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人工耳蜗植入儿童的皮质听觉诱发电位(P1潜伏期)与临床语言测试的关系

Cortical auditory evoked potentials (P1 latency) in children with cochlear implants in relation to clinical language tests.

作者信息

Frånlund Karin, Lindehammar Hans, Mäki-Torkko Elina, Hergils Leif

机构信息

Department of Otorhinolaryngology, Linköping University Hospital, Linköping, Sweden.

Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

出版信息

Int J Audiol. 2024 Oct;63(10):802-808. doi: 10.1080/14992027.2023.2276048. Epub 2023 Nov 7.

Abstract

To study the correlation between P1 latency and the results of clinical language tests (Reynell III and TROG-2), the latter were used as they are recommended for follow-up assessments of children with cochlear implants (Cis) by the Swedish National Quality Register for children with hearing impairment. A clinical cohort study. Cross-sectional and consecutive sampling of 49 children with CIs coming for clinical follow-up assessment from March 2017 - December 2019. For all children tested, there was a significant negative correlation (Spearman's rho= -0.403,  = 0.011) between hearing age and P1 latency. A significant correlation between P1 latency and the Reynell III result (Spearman's rho =  -0.810,  = 0.015) was found. In the TROG-2 group, there was no significant correlation between their P1 latency and their language test results (Spearman's rho -0.239,  = 0.196). This method seems to be feasible and easily accepted. The study was conducted in a heterogeneous group of children that we meet daily in our clinic. The results indicated that P1 latency has a negative correlation with language development among our youngest patients fitted with CIs and might be a clinical tool to assess the maturation of central auditory pathways.

摘要

为研究P1潜伏期与临床语言测试结果(雷内尔三世测试和TROG - 2测试)之间的相关性,我们采用了后两种测试,因为瑞典国家听力障碍儿童质量登记处推荐它们用于人工耳蜗植入(CI)儿童的随访评估。一项临床队列研究。对2017年3月至2019年12月前来进行临床随访评估的49名CI儿童进行横断面连续抽样。在所有接受测试的儿童中,听力年龄与P1潜伏期之间存在显著负相关(斯皮尔曼等级相关系数rho = -0.403,P = 0.011)。发现P1潜伏期与雷内尔三世测试结果之间存在显著相关性(斯皮尔曼等级相关系数rho = -0.810,P = 0.015)。在TROG - 2测试组中,其P1潜伏期与语言测试结果之间无显著相关性(斯皮尔曼等级相关系数rho = -0.239,P = 0.196)。该方法似乎可行且易于接受。本研究在我们诊所日常接诊的一组异质性儿童中进行。结果表明,在我们最年幼的接受CI植入的患者中,P1潜伏期与语言发育呈负相关,可能是评估中枢听觉通路成熟度的一种临床工具。

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