CAJ | 학술논문

目的：探讨内耳发育畸形且伴运动发育落后的极重度听障婴幼儿听觉能力启蒙与整体能力培建方法。方法选择内耳发育畸形极重度听障婴幼儿11例，采用听觉、视觉、触觉、大运动、精细运动等多种刺激并用的方法，对被试大脑皮层感应与运动发育进行康复训练，培建其对声音的反应和辨别能力，以及语言、认知等技能。结果11例患儿训练3个月后，听感知能力逐渐建立；6～13个月后7例感知声音明确，完成行为听力检查，为人工耳蜗植入手术后调机的行为反应奠定基础；2例在助听器补偿听力后完成听觉评估。结论以多感官同时刺激的方式对内耳发育畸形小龄婴幼儿的听觉意识及听神经回路的形成有促进作用。
목적：탐토내이발육기형차반운동발육락후적겁중도은장영유인은각능력계몽여정체능력배건방법。방법선택내이발육기형겁중도은장영유인11례，채용은각、시각、촉각、대운동、정세운동등다충자격병용적방법，대피시대뇌피층감응여운동발육진행강복훈련，배건기대성음적반응화변별능력，이급어언、인지등기능。결과11례환인훈련3개월후，은감지능력축점건립；6～13개월후7례감지성음명학，완성행위은력검사，위인공이와식입수술후조궤적행위반응전정기출；2례재조은기보상은력후완성은각평고。결론이다감관동시자격적방식대내이발육기형소령영유인적은각의식급은신경회로적형성유촉진작용。
Objective To explore the methods of auditory enlightenment and whole ability training in severe hearing impaired children with inner ear malformations and growth retardation .Methods Eleven severe hearing impaired children with inner ear malformations were chosen , and received the methods of multiple stimuli including auditory, vision, tactile sensation, large and fine motor and so on in order to train their skills including the response and discrimination of sounds , language , and cognition and so on .Results The abilities of hearing and sense were gradually establishment in children 3 months after the training .Seven children could perceive clearly sound , and finish the hearing examination after training 6-13 months so as to lay the foundation for behavioral responses after the cochlear implantation surgery .Two children finished the hearing assessment after the hearing compensation through the audiphone .Conclusions The methods of multiple stimuli in the different sense at the same time can promote the formation of auditory consciousness and auditory nerve loop in infants with inner ear malformations .