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听力损失儿童的发展情况与诊断年龄、早期儿童时期的助听设备使用和训练相关。

Developments of children with hearing loss according to the age of diagnosis, amplification, and training in the early childhood period.

机构信息

Hearing and Speech Training Center, Vocational School of Health Services, Hacettepe University, Ankara, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2019 Sep;276(9):2457-2463. doi: 10.1007/s00405-019-05501-w. Epub 2019 Jun 7.

Abstract

PURPOSE

The aim of this study is to investigate the effect of hearing loss during early childhood on the development of children according to the age of diagnosis, amplification and training.

METHODS

In the study, a total of 169 children with bilateral sensorineural hearing loss, who have the chronological average age of 26.4 months, have been examined. All children are unilateral cochlear implant users and have no known additional impairments and/or diseases other than their hearing loss. The development of children with hearing loss, divided into three groups according to age of diagnosis, amplification, and training has been identified using the Denver Development Screening Test-II (DDST-II), and then, general development and sub-development results of these age characteristics have been compared accordingly.

RESULTS

As a result of the study, 105 (62.1%) out of 169 children identified with DDST-II have been found to be normal, 48 (28.4%) of them suspicious, and 16 (9.5%) children are found to be abnormal. It appears that the children who have been diagnosed before 6 months, instrumented between 3 and 6 months, and started to auditory-verbal training are revealed to have normal skills in their personal-social, language, fine, and gross motor field capabilities. As the age of diagnosis and intervention is delayed, the rate of delay in the development domains seems to be increasing, which is statistically significant (p < 0.001).

CONCLUSIONS

Children with hearing loss develop similar outcomes in comparison with their normal auditory peers once they are diagnosed before 6 months and benefit from early intervention services.

摘要

目的

本研究旨在探讨儿童早期听力损失对其发展的影响,具体依据诊断年龄、助听和训练情况进行分析。

方法

本研究共纳入 169 名双耳感音神经性听力损失儿童,其平均年龄为 26.4 个月。所有儿童均为单侧人工耳蜗植入者,除听力损失外,无其他已知的额外损伤和/或疾病。根据诊断年龄、助听和训练情况,将听力损失儿童分为三组,采用丹佛发展筛查测试第二版(DDST-II)对儿童的发育情况进行评估,并比较各组儿童的总体发育和亚发育结果。

结果

研究结果显示,169 名儿童中有 105 名(62.1%)DDST-II 结果正常,48 名(28.4%)可疑,16 名(9.5%)异常。结果表明,6 个月前确诊、3-6 个月内植入人工耳蜗并开始听觉言语训练的儿童,其个人-社会、语言、精细和粗大运动领域的能力发展正常。随着诊断和干预年龄的延迟,发育领域的延迟率似乎呈上升趋势,且具有统计学意义(p<0.001)。

结论

如果儿童在 6 个月前得到确诊并受益于早期干预服务,他们的发展结果与正常听力儿童相似。

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