Wallace I F, Gravel J S, McCarton C M, Stapells D R, Bernstein R S, Ruben R J
Department of Pediatrics, Rose F. Kennedy Center, Albert Einstein College of Medicine, Bronx, NY 10461.
Laryngoscope. 1988 Jan;98(1):64-70. doi: 10.1288/00005537-198801000-00014.
The relationship among otitis media, auditory sensitivity, and emerging language was examined in a group of 1-year-old children who were prospectively followed since birth. Pneumatic otoscopy was used to document the otologic status of the children's ears at each medical visit. There were 13 babies with normal ratings in each ear at 80% more of their visits (designated as "otitis free") and 12 babies with bilaterally positive otoscopy results at 30% or more of their first year visits (designated "otitis positive"). In comparison to the otitis free infants, the group of otitis positive babies demonstrated reduced auditory sensitivity as measured by auditory brain stem response (ABR) and poorer expressive language abilities. However, differences in receptive language were not detected. These results suggest that otitis media may have an impact on auditory sensitivity and developing language as early as 1 year of age.
对一组自出生起就进行前瞻性随访的1岁儿童，研究了中耳炎、听觉敏感性和语言发育之间的关系。每次就诊时使用鼓气耳镜记录儿童耳部的耳科状况。有13名婴儿在超过80%的就诊中双耳评级正常（称为“无中耳炎”），12名婴儿在第一年就诊的30%或更多次数中双耳耳镜检查结果呈阳性（称为“中耳炎阳性”）。与无中耳炎的婴儿相比，中耳炎阳性婴儿组经听觉脑干反应（ABR）测量显示听觉敏感性降低，表达语言能力较差。然而，未检测到接受性语言方面的差异。这些结果表明，中耳炎可能早在1岁时就对听觉敏感性和语言发育产生影响。
