接受人工耳蜗植入的儿童：认知技能、适应性行为、社交和情感技能。
Children with cochlear implants: cognitive skills, adaptive behaviors, social and emotional skills.
作者信息
De Giacomo Andrea, Craig Francesco, D'Elia Alessandra, Giagnotti Francesca, Matera Emilia, Quaranta Nicola
出版信息
Int J Pediatr Otorhinolaryngol. 2013 Dec;77(12):1975-9. doi: 10.1016/j.ijporl.2013.09.015.
OBJECTIVE
The aim of this study is to examine cognitive skills, adaptive behavior, social and emotional skills in deaf children with cochlear implant (CI) compared to normal hearing children.
METHODS
The study included twenty children affected by profound hearing loss implanted with a CI compared to 20 healthy children matched to chronological age and gender.
RESULTS
Results of this study indicated that 55% of children with CI showed a score in the normal range of nonverbal intelligence (IQ > 84), 40% in the borderline range (71 < IQ < 84) and 5% were in mild range(50 < IQ < 70). No significant differences were found after comparison with normal hearing children.Children with CI reported more abnormalities in emotional symptoms (p = .018) and peer problems(p = .037) than children with normal hearing. Age of CI was negatively correlated with IQ (p = .002),positively correlated with emotional symptoms (p = .04) and with peer problems (p = .02).
CONCLUSIONS
CI has a positive effect on the lives of deaf children, especially if it is implanted in much earlier ages.
目的
本研究旨在比较植入人工耳蜗（CI）的聋儿与听力正常儿童的认知技能、适应性行为、社交和情感技能。
方法
该研究纳入了20名植入CI的重度听力损失儿童，并与20名年龄和性别匹配的健康儿童进行比较。
结果
本研究结果表明，55%的CI儿童非言语智力得分在正常范围内（智商>84），40%处于临界范围（71<智商<84），5%处于轻度范围（50<智商<70）。与听力正常儿童比较后未发现显著差异。CI儿童在情绪症状（p = 0.018）和同伴问题（p = 0.037）方面比听力正常儿童报告了更多异常。CI植入年龄与智商呈负相关（p = 0.002），与情绪症状呈正相关（p = 0.04），与同伴问题呈正相关（p = 0.02）。
结论
人工耳蜗对聋儿的生活有积极影响，特别是如果在更早的年龄植入。
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