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人工耳蜗对语前聋阿拉伯语儿童言语和语言结果的影响:一项系统综述

The impact of cochlear implants on speech and language outcomes in pre-lingually deafened Arabic-speaking children: a systematic review.

作者信息

Alsari Nada A M

机构信息

Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, 12371, Riyadh, Saudi Arabia.

出版信息

Eur Arch Otorhinolaryngol. 2025 May;282(5):2227-2237. doi: 10.1007/s00405-024-09128-4. Epub 2024 Dec 13.

DOI:10.1007/s00405-024-09128-4
PMID:39668226
Abstract

PURPOSE

Cochlear implants have been proven to improve speech and language in children with severe-to-profound hearing loss. This review examines speech and language outcomes in prelingual Arabic-speaking children using cochlear implants.

METHODS

A systematic search for articles was performed in PubMed, Scopus, ScienceDirect, and the Cochrane Central Register of Controlled Trials (CENTRAL) using search strings developed from topic keywords.

RESULTS

The initial search identified 247 articles from the databases, but only 8 studies were included in the review. Auditory performance was found to improve, particularly sound and speech detection, as observed in the post-implantation assessments. Speech perception improved with an increased ability to discriminate speech sounds and comprehend conversations without lip-reading. Moreover, word recognition and auditory integration improved as well as speech production skills in terms of vocabulary use, consonant articulation, and word combinations. Likewise, speech intelligibility results were positive, with several children showing better speech intelligibility post-cochlear implantation.

CONCLUSION

Following CI, auditory skills, speech perception, speech production, listening skills, and speech intelligibility improved. Cochlear implants are a promising solution to reduce the effects of hearing loss in this population.

摘要

目的

人工耳蜗已被证明可改善重度至极重度听力损失儿童的言语和语言能力。本综述探讨了使用人工耳蜗的阿拉伯语学前儿童的言语和语言结果。

方法

使用从主题关键词中制定的搜索词,在PubMed、Scopus、ScienceDirect和Cochrane对照试验中央注册库(CENTRAL)中对文章进行系统检索。

结果

初步检索从数据库中识别出247篇文章,但本综述仅纳入了8项研究。在植入后的评估中发现听觉表现有所改善,尤其是声音和言语检测。言语感知能力有所提高,在不借助唇读的情况下辨别语音和理解对话的能力增强。此外,单词识别和听觉整合能力得到改善,言语生成技能在词汇使用、辅音发音和单词组合方面也有所提高。同样,言语可懂度结果是积极的,一些儿童在人工耳蜗植入后表现出更好的言语可懂度。

结论

人工耳蜗植入后,听觉技能、言语感知、言语生成、听力技能和言语可懂度均有所改善。人工耳蜗是减轻该人群听力损失影响的一种有前景的解决方案。

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本文引用的文献

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Reliability and validity assessment of a survey: Measuring satisfaction with cochlear implant rehabilitation services for children in Jordan.调查的信度和效度评估:测量约旦儿童对人工耳蜗康复服务的满意度。
PLoS One. 2023 Dec 18;18(12):e0295939. doi: 10.1371/journal.pone.0295939. eCollection 2023.
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Campbell Syst Rev. 2022 Mar 27;18(2):e1230. doi: 10.1002/cl2.1230. eCollection 2022 Jun.
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Global and regional prevalence of disabilities among children and adolescents: Analysis of findings from global health databases.
全球和地区儿童和青少年残疾患病率:全球健康数据库分析结果。
Front Public Health. 2022 Sep 23;10:977453. doi: 10.3389/fpubh.2022.977453. eCollection 2022.
4
Guidelines for cochlear implantation in Saudi Arabia.沙特阿拉伯人工耳蜗植入指南。
Saudi Med J. 2021 Dec;42(12):1265-1271. doi: 10.15537/smj.2021.42.12.20210262.
5
Sociodemographic Disparities in Pediatric Cochlear Implantation Access and Use: A Systematic Review.社会人口统计学差异对小儿人工耳蜗植入术的可及性和使用的影响:系统综述。
Laryngoscope. 2022 Mar;132(3):670-686. doi: 10.1002/lary.29716. Epub 2021 Jun 30.
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
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The association between consanguineous marriage and offspring with congenital hearing loss.近亲结婚与先天性听力损失患儿的关系。
Ann Saudi Med. 2020 Nov-Dec;40(6):456-461. doi: 10.5144/0256-4947.2020.456. Epub 2020 Dec 3.
8
Influence of family environment on the outcomes of cochlear implantation in pediatric recipients.家庭环境对儿童人工耳蜗植入效果的影响。
Saudi Med J. 2020 May;41(5):485-490. doi: 10.15537/smj.2020.5.25070.
9
Effects of Age at Cochlear Implantation on Auditory Outcomes in Cochlear Implant Recipient Children.人工耳蜗植入年龄对人工耳蜗植入儿童听觉结果的影响。
Indian J Otolaryngol Head Neck Surg. 2020 Mar;72(1):79-85. doi: 10.1007/s12070-019-01753-4. Epub 2019 Oct 25.
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The Impact of Family Environment on Language Development of Children With Cochlear Implants: A Systematic Review and Meta-Analysis.家庭环境对植入人工耳蜗儿童语言发展的影响:系统评价和荟萃分析。
Ear Hear. 2020 Sep/Oct;41(5):1077-1091. doi: 10.1097/AUD.0000000000000852.