CAJ | 학술논문

目的：探讨音乐疗法对语前聋患儿人工耳蜗植入术后听觉言语康复的效果。方法选取107例语前聋人工耳蜗植入患儿，分为对照组（50例）和观察组（57例），对照组采用常规听觉言语康复训练，观察组在采用与对照组相同康复训练的基础上加用音乐疗法，在训练后3、6、12个月分别对两组对象进行听觉能力分级评估（CAP）、言语可懂度分级评估（SIR）及听觉言语识别能力评估，比较两组康复效果。结果训练前，观察组患者CAP 为2．85±0．02级，SIR 为2．92±0．03级，听觉言语识别能力为59．51±5．41分，对照组分别为2．92±0．03级、1．05±0．02级、58．99±4．31分，两组差异无统计学意义（P＞0．05）；康复训练3、6、12个月后，两组患儿上述评估指标较训练前均有不同程度改善，康复训练时间越长，改善越明显，且观察组患儿 CAP 分级、SIR 分级和听觉言语识别能力均明显优于对照组相同时间段，差异有统计学意义（P＜0．05）；训练3个月时，观察组上述各项指标明显优于训练前（P＜0．05），而对照组与训练前差异无明显统计学意义（P＞0．05）；训练12个月时观察组 CAP（6．95±0．34级）、SIR（4．37±0．09级）、听觉言语识别能力（92．03±11．32分）均明显优于训练前及训练3、6个月时和对照组（CAP 为4．09±0．13级，SIR 为3．21±0．08级，听觉言语识别能力为80．01±10．11分）（P＜0．05）。结论音乐疗法可明显改善语前聋人工耳蜗植入术后患儿的听觉言语康复训练效果，提高其听觉行为分级、言语可懂度分级和听觉言语识别能力。
목적：탐토음악요법대어전롱환인인공이와식입술후은각언어강복적효과。방법선취107례어전롱인공이와식입환인，분위대조조（50례）화관찰조（57례），대조조채용상규은각언어강복훈련，관찰조재채용여대조조상동강복훈련적기출상가용음악요법，재훈련후3、6、12개월분별대량조대상진행은각능력분급평고（CAP）、언어가동도분급평고（SIR）급은각언어식별능력평고，비교량조강복효과。결과훈련전，관찰조환자CAP 위2．85±0．02급，SIR 위2．92±0．03급，은각언어식별능력위59．51±5．41분，대조조분별위2．92±0．03급、1．05±0．02급、58．99±4．31분，량조차이무통계학의의（P＞0．05）；강복훈련3、6、12개월후，량조환인상술평고지표교훈련전균유불동정도개선，강복훈련시간월장，개선월명현，차관찰조환인 CAP 분급、SIR 분급화은각언어식별능력균명현우우대조조상동시간단，차이유통계학의의（P＜0．05）；훈련3개월시，관찰조상술각항지표명현우우훈련전（P＜0．05），이대조조여훈련전차이무명현통계학의의（P＞0．05）；훈련12개월시관찰조 CAP（6．95±0．34급）、SIR（4．37±0．09급）、은각언어식별능력（92．03±11．32분）균명현우우훈련전급훈련3、6개월시화대조조（CAP 위4．09±0．13급，SIR 위3．21±0．08급，은각언어식별능력위80．01±10．11분）（P＜0．05）。결론음악요법가명현개선어전롱인공이와식입술후환인적은각언어강복훈련효과，제고기은각행위분급、언어가동도분급화은각언어식별능력。
Objective To investigate hearing and speech rehabilitation effects of music therapy for prelingual-ly deaf children with cochlear implantation.Methods A total of 107 cases of prelingual deaf children with cochlear implantation were selected and divided into control group (n=50)and observation group (n= 57 ).The control group was given conventional hearing and speech rehabilitation training while the observation group was given more music therapy.Before and 3 months,6 months and 12 months after rehabilitation training,the auditory behavior level (CAP),speech understand the grading (SIR)and the auditory speech recognition ability from the 2 groups were compared.ResuIts Before training,CAP of the observation group was 2.85±0.02 level,SIR was 2.92±0.03 and hearing and speech recognition ability was 59.51±5.41,while the control group yielded levels of 2.92±0.03, 1.05±0.02 and 58.99±4.31 respectively.The difference between the two groups was statistically insignificant (P>0.05).After training for 3,6,and 12 months,the two groups had different degrees of improvement in hearing and speech rehabilitation:the observation group in the CAP was up to 6.95±0.34 level,SIR up to 4.37±0.09 level,and hearing and speech recognition capacity up to 92.03 ± 11.32,showing significantly more improvements than those of in control group (P<0.05).ConcIusion Music therapy can significantly improve the effects of the hearing and speech rehabilitation training in cochlear implantation in prelingually deafened patients.The auditory behavior after rehabilitation training classification,speech intelligibility rating and auditory speech recognition ability can also be improved.