人工耳蜗植入工作指南（Guidelines for cochlear implant work）.docVIP

人工耳蜗植入工作指南（Guidelines for cochlear implant work） The cochlear implant is a biomedical engineering device that helps deaf people recover their hearing and speech communication skills. The cochlear implant is a new technology in the field of medicine and rehabilitation, so in the selection of indications and perioperative evaluation, surgery, postoperative machine and hearing and speech rehabilitation are a reference standard. This guide is intended to provide guidance for clinicians, engaged in the work of hearing and speech rehabilitation workers, the cochlear implant in our country to achieve standardization and standardization, so as to improve the therapeutic effect, to avoid unnecessary risks. Cochlear implantation involves medical, audiology, biomedical engineering, pedagogy, psychology and sociology and other fields, to aurist and listening teachers, speech therapists, training teachers, engineers and parents together constitute the cochlear implant group, collaborative work. Selection of indications First, the patient selection criteria For severe or very severe deafness in both ears, the cochlear implant can be used for localizing the lesion to the cochlea. Selection criteria for deaf patients before speech: 1. bilateral severe or profound sensorineural hearing loss; the best age should be 12 months to 5 years; the right of hearing aids, hearing rehabilitation training after 3 ~ 6 months after hearing language ability has no obvious improvement; and there is no contraindication; the family and (or) implanted himself the correct understanding and appropriate expectations for cochlear hearing; the language rehabilitation education conditions. The smaller the age at which the preoperative deaf patients operate, the better the effect of hearing deprivation and expanding the potential of speech and language skills before the critical period of brain plasticity. More than 6 year old children or adolescents need to have some hearing language foundation, was a heari