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(中耳)听觉处理:中耳炎的影响。

(Central) auditory processing: the impact of otitis media.

机构信息

Children and Adolescents Health, Faculty of Medical Sciences, University of Campinas, Campinas, SP, Brazil.

出版信息

Clinics (Sao Paulo). 2013 Jul;68(7):954-9. doi: 10.6061/clinics/2013(07)11.

DOI:10.6061/clinics/2013(07)11
PMID:23917659
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3714994/
Abstract

OBJECTIVE

To analyze auditory processing test results in children suffering from otitis media in their first five years of age, considering their age. Furthermore, to classify central auditory processing test findings regarding the hearing skills evaluated.

METHODS

A total of 109 students between 8 and 12 years old were divided into three groups. The control group consisted of 40 students from public school without a history of otitis media. Experimental group I consisted of 39 students from public schools and experimental group II consisted of 30 students from private schools; students in both groups suffered from secretory otitis media in their first five years of age and underwent surgery for placement of bilateral ventilation tubes. The individuals underwent complete audiological evaluation and assessment by Auditory Processing tests.

RESULTS

The left ear showed significantly worse performance when compared to the right ear in the dichotic digits test and pitch pattern sequence test. The students from the experimental groups showed worse performance when compared to the control group in the dichotic digits test and gaps-in-noise. Children from experimental group I had significantly lower results on the dichotic digits and gaps-in-noise tests compared with experimental group II. The hearing skills that were altered were temporal resolution and figure-ground perception.

CONCLUSION

Children who suffered from secretory otitis media in their first five years and who underwent surgery for placement of bilateral ventilation tubes showed worse performance in auditory abilities, and children from public schools had worse results on auditory processing tests compared with students from private schools.

摘要

目的

分析 5 岁以内患分泌性中耳炎儿童的听觉处理测试结果,并结合其年龄进行分析。此外,对中心听觉处理测试结果进行分类,以评估听力技能。

方法

共纳入 109 名 8-12 岁的学生,分为三组。对照组为 40 名来自公立学校且无中耳炎病史的学生。实验组 I 由 39 名来自公立学校的学生组成,实验组 II 由 30 名来自私立学校的学生组成;两组学生均在 5 岁以内患有分泌性中耳炎,并接受双侧通气管手术。所有个体均接受全面的听力评估和听觉处理测试。

结果

在双耳分听数字测试和音高模式序列测试中,左耳的表现明显差于右耳。与对照组相比,实验组学生在双耳分听数字测试和噪声间隙测试中的表现更差。实验组 I 的学生在双耳分听数字和噪声间隙测试中的得分明显低于实验组 II。受影响的听力技能包括时间分辨率和图形-背景感知。

结论

5 岁以内患有分泌性中耳炎并接受双侧通气管手术的儿童在听觉能力方面表现较差,与私立学校的学生相比,来自公立学校的儿童在听觉处理测试中表现更差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c21d/3714994/f432953c6630/cln-68-07-954-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c21d/3714994/f432953c6630/cln-68-07-954-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c21d/3714994/f432953c6630/cln-68-07-954-g001.jpg

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