摘要
目的 探讨康复模式对先天性重度或极重度感音神经性聋婴幼儿听觉言语能力的影响。方法 依据康复模式将63例确诊为重度或极重度感音神经性聋婴幼儿分为A组（21例,仅家庭康复模式）、B组（19例,仅康复机构康复模式）、C组（23例,家庭与康复机构相结合康复模式）,采用听觉行为分级（categories of auditory performance,CAP）、言语可懂度分级（speech intelligibility rating,SIR）、婴幼儿有意义听觉整合量表（infant-toddler meaningful auditory integration scale,IT-MAIS）、有意义言语使用量表（meaningful use of speech scale,MUSS）对各组受试者听觉干预前（0个月）和听觉干预后（3、6、9、12个月）的听觉言语能力发展效果进行评估比较。结果重复测量方差分析结果显示,各组听障婴幼儿在听觉干预3-12个月期间,C组四种评估问卷得分均值明显高于A组和B组相对应的得分均值,差异均有统计学意义（P〈0.05）。结论 家庭与康复机构相结合的康复模式更有利于听障婴幼儿早期听觉言语能力的提升。
Objective To analyze the auditory skills and speech development in congenital severe or profound hearing impaired infants and toddlers of 3-36 months in early intervention under different rehabilitation modes.Methods Based on different rehabilitation modes,63 infants and toddlers with severe or profound hearing loss were divided into group A（family rehabilitation mode）,group B（institutional rehabilitation mode）,and group C（family plus institutional rehabilitation modes）,using questionnaires of categories of auditory performance（CAP）,speech intelligibility rating（SIR）,infant-toddler meaningful auditory integration scale（IT-MAIS）,meaningful use of speech scale（MUSS）to assess and analyze auditory skills and speech development before intervention（0 month）and after intervention（3months,6months,9months and 12months）.Results The mean scores of CAP,SIR,IT-MAIS and MUSS of group C were higher than those of groups A and B under auditory intervention from three months to twelve months.The mean scores of CAP,SIR,IT-MAIS and MUSS were significantly different between group C and group A or group B（P〈0.05）.Conclusion Family plus institutional rehabilitation modes have more advantages to promote auditory skills and speech development of hearing impaired infants and toddlers with auditory invention.
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2015年第6期630-634,共5页
Journal of Audiology and Speech Pathology
基金
首都卫生发展科研专项项目(首发2014-3-1091)
关键词
婴幼儿
听力障碍
康复模式
听觉言语能力
Infants
Hearing loss
Rehabilitation modes
Auditory skill and speech development
