曹永茂，龙墨，夏彬，雷培香，银力.术前配戴助听器对人工耳蜗植入后康复的作用[J].中华物理医学与康复杂志,2003,(4):.-
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| 术前配戴助听器对人工耳蜗植入后康复的作用 |
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| DOI： |
| 中文关键词: 人工耳蜗 助听器 康复 |
| 英文关键词: Cochlear implant Hearing aid Rehabilitation |
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| 摘要点击次数: 2492 |
| 全文下载次数: 2023 |
| 中文摘要: |
| 目的了解人工耳蜗植入前配戴助听器对人工耳蜗植入后康复的作用。 方法选取人工耳蜗植入后进行康复训练的58例患者，其中男36例，女22例，年龄为2.5~3岁。按照术前配戴助听器的时间不同，分为A、B、C 3组，A组为12例没有配戴过助听器的患者，B组为15例配戴了2~4个月助听器的患者，C组为31例配戴了10~13个月助听器的患者，分别测试植入并开机训练后1周、1个月、3个月的补偿听阈、Ling' s 6音、听音辨图等项目。 结果开机后1周和1个月时3组的补偿听阈之间差异均无显著性（P>0.05），B、C组在开机3个月时的补偿听阈要比A组好（P<0.05）；开机1周和开机1个月时B、C组Ling's 6音的识别率要比A组明显高（P< 0.01），且C组的识别率也要比B组明显高（P< 0.01），而在开机3个月时3组的识别率无明显差异；A、B、C 3组在同期的听音辨图的能力依次增高（P<0.01）。 结论人工耳蜗术前配戴助听器比未配戴助听器的效果好，术前配戴助听器10~13个月的比配戴了2~4个月的效果好。 |
| 英文摘要: |
| Objective To explore the influence of hearing aid fitting before artificial cochlear implantation (ACI) on the outcome of post-operative rehabilitation in children. MethodsFifty-eight children（36 male and 22 females）aged 2.5 to 3.0 years and implanted with artificial cochlear were recruited and divided into 3 groups: Group A(n=12) who had never been fitted the hearing aid before ACI , Group B(n=15) received hearing aid for 2~4 months before ACI, and Group C(n=31) for 10~30 months before ACI. The aided hearing threshold as well as the Ling's 6 sounds tests were administered to all the children after they were implanted with the artificial cochlear and trained for 1 week, 1 and 3 months, respectively. ResultsThere was no significant difference among the 3 groups, in terms of the aided hearing threshold, at 1 week and 1 month after the implantation (P>0.05). The Ling' s 6 sounds recognizing scores of groups B and C were significantly higher than those of group A (P<0.05) at 1 week and 1 month after switch-on of the implants, with group B, significantly higher than group C(P<0.01). ConclusionBeneficial effect can be expected if hearing aid fitting is given to children before the artificial cochlear implantation. |
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