人工耳蜗植入术后听力康复效果、相关经济因素研究.pdfVIP

言语效果一致；⑤家庭年收入较低的患儿19／35其听觉言语能力明显差于家庭 年收入较高的患儿16／35 P O．012 ，这一现象在语前聋对象中尤其明显，低 务和持久的康复训练也是至关重要的。结果显示耳聋 语前聋、语后聋 、开机 时间、家庭年收入、耳蜗价格四项因素对患儿的听觉能力有统计学意义；其中 语前聋患儿的家庭年收入、母亲学历、开机时间有统计学意义统计。家庭年收 入、耳蜗价格二项因素选入回归方程。 结论 ①家长及专业人员应重视术前的全面评估：②家长应充分了解人工耳蜗知 识，有助于聋儿术后得到及时有效的康复语言训练：⑨调查显示植入时间越长， 人工耳蜗植入患者的听觉康复效果越明显，故应重视听觉言语的长期培建；④ 家长应了解术后康复的基本过程和规律，以正确的态度和方式帮助孩子进行语 训：⑤政府和社会应增大人工耳蜗的投入使更多的家庭和孩子从该技术获益； ⑥家长应认识到并不是投入的金钱越多效果越好，相关人员应给出关键性的指 导避免不必要的投入。 关键词人工耳蜗植入；经济相关因素；听力康复；问卷。 4 Abstract ective Background0bj Moreandmoresevereandextremeseveresensorineural hearingloss SNHL to ale effortshavecochlear the of patientsmaking implant CD，whiletechnique cochlear is all whoneedCan implantprogressingrapidily．However,not CI patients afforditorbenefit becauseoffinancial knowhowto enough problems．To help andthe andthe those examinations rehabilitationafter patients pre-operative hearing cochlea asto valuable for rimplantationbyquestionnaires，SOprovide experiences therelative offerreferencesand for families． works，to helpsimplantees Methods A of are andfive series designed．Thirty questionares pre—lingual post·lingual cochlear wereinvolvedinthis implantees’families investigation．Theinvestigation includedthe before at mainly examinations of surgery, operation，typeimplant，age about aural／oral economic，the rehabilitation，the questions postoperative present and timeafter raterelated C1 hearing development，theworks，the speech satisfying to main and tothefamilies for implantation,problemssuggestions ready toassociated etc．SPSS16．0statisticssoftwareis departements implantation，advices onthesenumericalwhichFisherexactrateand performed data,in logisticregresstion are included． analysis Results 0 Theassessmentsof and were audiologyimagerelativelycomprehensive,but of deficient and test．②After the rate audiometryintdligence implantationsatisfying with aidshadnoobviousdifferencetothosewithout the hearing acousticon．③All deafchildren and rehabilitationintime． gainedpostoperativehearings