[同龄重度聋儿助听器验配与人工耳蜗植入术后早期言语听觉发育的对比研究]
[Comparative study on the EPLAD of profoundly deaf children with hearing aid fittings or cochlear implantations at the same age].
作者信息
Li G, Tao Y, Meng Z L, Xu K, Zheng Y
机构信息
Hearing Center/Hearing and Speech Science Laboratory，Department of Otolaryngology Head and Neck Surgery，West China Hospital of Sichuan University，Chengdu，610041，China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Jan;34(1):41-44. doi: 10.13201/j.issn.1001-1781.2020.01.010.
The purpose of the current study was to provide good clinical values for rehabilitation exercises and counseling of hearing impaired children by comparing the early prelingual auditory development（EPLAD） of children with hearing aid fittings or cochlear implantations at the same age. Longitudinal evaluation of EPLAD, profoundly deaf children, who received hearing aid fittings or cochlear implantations at 2 years of age, were recruited in this study, and would be tested with Infant-toddler meaningful auditory integration scale（IT-MAIS） at 3, 6 and 12 months after intervention. One hundred and four children were recruited in this study and divided into two groups based on the types of devices: Cochlear implant group（CI group） and Hearing aid group（HA group）. Each child could be permitted to miss follow-up one time. The IT-MAIS scores of children in both groups improved with increasing wear time. The scores in CI group showed a statistically significant improvement between each interval after switch-on（=0.000）. However, there was just a statistical difference between overall scores at 3 and 12 months after fitting in HA group（=0.042）. In addition, the IT-MAIS scores of the two groups were statistically significant at 6 and 12 months after switch-on/fitting（=0.026, =0.005）. Simultaneously, the mean overall score of children in CI group at 12 months after switch-on approached the average level of unaided peers with mild hearing loss. However, the mean score at 12 months after fitting was close to the average level of unaided peers with moderate hearing loss. Both of CI and HA could improve EPLAD of profoundly deaf children. However, the EPLAD of CI children could improve faster in the first year after switch-on. And the results would also provide more comprehensive clinical values for rehabilitation and counseling of hearing impaired children by comparing to normal and unaided hearing impaired children.
本研究的目的是通过比较同年龄段佩戴助听器或接受人工耳蜗植入的儿童的早期语前听觉发育（EPLAD）情况，为听力受损儿童的康复训练和咨询提供良好的临床参考价值。本研究招募了2岁时接受助听器佩戴或人工耳蜗植入的极重度听力丧失儿童，对其EPLAD进行纵向评估，并在干预后3、6和12个月使用婴幼儿有意义听觉整合量表（IT-MAIS）进行测试。本研究共招募了104名儿童，根据设备类型分为两组：人工耳蜗组（CI组）和助听器组（HA组）。每个儿童允许错过一次随访。两组儿童的IT-MAIS评分均随着佩戴时间的增加而提高。CI组在开机后的每个时间间隔之间评分有统计学显著改善（=0.000）。然而，HA组在佩戴后3个月和12个月的总体评分之间只有统计学差异（=0.042）。此外，两组在开机/佩戴后6个月和12个月的IT-MAIS评分有统计学显著差异（=0.026，=0.005）。同时，CI组儿童开机后12个月的平均总体评分接近轻度听力损失未佩戴辅助设备同龄人的平均水平。然而，佩戴后12个月的平均评分接近中度听力损失未佩戴辅助设备同龄人的平均水平。CI和HA均可改善极重度听力丧失儿童的EPLAD。然而，CI儿童的EPLAD在开机后的第一年改善更快。与正常和未佩戴辅助设备的听力受损儿童相比，研究结果也将为听力受损儿童的康复和咨询提供更全面的临床参考价值。
Zotero 插件