在怀孕期间暴露于母体SARS-CoV-2的幼儿的沟通技巧
Enrico Apa1, Nicole Carrie Tegmeyer2, Concetta D'Adamo1
1Audiology Unit, Dipartimento di Scienze Cliniche e di Comunità, Dipartimento di Eccellenza 2023-2027, Fondazione IRCCS Ca' Granda, Policlinico of Milan, 20122 Milan, Italy.
Life (Basel, Switzerland)
|October 26, 2024
概括
怀孕期间母亲的SARS-CoV-2感染并没有显著影响新生儿的听力,但一些儿童的语言发育有所延迟. 需要进一步的长期研究来了解对沟通技能的全部影响.
科学领域:
- 儿科 儿科 儿科
- 听力学 听力学是指听力学.
- 发展心理学 发展心理学
背景情况:
- 怀孕期间的母体SARS-CoV-2感染引发了对后代潜在的听觉和发育影响的担忧.
- 目前对SARS-CoV-2和新生儿内耳损伤的研究存在争议,对长期语言发育影响的数据有限.
研究的目的:
- 研究孕期母体SARS-CoV-2感染对儿童感知和表达性沟通能力的影响.
- 评估婴儿在子宫内暴露于SARS-CoV-2的新出现的沟通发展和听觉结果.
主要方法:
- 向115名子宫内暴露于SARS-CoV-2的儿童的父母进行了麦克阿瑟-贝茨沟通发育库存-词语和手势 (CDI-WG).
- 进行了听力学评估,包括出生时的耳声发射 (OAE) 和10-18个月的纯音平均 (PTA).
- 对婴儿的输卵管功能障碍进行评估.
主要成果:
- 大多数新生儿通过了OAE查;在10-18个月的听力学评估显示,大多数新生儿的听力正常,有几例听力值升高和输卵管功能障碍.
- 对CDI-WG数据的分析表明,56/115个家庭完成了库存,显著的儿童百分比低于语言理解和语言生产的第五百分位.
- 具体来说,8.9%的人在理解句子时低于第五百分位,在理解单词时为12.5%,在生成单词时为5.4%;手势发展在很大程度上处于正常范围内.
结论:
- 虽然大多数在子宫内接触SARS-CoV-2的儿童表现出正常的听力,但部分儿童表现出语言发育的潜在延迟.
- 在高神经可塑性时期,结构化的听力学随访与沟通技能的评估相结合至关重要.
- 长度研究对于充分确定产前SARS-CoV-2暴露对儿童发育和沟通的长期影响至关重要.
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