【摘要】 目的 比较学龄前儿童不同间隔时间序贯植入双侧人工耳蜗术后听觉效果。方法 选取2022年2月～2023年5月在本院诊治的45例13～68个月学龄前儿童,按序贯植入的间隔时间分为双侧人工耳蜗序贯植入1组（sequential bilateral cochlear implantation I,SBCI₁）10例（间隔<12个月）、SBCI₂组23例（间隔12～23个月）及SBCI₃组12例（间隔24～36个月）,分别在首次人工耳蜗植入时（T₀）、对侧耳蜗植入时（T₁）及双侧耳蜗植入1年后（T2）,采用父母版言语空间特性量表（the speech,spatial and qualities of hearing scale-parent’s version,SSQ-P）、儿童听力/口语评估家长问卷（parents’evaluation of aural/oral performance of children,PEACH）及言语可懂度分级问卷（SIR）评估患儿听觉康复效果。结果 （1）双侧人工耳蜗植入1年后（T₂）,3组儿童的听觉能力相近（P>0.05）。（2）双侧人工耳蜗植入1年后（T₂）,3组儿童的听觉能力较对侧人工耳蜗植入时（T₁）显著改善;对侧耳蜗植入时（T₁）,3组儿童的听觉能力较首次植入时（T₀）显著改善（P<0.01）。（3）T₀～T₁期间,SBCI₂、SBCI₃组的SSQ-P、PEACH得分增长水平高于SBCI1组;SBCI₃组SIR得分增长水平显著高于SBCI₁组（P<0.01）。T₁～T₂期间,SBCI1组的SSQ-P得分增长水平高于SBCI₂,SBCI₂组高于SBCI₃组;SBCI₁、SBCI₂组PEACH得分增长水平显著高于SBCI₃组（P<0.01）。结论 学龄前儿童不同间隔时间序贯植入双侧人工耳蜗术后短期听觉能力相近,但植入间隔时间越短的患儿获得听觉效果增益越早,应合理制订康复计划,促进患儿全面康复。更多还原

【Abstract】 Objective To compare the auditory effects of sequential implantation of bilateral cochlear implants at different intervals in preschool children.Methods 45 preschool children aged 13-68 months who were treated in our hospital from February2022 to May 2023 were selected and divided into SBCI₁ group of 10 cases（interval<12 months）,SBCI₂ group of 23 cases（interval12-23 months）,and SBCI₃ group of 12 cases（interval 24-36 months） according to the interval of sequential implantation.At the time of the first cochlear implantation（T₀）,contralateral cochlear implantation（T₁）,and one year after bilateral cochlear implantation（T₂）,the auditory effects of the children were evaluated using The Speech,Spatial And Qualities Of Hearing Scale-Parent’s Version（SSQ-P）and Parents’ Evaluation Of Aural/Oral Performance Of Children（PEACH）,Speech Intelligibility Rate（SIR）.Results One year after bilateral cochlear implantation（T2）,the auditory abilities of the three groups of children were similar（P>0.05）.After one year of bilateral cochlear implantation（T2）,the auditory ability of the three groups of children significantly improved compared to the contralateral cochlear implantation（T₁）.During contralateral cochlear implantation（T₁）,the auditory abilities of the three groups of children were significantly improved compared to the first cochlear implantation（T₀）（P<0.01）.From T₀ to T₁ the growth levels of SSQ-P and PEACH scores in the SBCI₂ and SBCI₃ groups were higher than those in the SBCI₁ group.The SIR score growth level of SBCI₃ group was higher than that of SBCI₁ group（P<0.05）.From T₁ to T₂,the SSQ-P score growth level in the SBCI₁ group was higher than that in the SBCI₂ group,and SBCI₂ was higher than that in the SBCI₃ group.The growth level of PEACH scores in SBCI₁and SBCI₂ groups was higher than that in SBCI₃ group（P<0.01）.Conclusion Preschool children who undergo sequential bilateral cochlear implantation at different intervals have similar short-term auditory abilities,but the shorter the implantation interval,the earlier the auditory effect gain.A precise rehabilitation plan should be developed to promote comprehensive recovery of the children.更多还原