婴幼儿有意义听觉整合量表评估极重度聋幼儿助听后早期语前听能发育的价值

发布时间：2018-03-16 22:03

本文选题：婴幼儿有意义听觉整合量表　切入点：早期语前听能发育　出处：《听力学及言语疾病杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨婴幼儿有意义听觉整合量表(infant-toddler meaningful auditory integration scale,ITMAIS)评估双耳极重度感音神经性听力损失(sensorineural hearing loss,SNHL)幼儿助听(hearing aid,HA)后6个月内的早期语前听能发育(early prelingual auditory development,EPLAD)规律及价值。方法以配戴助听器时年龄为1~2岁的51例双耳极重度SNHL幼儿为研究对象,分为1岁组(28例)和2岁组(23例),比较助听器配戴时及配戴后3个月、6个月的ITMAIS得分,并与同龄未助听的不同程度SNHL幼儿比较,以此评估其EPLAD情况。结果 1岁组、2岁组幼儿在配戴助听器后3、6个月时的ITMAIS得分(3个月时分别为30.6%±17.0%、41.4%±23.5%,6个月时分别为41.42%±24.2%、50.1%±27.6%)较配戴前(分别为9.7%±5.2%、17.9%±10.1%)均显著提高(P0.05);两组幼儿的ITMAIS平均得分在配戴助听器后6个月时接近或达到同龄未助听的重度SNHL幼儿平均水平。结论助听器有助于极重度SNHL幼儿在配戴助听器早期(6个月)提升其EPLAD水平;ITMAIS测试是一项简单、有效、可用于评估助听器配戴幼儿初期康复效果的方法。
[Abstract]:Objective to investigate the early prelingual auditory development pattern of early prelingual auditory development in infants with significant auditory integration meaningful auditory integration scale5 (ITMAIS) and its value in the early prelingual auditory development within 6 months after hearing aid by sensorineural hearing loss (SNHL). Methods A total of 51 children with extremely severe binaural SNHL who were aged 1 or 2 years at the time of wearing hearing aids were studied. There were 28 patients in the 1-year-old group and 23 patients in the 2-year-old group. The ITMAIS scores of the patients with hearing aids were compared with those of the children with different degrees of SNHL at the same age, 3 months and 6 months after the hearing aids were worn. Results the ITMAIS scores (30.6% 卤17.0% 卤23.5% in 3 months and 41.42% 卤24.22.2% 卤27.6% in 6 months after hearing aid) were significantly higher in the 1-year-old group than before (9.7% 卤5.22% 卤10.1%, respectively), and the scores in the two groups were significantly higher than before (9.7% 卤5.22% 卤10.1%, respectively) in the 1-year-old group (30.6% 卤17.0% 卤23.5% at the 3rd month and 41.42% 卤24.22.2% 卤27.6m at the 6th month, respectively). The average score of ITMAIS was close to or reached the average level of severe SNHL children without hearing aids of the same age at 6 months after hearing aids. Conclusion hearing aids can help children with very severe SNHL to improve their EPLAD level at the early stage (6 months) of hearing aids. The test is simple, It is effective and can be used to evaluate the effect of hearing aid on early recovery of young children.
【作者单位】：四川大学华西医院耳鼻咽喉头颈外科听力中心/听觉言语实验室;
【基金】：国际合作基金(312130182) 四川省学术和技术带头人培养基金(JH2014002) 四川省科技支撑计划项目(2014JY0237) 四川省卫生计生适宜技术推广项目(JH2015044)联合资助
【分类号】：R764.43

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