Harsten G, Nettelbladt U, Schalén L, Kalm O, Prellner K
Department of Oto-Rhino-Laryngology, University Hospital, Lund, Sweden.
J Laryngol Otol. 1993 May;107(5):407-12. doi: 10.1017/s0022215100123291.
From a cohort of 113 children, followed prospectively from birth during the first three years of life regarding different aspects of acute otitis media (AOM), two study groups were selected for the present investigation: 13 children with recurrent AOM (rAOM, i.e. at least six episodes of AOM during a 12-month period), and 29 children without any AOM episode. The purpose of this study was to analyse the possible effects of early onset rAOM on language development as assessed at four and seven years of age at phoniatric and linguistic examinations performed blindly. There were no differences between the two groups on any of the linguistic analyses performed, although the rAOM group manifested a somewhat better performance on auditory discrimination tests at four years of age. The results of the present study show that rAOM during the first three years of life, in otherwise healthy children, does not cause a detectable delay of language development at four and seven years of age.
从113名儿童组成的队列中,对其出生后三年的急性中耳炎(AOM)不同方面进行前瞻性随访,从中选取两个研究组进行本调查:13名复发性急性中耳炎(rAOM,即12个月内至少有6次AOM发作)患儿和29名无任何AOM发作的患儿。本研究的目的是分析早发性rAOM对4岁和7岁时通过盲法进行的语音和语言检查评估的语言发育可能产生的影响。尽管rAOM组在4岁时的听觉辨别测试中表现略好,但在进行的任何语言分析中,两组之间均无差异。本研究结果表明,在生命的前三年中,其他方面健康的儿童发生rAOM不会导致4岁和7岁时出现可检测到的语言发育延迟。