Gao Momei, Dou Xunwu, Su Min, Fan Yingjie, Niu Xiaoping
The Forth Affiliated Hospital of Soochow University,Suzhou,215000,China.
Children's Hospital of Soochow University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Mar;38(3):217-220. doi: 10.13201/j.issn.2096-7993.2024.03.007.
Exploring the electrophysiological changes of auditory rehabilitation in young children with hearing impairment, providing more methods for early assessment and intervention. Twenty children aged 2-4 were enrolled, with moderate hearing loss and no other abnormalities in the ears. Divide them into group 1 with normal hearing, group 2 with abnormal hearing, group 3 with abnormal hearing receiving hearing aid intervention for one year, and group 4 with abnormal hearing receiving hearing aid and language training rehabilitation for one year. The SmartEP auditory evoked potential instrument was used to detect speech induced ABR and conduct screening for 'Standards and Evaluating Hearing and Language Abilities of Children with Hearing Impairment in 80 enrolled children after rehabilitation training, and the latency、amplitude of speech induced ABR waveform and evaluation scale scores for each group after rehabilitation intervention were compared. Compared with the normal group, the latency of each wave in the other three groups was prolonged. The differences in each wave between Group 2 and Group 3 were statistically significant, while the differences in D and F waves between Group 3 and Group 4 were statistically significant. Compared with the normal group, the maximum amplitude at F0 decreased in the other three groups, and the differences in maximum amplitude between Group 2 and Group 3, Group 2 and Group 4, and Group 3 and Group 4 were statistically significant. Compared with the normal group, the scores of the auditory language assessment scale in the hearing intervention group and the hearing aid plus language training group were significantly higher than those in the abnormal group in terms of recognition rate. The recognition rates of hearing impaired children with language training foundation are similar to those of the normal group of children. Auditory rehabilitation can alter the electrophysiological aspects of hearing and serve as a basis for early assessment and intervention in young children.
探索听力障碍幼儿听觉康复的电生理变化,为早期评估和干预提供更多方法。招募了20名2 - 4岁的儿童,他们患有中度听力损失且耳部无其他异常。将他们分为听力正常的第1组、听力异常的第2组、接受助听器干预一年的听力异常的第3组以及接受助听器和语言训练康复一年的听力异常的第4组。使用SmartEP听觉诱发电位仪检测言语诱发ABR,并对80名入组儿童康复训练后的“听力障碍儿童听力与语言能力标准及评估”进行筛查,比较康复干预后每组言语诱发ABR波形的潜伏期、波幅及评估量表得分。与正常组相比,其他三组各波潜伏期均延长。第2组和第3组各波差异有统计学意义,第3组和第4组的D波和F波差异有统计学意义。与正常组相比,其他三组F0处最大波幅降低,第2组和第3组、第2组和第4组、第3组和第4组最大波幅差异有统计学意义。与正常组相比,听力干预组和助听器加语言训练组的听觉语言评估量表得分在识别率方面显著高于异常组。有语言训练基础的听力障碍儿童的识别率与正常组儿童相似。听觉康复可改变听力的电生理方面,为幼儿早期评估和干预提供依据。