Influencing Factors and Coping Strategies of Auditory Speech Rehabilitation After Cochlear Implantation in Children
Objective To analyze the influencing factors of the score results of auditory speech rehabilitation after cochlear implantation in children.Methods The clinical data of 120 deaf children after cochlear implant in Nanyang Central Hospital from January 2015 to January 2020 were retrospectively collected.All of them were followed up for 24 months.All children's auditory behavior grades,language intelligibility grades and scores of infant meaningful auditory integration scale were compared before and 1,3,6,9,12,24 months after surgery,and the single factors influencing deaf children's auditory and verbal rehabilitation 24 months after cochlear implant were counted.The influencing factors of hearing and speech rehabilitation in deaf children 24 months after cochlear implantation were analyzed by multiple linear regression.Results The scores of auditory behavior,language intelligibility,and infant meaningful auditory integration scale of deaf children after cochlear implant were gradually increasing before and 1,3,6,9,12,and 24 months after the surgery,and the differences were statistically significant at different time points(P＜0.05).Multiple linear regression analysis showed that age≤3 years old at the time of implantation,having residual hearing before operation and wearing a hearing aid,electrode type of cochlear implant being bent electrode,guardian's parents,guardian's education level of high school or above,rehabilitation mode of rehabilitation institution joint family,and gene mutation type GJB2 were all the protective factors that influenced the scores of auditory behavior grading and eaningful auditory integration scale of deaf children 24 months after cochlear implant(P＜0.05).Age at implantation≤3 years old,having residual hearing before operation and wearing a hearing aid,electrode type of cochlear implant being bent electrode,guardian's education level of high school or above,rehabilitation mode being rehabilitation institution joint family,and gene mutation type GJB2 were all protective factors that affect the grading score of language intelligibility of deaf children 24 months after cochlear implant(P＜0.05).Conclusion The related factors that auditory and verbal rehabilitation of deaf children 24 months after cochlear implant include age at the time of implantation,having residual hearing before operation and wearing a hearing aid,electrode type of cochlear implant,guardian,rehabilitation mode and gene mutation type.Clinical intervention could be made to deaf children to promote their hearing and speech rehabilitation.
万方数据
维普
