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植入人工耳蜗的极重度聋儿的语言发展

Language development in profoundly deaf children with cochlear implants.

作者信息

Svirsky M A, Robbins A M, Kirk K I, Pisoni D B, Miyamoto R T

机构信息

Indiana University School of Medicine, Department of Otolaryngology-Head and Neck Surgery, 702 Barnhill Dr., RR-044, Indianapolis, IN 46202-5200, USA.

出版信息

Psychol Sci. 2000 Mar;11(2):153-8. doi: 10.1111/1467-9280.00231.

DOI:10.1111/1467-9280.00231
PMID:11273423
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3429133/
Abstract

Although cochlear implants improve the ability of profoundly deaf children to understand speech, critics claim that the published literature does not document even a single case of a child who has developed a linguistic system based on input from an implant. Thus, it is of clinical and scientific importance to determine whether cochlear implants facilitate the development of English language skills. The English language skills of prelingually deaf children with cochlear implants were measured before and after implantation. We found that the rate of language development after implantation exceeded that expected from unimplanted deaf children (p < .001) and was similar to that of children with normal hearing. Despite a large amount of individual variability, the best performers in the implanted group seem to be developing an oral linguistic system based largely on auditory input obtained from a cochlear implant.

摘要

尽管人工耳蜗能提高极重度失聪儿童理解言语的能力,但批评者称,已发表的文献中甚至没有记录过哪怕一个儿童基于人工耳蜗输入发展出语言系统的案例。因此,确定人工耳蜗是否有助于英语语言技能的发展具有临床和科学重要性。对术前和术后植入人工耳蜗的语前聋儿童的英语语言技能进行了测量。我们发现,植入后语言发展速度超过了未植入人工耳蜗的失聪儿童的预期速度(p <.001),且与听力正常儿童的发展速度相似。尽管存在大量个体差异,但植入组中表现最佳的儿童似乎正在很大程度上基于从人工耳蜗获得的听觉输入发展出一种口语语言系统。

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本文引用的文献

1
Language development in children with profound and prelingual hearing loss, without cochlear implants.未植入人工耳蜗的极重度和语前聋儿童的语言发展
Ann Otol Rhinol Laryngol Suppl. 2000 Dec;185:99-100. doi: 10.1177/0003489400109s1243.
2
Speech intelligibility of prelingually deaf children with multichannel cochlear implants.使用多通道人工耳蜗的语前聋儿童的言语清晰度。
Ann Otol Rhinol Laryngol Suppl. 2000 Dec;185:123-5. doi: 10.1177/0003489400109s1254.
3
Comparison of speech perception in pediatric CLARION cochlear implant and hearing aid users.小儿CLARION人工耳蜗使用者与助听器使用者的言语感知比较。
Ann Otol Rhinol Laryngol Suppl. 1999 Apr;177:104-9. doi: 10.1177/00034894991080s421.
4
Ethics of cochlear implantation in young children: a review and reply from a Deaf-World perspective.幼儿人工耳蜗植入的伦理学:聋人世界视角的综述与回应
Otolaryngol Head Neck Surg. 1998 Oct;119(4):297-313. doi: 10.1016/S0194-5998(98)70070-1.
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[Rehabilitation of patients with hearing loss by cochlear implants].[人工耳蜗植入对听力损失患者的康复治疗]
Radiologe. 1997 Dec;37(12):991-4. doi: 10.1007/s001170050312.
6
Speech perception by prelingually deaf children using cochlear implants.使用人工耳蜗的语前聋儿童的言语感知
Otolaryngol Head Neck Surg. 1997 Sep;117(3 Pt 1):180-7. doi: 10.1016/s0194-5998(97)70172-4.
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Open-set speech perception in congenitally deaf children using cochlear implants.使用人工耳蜗的先天性耳聋儿童的开放集言语感知
Am J Otol. 1997 May;18(3):342-9.
8
Speech understanding in quiet and in noise with the CIS speech-coding strategy (MED EL Combi-40) compared to the MPEAK and SPEAK strategies (Nucleus).与MPEAK和SPEAK策略(核公司)相比,采用CIS言语编码策略(美迪乐康倍40型)时在安静和嘈杂环境下的言语理解情况。
Adv Otorhinolaryngol. 1997;52:286-90. doi: 10.1159/000059020.
9
Evaluation of a new spectral peak coding strategy for the Nucleus 22 Channel Cochlear Implant System.对 Nucleus 22 通道人工耳蜗系统的一种新频谱峰值编码策略的评估。
Am J Otol. 1994 Nov;15 Suppl 2:15-27.
10
Longitudinal comparison of the benefits of cochlear implants and tactile aids in a controlled educational setting.在可控教育环境中对人工耳蜗和触觉辅助设备益处的纵向比较。
Ann Otol Rhinol Laryngol Suppl. 1995 Sep;166:328-9.