本文選題：嬰幼兒有意義聽覺整合量表　切入點：早期語前聽能發(fā)育　出處：《聽力學及言語疾病雜志》2017年05期 　論文類型：期刊論文

【摘要】：目的探討嬰幼兒有意義聽覺整合量表(infant-toddler meaningful auditory integration scale,ITMAIS)評估雙耳極重度感音神經(jīng)性聽力損失(sensorineural hearing loss,SNHL)幼兒助聽(hearing aid,HA)后6個月內(nèi)的早期語前聽能發(fā)育(early prelingual auditory development,EPLAD)規(guī)律及價值。方法以配戴助聽器時年齡為1~2歲的51例雙耳極重度SNHL幼兒為研究對象,分為1歲組(28例)和2歲組(23例),比較助聽器配戴時及配戴后3個月、6個月的ITMAIS得分,并與同齡未助聽的不同程度SNHL幼兒比較,以此評估其EPLAD情況。結果 1歲組、2歲組幼兒在配戴助聽器后3、6個月時的ITMAIS得分(3個月時分別為30.6%±17.0%、41.4%±23.5%,6個月時分別為41.42%±24.2%、50.1%±27.6%)較配戴前(分別為9.7%±5.2%、17.9%±10.1%)均顯著提高(P0.05);兩組幼兒的ITMAIS平均得分在配戴助聽器后6個月時接近或達到同齡未助聽的重度SNHL幼兒平均水平。結論助聽器有助于極重度SNHL幼兒在配戴助聽器早期(6個月)提升其EPLAD水平;ITMAIS測試是一項簡單、有效、可用于評估助聽器配戴幼兒初期康復效果的方法。
[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% 鹵17.0% 鹵23.5% in 3 months and 41.42% 鹵24.22.2% 鹵27.6% in 6 months after hearing aid) were significantly higher in the 1-year-old group than before (9.7% 鹵5.22% 鹵10.1%, respectively), and the scores in the two groups were significantly higher than before (9.7% 鹵5.22% 鹵10.1%, respectively) in the 1-year-old group (30.6% 鹵17.0% 鹵23.5% at the 3rd month and 41.42% 鹵24.22.2% 鹵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.
【作者單位】： 四川大學華西醫(yī)院耳鼻咽喉頭頸外科聽力中心/聽覺言語實驗室;
【基金】：國際合作基金(312130182) 四川省學術和技術帶頭人培養(yǎng)基金(JH2014002) 四川省科技支撐計劃項目(2014JY0237) 四川省衛(wèi)生計生適宜技術推廣項目(JH2015044)聯(lián)合資助
【分類號】：R764.43

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