2—5岁小儿人工耳蜗植入术后的言语康复.doc

2—5岁小儿人工耳蜗植入术后的言语康复 中国康复医学杂志,2007年,第22卷,第1期ChineseJournalof些竺!:!:!!:1 2 . 临床研究. 5岁d,JL人工耳蜗植入术后的言语康复 郑秀瑾李海珍2张谊z张文露 摘要目的:探讨2—5岁语前聋dUL人工耳蜗植入术后听力语言言语训练的效果.方法:选择2001--2005年人工 耳蜗植入术后1个月开机即来我院言语训练的2—5岁d,JL64例.进行每周5d,3h/d的小组训练,坚持7个月以上, 回家后继续按语训教师的计划进行家庭训练.由单纯听功能训练开始,约4周后在听功能训练的同时加入言语训 练.结果:能正确发音单复韵母总数的50%,开始听觉复述,自主说出第一个有特定意义的词,能说出70个词汇并由 此进入三音词及双词句阶段的康复时间分别为108.0+7.7d,l15.0+7.8d,135.3+10.9d,200.3+13.9d.2—3岁组开机后 平均l0个月进入正常幼儿园.2—5岁内的不同年龄组,不同性别组在言语语言进程各阶段的康复时间均无显着性 差异:不同智商组在言语语言进程各阶段的康复时间均有显着性差异(均为Plt;0.01).结论:2—5岁语前聋d,JL人 工耳蜗植入术后.经听力语言训练,言语语言发生发展顺序与正常A,JL相同,各阶段时间明显缩短.影响康复速度的 主要因素是智力因素,与性别无关;高年龄者并未因认知优势而使康复速度增快. 关键词人工耳蜗;言语治疗:儿童康复 中图分类号:R764.43,R493文献标识码:A文章编号:100l一1242(2007)一0l—OO4l一03 Anapproachtothespeechrehabilitationofchildrenattheageof2to5yearsaftercochlear implantationfZHENGXiujin,LIHaizhen,ZHANGYi,etalJ/ChineseJournalofRehabilitationMedicine. 201F/,22(1):41--43 AbstractObjective:Tostudytheeffectsofspeechrehabilitationtrainingwhichwasappliedtoprelinguallydeaf childrenaftercochlearimplantationattheageof2—5years.Method:Sixty—fourchildrenreceivedacochlear implantattheageof2—5yearsfrom2001--2005.Theybegantobetrainedafterswitchon1month.Theywere trained3hoursperdayand5daysperweekbysingleauditorytrainingatthebeginning.Afterabout4weeks, theyweretrainedbybothauditorytrainingandspeech—languagetraining.Thewholetrainingprogramlastedmore than7months;afterthat,accordingtotheteachersplanthetrainingprogramewastobecontinuedathome. Result:Theperiodwas108土7.7daysthattheycouldpronouncecorrectly50%ofallofsimple-finalsand compound—finals,theperiodwas115.0~7.8daysthattheybeganauditoryrepeating,theperiodwas135.3~10.9 daysthattheycouldspeakthefirstspecificwordsindependentlyandtheperiodwas200.3~13.9daysthatthey couldspeak70wordsandcomeintotri-gamut-wordandtwo—wordsentenceperiod.Thechildrenattheageof 2—3yearscouldbeadmittedintonormalkindergartenafterswitchonabout10months.Therewasnosignificant differenceinvariousgradesofspeech-languagedevelopmentindifferentagegroupsandsodoindifferentsex groups.Ther