bjectiveToinvestigatethedirectlyevaluatingefficacyoftwosetsoflevel—discriminatingstandardsbyquestionnaires forhtetherapeuticeffectofcochlearimplantbasedonaclinicaltria1．Methods Utilizedinthissurveywerethequestionnairesoflevel- discriminatingstandardsofCategoriesofAuditoryPerformance(CAP)andSpeechIntelligibilityRatingcriteria(SIR)toevaluatethe speechpe~eptionandproducingabilitiesaftertheoperationofcochlearimplant．Moreover,analyzedstatisticallywashteassociationof therehabilitationeffectofhteprocedurewithohterfourpraameters，includinghtedurationofhearingloss，htetimelengthofhearingaid wearingbeforetheoperation，htewearingdurationofcochlearimplantandrehabilitationmodefollowinghtesurgery．Results Itwas shownfrom thisstudyhtattheefficacyofcochlearimplantwascloselyassociatedwiththedurationofhearingloss，htewearingduration ofcochlearimplantandrehabilitationmodefollowinghtesurgery,whilehterewasnosignificantassociationwiht htestautsofhearingaid wearingbefore hteoperation．Conclusion Itcanbeconcludedfrom thissutdyhtathtelevel—discrimniatingsatndradswithhteuseofCAP andSIRcanmoreobjectivelyreflectthereallevelofspeechandlanguagerehabilitationabiliytaftercochlearimplna