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听障儿童听觉言语训练对言语诱发ABR的影响

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目的:探讨听觉康复对其听力在电生理方面的改变,为小龄听障儿童的及早评估和干预提供更多方法.方法:入组2~4岁儿童各20例,耳部无其他异常.将其分为正常听力(组1),异常听力(组2),异常听力进行助听干预1年(组3),异常听力进行助听及语训康复1年(组4).应用SmartEP听觉诱发电位仪对80例入组儿童在康复训练后进行言语诱发ABR检测和进行"听力障碍儿童听觉、语言能力评估标准及方法"的筛查,比较各组在康复干预后的言语诱发ABR各波潜伏期、频谱振幅,以及各组的评估量表得分.结果:对各组潜伏期进行比较,与正常组比较,其余3组各波潜伏期均延长.其中组2和组3比较各波差异均有统计学意义,组3和组4比较D波、F波差异有统计学意义.对F0处最大振幅与正常组比较,其余3组振幅均降低,且组2与组3、组2与组4、组3与组4比较F0处最大振幅差异均有统计学意义.对听觉语言评估量表的比较,与正常组比较,组3和组4得分明显高于组2识别率.有语训基础的听障儿童各项识别率和正常组儿童接近.组2中D波潜伏期与量表得分及组3中D波、F波得分与量表得分差异有统计学意义.结论:听觉康复对其听力在电生理方面有改变,可作为小龄儿童早评估和早干预的依据.
Application of speech induced ABR in rehabilitation intervention for hearing impaired children
Objective:Exploring the electrophysiological changes of auditory rehabilitation in young children with hearing impairment,providing more methods for early assessment and intervention.Methods:Twenty chil-dren aged 2-4 were enrolled,with moderate hearing loss and no other abnormalities in the ears.Divide them into group 1 with normal hearing,group 2 with abnormal hearing,group 3 with abnormal hearing receiving hearing aid intervention for one year,and group 4 with abnormal hearing receiving hearing aid and language training rehabili-tation for one year.The SmartEP auditory evoked potential instrument was used to detect speech induced ABR and conduct screening for'Standards and Evaluating Hearing and Language Abilities of Children with Hearing Im-pairment in 80 enrolled children after rehabilitation training,and the latency、amplitude of speech induced ABR waveform and evaluation scale scores for each group after rehabilitation intervention were compared.Results:Compared with the normal group,the latency of each wave in the other three groups was prolonged.The differ-ences in each wave between Group 2 and Group 3 were statistically significant,while the differences in D and F waves between Group 3 and Group 4 were statistically significant.Compared with the normal group,the maxi-mum amplitude at F0 decreased in the other three groups,and the differences in maximum amplitude between Group 2 and Group 3,Group 2 and Group 4,and Group 3 and Group 4 were statistically significant.Compared with the normal group,the scores of the auditory language assessment scale in the hearing intervention group and the hearing aid plus language training group were significantly higher than those in the abnormal group in terms of recognition rate.The recognition rates of hearing impaired children with language training foundation are similar to those of the normal group of children.Conclusion:Auditory rehabilitation can alter the electrophysiological as-pects of hearing and serve as a basis for early assessment and intervention in young children.

hearing impaired childrenS-ABR

高墨梅、窦训武、苏敏、范颖洁、牛小平

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苏州大学附属第四医院(江苏苏州,215000)

苏州大学附属儿童医院耳鼻喉科

听障儿童 言语诱发听性脑干反应

2024

临床耳鼻咽喉头颈外科杂志
华中科技大学同济医学院附属协和医院

临床耳鼻咽喉头颈外科杂志

CSTPCD北大核心
影响因子:0.831
ISSN:1001-1781
年,卷(期):2024.38(3)
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