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目的:探讨儿童人工耳蜗植入效果的影响因素及对康复效果的影响,为提高儿童人工耳蜗植入者的康复效果提供参考依据。方法:对76例使用人工耳蜗装置超过1年的儿童患者;使用《儿童人工耳蜗植入者调查问卷》,由经过培训的专业人员与患者及家属通过面对面或电话进行调查。结果:①术前使用过助听器并接受过康复训练时间超过3个月(康复训练组)和未使用过助听器也无康复训练(对照组)的两组患者,在开机后能对环境声音进行识别所需的时间不同,康复训练组患者所需的时间平均为0.9个月,对照组患者为1.9个月,两组差异有显著性(t=2.899,P<0.05)。②6岁以下接受手术(A组)和6岁以上手术(B组)的两组患者,经训练后可以进行基本交流、对话的人数不同,A组为81.4%(35/43),B组为59.3%(16/27),两组差异有显著性(χ2=4.110,P<0.05)。③术前患者及家属的期望值合理(C组)和不合理(D组)的两组患者,术后的满意度存在差异,C组满意率为73.6%(39/53),D组为42.1%(8/19),两组差异有显著性(χ2=6.115,P<0.05)。结论:术后康复效果与术前是否接受过助听器适应训练和康复训练有关;手术年龄越小,术后康复效果越好;术后患者家属的满意度与术前期望值是否合理有关,同时也可影响术后康复效果。
Objective: To explore the influencing factors of cochlear implants in children and its effect on rehabilitation, and to provide reference for improving the rehabilitation of cochlear implants in children. METHODS: Totally 76 children with cochlear implants for more than 1 year were surveyed by trained professionals with their patients and their families either face-to-face or by telephone, using the Children’s Cochlear Implant Survey Questionnaire. Results: ① The two groups of patients who had used hearing aids before surgery and who had received rehabilitation training for more than 3 months (rehabilitation training group) and those who did not use hearing aids or rehabilitation training (control group) were able to recognize the environmental sound after power-on The average time required for rehabilitation training patients was 0.9 months and that for control subjects was 1.9 months. There was significant difference between the two groups (t = 2.899, P <0.05). ② The two groups of patients under 6 years of age who underwent surgery (group A) and those over 6 years of age (group B) were able to communicate basically after training. The number of conversations varied from 81.4% (35/43) in group A to 59.3% (16/27), the difference between the two groups was significant (χ2 = 4.110, P <0.05). ③ There was a difference in satisfaction between the two groups of patients with reasonable expectation (group C) and unreasonable (group D) before surgery. The satisfaction rate in group C was 73.6% (39/53) and in group D was 42.1 % (8/19), the difference between the two groups was significant (χ2 = 6.115, P <0.05). Conclusion: The effect of postoperative rehabilitation is related to the preoperative hearing aid adaptation training and rehabilitation training. The younger the surgery is, the better the postoperative rehabilitation is. The satisfaction of the patients with postoperative patients with the preoperative expectations is also relevant Affect postoperative recovery effect.