Influencing Factors Analysis On Speech Rehabilitation Efficacy Of Deafened Children After Cochlear Implantation

Objective:Analyzing the correlation of factors with the rehabilitation of patients after cochlear implantation, to explore the development of the law of hearing rehabilitation and cochlear factors in children after cochlear implantation, in order to identify some of the initial evaluation and predict postoperative rehabilitation basis.Methods:We choose138cases of severe sensorineural deafness with the cochlear implantation. Using epidemiological methods of cross-sectional study to inform the purpose and significance of the research object of this study with"informed consent", select the questionnaire clinical data, including general information of children, namely (age, gender, deafness nature, found former age, surgery or without verbal intervention, cochlear implant age, parental education and family economic status and surgery after recovery mode, etc.), as well as meaningful comprehensive hearing test middleweight (MAIS) for preoperative assessment of hearing function, and assessment of children with hearing rehabilitation.Results1.The results showed that MAIS score lower in younger group (t=-4.294,P=0.000), MAIS scores is significant different in the group which accepting verbal intervention on children (F=-15.225,P=0.000), the lower the educational level, the lower the children’s MAIS scores (F=-22.714,P=0.000), MAIS scores in higher family income group were higher than lower family income(t=-15.056,P=0.000), and it is better to receive rehabilitation training (t=-8.296, P=0.000), but sex, length of time and cochlear have no significant effect on MAIS scores (t=-0.398, P=0.069; t=-0.713, P=0.477; t=-0.736, P=0.468).2.MAIS score as the dependent variable, gender, age at implantation, implantation time, verbal intervention, parental education, family economic situation, postoperative recovery mode, cochlear development situation as independent variables, the results showed, in addition to gender, time period and cochlear development have no significant correlation on MAIS score.but MAIS scores in age, verbal intervention, parental education, family economic situation postoperative recovery mode were positively correlated (rs=0.323,P=0.000;rs=0.430,P=0.000;rs=0.618,P=0.000;rs=0.812,P=0.000;rs=0.5873,P=0.000).3.Stepwise multiple linear regression showed that family economic situation> parents’ education level> preoperative verbal intervention> postoperative recovery mode> age at implantation were important to hearing, the family economic situation (t=7.985, P=0.000), parental education level (t=4.231, P=0.000) and verbal intervention (t=2.764, P=0.007) were significantly impact on MAIS score, the rest indexes have no significant effect on the results.Conclusions Cochlear implantation of cochlear implants in children with auditory development has a significant effect, age at implantation, Intervention before surgery, better family economic conditions,higher parental education level and postoperative recovery mode in professional school would have a better recovery.