植入器时的年龄,一致的设备使用和18个月以下植入儿童的语言结果之间的相关性
Matthew McCall1, Janitha Jayawardana2, Jill Mustard3
1Te Whatu Ora Christchurch Hospital, Christchurch, New Zealand.
Audiology & neuro-otology
|December 10, 2024
概括
早期一致的耳植入物 (CI) 使用,而不仅仅是早期植入,是聋子儿童语言发展的关键. 在两年内实现一致的CI使用显著改善了语言结果.
科学领域:
- 听力学 听力学是指听力学.
- 儿科医学 儿科医学
- 语音语言病理学 语言病理学
背景情况:
- 早期耳植入物 (CI) 在聋子儿童的使用可以导致适合年龄的语言发展.
- 最近的研究强调,持续使用CI的年龄比植入时的年龄更能预测语言结果.
研究的目的:
- 调查植入时的年龄,一致的设备使用和新西兰奥特亚罗亚幼儿的语言结果之间的相关性.
- 为了确定早期植入或一致的设备使用是否预测了更好的语言发展.
主要方法:
- 追溯分析46名在18个月龄之前植入的儿童.
- 通过数据记录测量设备使用 (定义为≥8小时/天的一致使用).
- 在植入后2年和3年使用PLS-5评估的语言结果.
主要成果:
- 78.3%的人在3年内实现了一致的CI使用.
- 在2年内持续使用的儿童的语言分数至少高出一个SD.
- 毛利儿童得分低于非毛利儿童,并不能完全解释使用情况;额外的残疾影响了一致的使用.
结论:
- 仅早期CI植入就不足以获得最佳的语言结果.
- 植入后两年内持续使用设备与更好的语言发展有关.
- 需要进一步的研究来了解持续使用的障碍,并开发出文化上适当的支持.
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