儿科耳植入受体患有稳定白质病变的儿童发育听力和语言表达能力
1Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Brain sciences
|November 25, 2023
概括
儿童的稳定无症状白质病变 (WMLs) 并没有显著影响耳植入物 (CI) 的结果. 听力和语言技能在CI后的WML和没有WML的儿童中表现出类似的改善.
科学领域:
- 神经学 神经学
- 听力学 听力学是指听力学.
- 儿科 儿科 儿科
背景情况:
- 白质病变 (WML) 在儿童中很常见.
- 稳定无症状WML对耳植入 (CI) 结果的影响尚不清楚.
研究的目的:
- 为了研究稳定无症状WML和CI结局在先天性聋儿童之间的关联.
- 为了确定WML是否会影响CI后的听觉和语音表现.
主要方法:
- 一项队列研究,将43名CI儿童的稳定无症状WML与86名正常白质的对照进行比较.
- 结果措施包括普通话中文识别测试,听力表现类别 (CAPs) 和语音可理解性评分 (SIR) 尺度在CI后1,12和24个月.
- 一般估计方程 (GEE) 模型用于统计分析.
主要成果:
- 这两组在CI使用后,听力和语音表现均显著改善.
- 在CI后24个月,在患有WML和没有WML的儿童之间没有观察到CAP和SIR得分或语音识别率的显著差异.
- 在WML小组中,CAP和SIR的中位数分别为5和4,语音识别率高.
结论:
- 稳定无症状的WML似乎与儿童耳植入后听力和语音可理解性结果较差无关.
- 综合性评估可以确定具有WML的合适CI候选人,他们可能有良好的预后.
- 对于患有先天性聋和稳定无症状WML的儿童来说,CI是一种可行的选择.
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