CAJ | 학술논문

目的分析影响人工耳蜗植入儿童术后1年的听觉、语言能力发展的外在因素,为实施康复效果质量监控及改善安置策略提供指导.方法选取241例资料完整已接受为期1年系统康复训练的人工耳蜗植入儿童为调查对象,以其术后不同安置时段(3个月、6个月、9个月和12个月)的评估数据(包括听觉能力、语言能力、学习能力成绩)为参考,采用相关性分析的方法,研究不同安置时段内,外在因素与听力语言康复效果之间的相关性.结果人工耳蜗植入年龄、术前语训时间与术后3个月、6个月时的听觉能力、语言能力评估成绩之间存在低度以上的线性相关(|r|≥0.3,P<0.01),但在6个月后,相关性不显著(|r|<0.3,P>0.01).结论①人工耳蜗植入儿童术后1年的康复效果受到来自外在因素的影响;②外在因素中人工耳蜗植入年龄、术前语训时间是影响人工耳蜗植入儿童术后1年康复效果的直接因素;③不同外在因素对人工耳蜗植入儿童术后1年不同安置时段的听觉能力和语言能力康复效果的线性影响程度不尽相同.
목적분석영향인공이와식입인동술후1년적은각、어언능력발전적외재인소,위실시강복효과질량감공급개선안치책략제공지도.방법선취241례자료완정이접수위기1년계통강복훈련적인공이와식입인동위조사대상,이기술후불동안치시단(3개월、6개월、9개월화12개월)적평고수거(포괄은각능력、어언능력、학습능력성적)위삼고,채용상관성분석적방법,연구불동안치시단내,외재인소여은력어언강복효과지간적상관성.결과인공이와식입년령、술전어훈시간여술후3개월、6개월시적은각능력、어언능력평고성적지간존재저도이상적선성상관(|r|≥0.3,P<0.01),단재6개월후,상관성불현저(|r|<0.3,P>0.01).결론①인공이와식입인동술후1년적강복효과수도래자외재인소적영향;②외재인소중인공이와식입년령、술전어훈시간시영향인공이와식입인동술후1년강복효과적직접인소;③불동외재인소대인공이와식입인동술후1년불동안치시단적은각능력화어언능력강복효과적선성영향정도불진상동.
@@@@Objective To analyze the external factors that affect the auditory and language development of children with cochlear Implants during one year of postoperative training, so as to provide guidance for outcome supervision and strategy improvement. Methods 241 children with cochlear implants who have received one-year systematic rehabilitation were selected as subjects. The correlation between external factors and auditory language rehabilitation outcomes were studied through correlation analysis based on assessment results (auditory skills, language skills and learning scores) at different postoperative intervals (3, 6, 9, 12 months). Results In terms of external factors, the cochlear implantation age and the preoperative language training time were in significant correlation with auditory and language skills at 3 months or 6 months placement intervals (|r| ≥ 0.3, P<0.01). However after 6 months, such correlations were not significant (|r|< 0.3, P>0.01). Conclusion (1) The outcome of one year rehabilitation after surgery is affected by external factors. (2) The age of cochlear implantation and preoperative training time are the direct factors that affect the rehabilitation outcome one year after the surgery. (3) Different external factors have different impacts on the auditory and language rehabilitation outcomes at different placement time.