| 王佩茹,许艺莲,鄞曼钿,等.情绪状态对语后聋病人人工耳蜗植入术后听觉言语康复效果的影响[J].安徽医药,2026,30(5):952-956. |
| 情绪状态对语后聋病人人工耳蜗植入术后听觉言语康复效果的影响 |
| The impact of emotional state on the auditory and speech rehabilitation outcomes in post-lingually deaf patients after cochlear implant surgery |
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| DOI：10.3969/j.issn.1009-6469.2026.05.021 |
| 中文关键词: 情绪 语后聋 耳蜗植入术 听觉言语 康复效果 |
| 英文关键词: Emotion Post-lingual deafness Cochlear implantation Auditory and speech Rehabilitation outcomes |
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| 中文摘要: |
| 目的探究情绪状态对语后聋病人人工耳蜗植入术后听觉言语康复效果的影响。方法选取 2020年 2月至 2022年 2月在海南医学院第二附属医院接受人工耳蜗植入术的语后聋病人 63例，采用随机数字表法分为两组，对照组 31例进行中性情绪干预，研究组 32例进行积极情绪干预，比较两组术后 6个月听阈、言语识别率，比较两组术后 3个月、术后 6个月的听觉行为分级标准( CAP)、言语可懂度分级( SIR)和有意义听觉整合量表( MAIS)及汉密尔顿焦虑( HAMA)、抑郁( HAMD)评分。结果术后 6个月，在 0.5、1.0、2.0、4.0 kHz声场下两组病人听阈比较，均差异无统计学意义( P>0.05)；与对照组相比，研究组对声母［( 71.21±13.26)%比( 64.06±10.23)%］、韵母［( 73.56±12.26)%比( 66.12±8.61)%］、声调［( 82.26±9.89)%比( 70.03±8.26)%］及短句［( 63.26±18.26)%比( 53.15±12.01)%］的识别率升高( P<0.05)但对双音节词的识别率比较，差异无统计学意义［( 66.26± 12.22)%比( 62.00±17.26)%，P>0.05］。术后 3个月两组 CAP、SIR、M，AIS比较，差异无统计学意义( P>0.05)术后 6个月两组 CAP、MAIS均较术后 3个月升高，且研究组 CAP［( 5.78±1.12)级比( 5.02±1.26)级］、 MAIS［(25.55±5.02)分比(22，.26±5.78)分］高于对照组( P<0.05)；两组术后 6个月的 SIR与术后 3个月比较差异无统计学意义，且组间比较均差异无统计学意义( P>0.05)。术后 6个月两组 HAMA、HAMD评分较术前 3个月降低，且术后 3个月、 6个月研究组 HAMA、HAMD评分均低于对照组( P<0.05)。术后 3个月 HAMA和 HAMD评分与其 CAP、SIR、MAIS无明显相关性( P>0.05)术后 6个月病人的 HAMA和 HAMD评分与其 CAP、MAIS呈中等程度负相关( P<0.05)，但 HAMA和 HAMD评分与其 SIR无明关性。结论积极情绪状态对语后聋病人人工耳蜗植入术后听觉言语存在积极影响，可以提高病人的声母、韵母、声调及短句的识别能力及术后 CAP、MAIS，因此显相，需密切关注病人的情绪状态，必要时给予一定情绪引导。 |
| 英文摘要: |
| Objective To investigate the impact of emotional state on the auditory and speech rehabilitation outcomes in post-lingual. ly deaf patients after cochlear implant surgery.Methods Sixty-three post-lingually deaf patients who underwent cochlear implant sur.gery at the Second Affiliated Hospital of Hainan Medical College from February 2020 to February 2022 were randomly divided into twogroups using a random number table: the control group (n=31) received neutral emotional intervention, while the experimental group (n= 32) underwent positive emotional intervention. The patients' hearing thresholds, speech recognition rates at 6 months post-operation,and the scores of categories of auditory performance (CAP), speech intelligibility rating (SIR), meaningful auditory integration scale(MAIS), Hamilton anxiety (HAMA), and depression (HAMD) at 3 and 6 months post-operation were recorded and compared. Results At 6 months post-operation, there was no significant difference in hearing thresholds at 0.5, 1.0, 2.0, and 4.0 kHz between the two groups (P>0.05). Compared to the control group, the experimental group showed improved recognition of initials [(71.21±13.26)% vs. (64.06±10.23)% ], finals [(73.56±12.26)% vs. (66.12±8.61)% ], tones [(82.26±9.89)% vs. (70.03±8.26)% ], and short phrases [(63.26± 18.26)% vs. (53.15±12.01)%] (P<0.05), but no significant difference in the recognition of bisyllabic words [(66.26±12.22)% vs. (62.00± 17.26)%, P>0.05]. There were no significant differences in CAP, SIR, and MAIS scores between the two groups at 3 months post-opera. tion (P>0.05), but both CAP [(5.78±1.12)grade vs. (5.02±1.26)grade] and MAIS scores [(25.55±5.02)point vs. (22.26±5.78)point] in. creased at 6 months post-operation, with higher scores in the experimental group (P<0.05). There was no significant change in SIR scores from 3 to 6 months post-operation within or between groups (P>0.05). HAMA and HAMD scores decreased at 6 months post-op. eration compared to 3 months pre-operation, and were lower in the experimental group at both 3 and 6 months post-operation (P<0.05). There was no significant correlation between HAMA and HAMD scores and CAP, SIR, and MAIS (P>0.05), and HAMA and HAMDscores were moderate with CAP and MAIS (P <0.05), but HAMA and HAMD scores had no significant correlation with SIR.Conclu. sions A positive emotional state has a favorable impact on the auditory and speech recognition capabilities of post-lingually deaf pa.tients after cochlear implant surgery, improving their ability to recognize initials, finals, tones, short phrases, and their CAP and MAISscores post-operation. Thus, close attention should be paid to the patients' emotional state, with necessary emotional guidance providedwhen needed. |
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