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学龄儿童听力筛查及中枢听觉处理的重要性。

The Importance of Hearing Screening and Central Auditory Processing in School-Aged Children.

作者信息

Skarżyński Piotr Henryk, Czajka Natalia, Bukato Ewelina, Zdanowicz Rita, Kołodziejak Aleksandra, Skarżyński Henryk

机构信息

Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, 02-042 Warsaw, Poland.

Institute of Sensory Organs, 05-830 Kajetany, Poland.

出版信息

Children (Basel). 2024 Nov 27;11(12):1450. doi: 10.3390/children11121450.

DOI:10.3390/children11121450
PMID:39767879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11674852/
Abstract

BACKGROUND/OBJECTIVES: The aim of the study was to evaluate the prevalence of undiagnosed hearing impairment or central auditory processing disorders in children from I and VIII grades of primary schools in Warsaw.

METHODS

The participants in the study were 15,659 pupils from classes I and VIII attending primary schools in Warsaw. As part of the study, the hearing threshold for air conduction at frequencies of 0.5-8 kHz was determined, and a test assessing central auditory processing was performed: FPT (Frequency Pattern Test), DDT (Dichotic Digit Test), the Auditory Behaviour Scale (SAB), and an interview questionnaire developed for the program.

RESULTS

Abnormal test results were found in 1946 children, of which abnormal hearing screening test results were found in 678 children tested, while reduced central auditory processing results were found in 1268 children.

CONCLUSIONS

The program implemented draws attention to the fact that tests of central auditory processing are included in the testing protocol. As has been shown, peripheral hearing testing alone is not sufficient to exclude abnormalities concerning the sense of hearing.

摘要

背景/目的:本研究旨在评估华沙市小学一年级和八年级学生中未被诊断出的听力障碍或中枢听觉处理障碍的患病率。

方法

本研究的参与者为华沙市小学一年级和八年级的15659名学生。作为研究的一部分,测定了0.5 - 8千赫兹频率下的气导听力阈值,并进行了一项评估中枢听觉处理的测试:频率模式测试(FPT)、双耳数字测试(DDT)、听觉行为量表(SAB),以及为该项目编制的一份访谈问卷。

结果

在1946名儿童中发现了异常测试结果,其中在678名接受测试的儿童中发现了听力筛查测试结果异常,而在1268名儿童中发现了中枢听觉处理结果降低。

结论

所实施的项目提请注意中枢听觉处理测试被纳入测试方案这一事实。如已表明的,仅进行外周听力测试不足以排除听力方面的异常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0010/11674852/7c749e126340/children-11-01450-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0010/11674852/7c749e126340/children-11-01450-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0010/11674852/7c749e126340/children-11-01450-g001.jpg

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本文引用的文献

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Two-year Prevalence of Central Auditory Processing Disorders in Children.儿童中枢听觉处理障碍的两年患病率
Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3283-3288. doi: 10.1007/s12070-024-04673-0. Epub 2024 Apr 16.
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The Prevalence of Central Auditory Processing Disorder in Elementary School Students of Kerman, Iran.伊朗克尔曼小学生中枢听觉处理障碍的患病率
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Understanding Auditory Processing Disorder: A Narrative Review.
理解听觉处理障碍:一篇叙述性综述。
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Cureus. 2022 Jul 28;14(7):e27400. doi: 10.7759/cureus.27400. eCollection 2022 Jul.
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Results of Hearing Screening in School-Age Children from Rural Areas of the Kujawsko- Pomorskie Region in Poland.波兰库亚维-波美拉尼亚省农村地区学龄儿童听力筛查结果。
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Serous otitis media: Clinical and therapeutic considerations, including dexamethasone (CHFO) intratympanic injection.浆液性中耳炎:临床与治疗考量,包括地塞米松(CHFO)鼓室内注射
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Ear Hear. 2020 Jul/Aug;41(4):720-732. doi: 10.1097/AUD.0000000000000802.
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