带有耳植入的儿童的智商指数测试:系统性审查和元分析
Liliya Benchetrit1, Shannon Wu2, Diya Ramanathan3
1Department of Otolaryngology-Head and Neck Surgery, Boston University Medical Center, Boston, Massachusetts.
概括
双边听力损失的儿童在耳植入器 (CI) 植入后表现显著改善,并获得全面智商 (IQ) 成绩. 然而,口头智商得分仍然较低,这凸显了早期干预对最佳认知发展的重要性.
科学领域:
- 听力学 听力学是指听力学.
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
背景情况:
- 儿童双边听力损失 (HL) 可能会影响认知发育.
- 耳植入器 (CI) 为严重到严重的听力损失提供听力康复.
- 评估神经认知结果,特别是智商 (IQ),在CI后至关重要.
研究的目的:
- 在耳植入物 (CI) 之前和之后,评估双边听力损失 (HL) 的儿童的智商 (IQ) 评分.
- 为了将CI儿童的智商得分与规范指标和正常听力对照进行比较.
主要方法:
- 一项系统性审查和对2021年12月之前发表的研究的元分析.
- 纳入标准:年龄在18岁以下的双侧神经传感性HL患者,接受CI并具有CI后的智商分数.
- 对CI前后平均智商分数差异的元分析;对非可进行元分析的研究进行定性分析.
主要成果:
- 分析了15篇文章,涉及636名患者和247名对照组.
- 在CI后的性能智商得分显著改善 (MD,7.0).
- 全面智商得分与正常听力对照可比;口头智商得分仍然低于规范平均值.
结论:
- 耳植入可显著提高双边听力损失的儿童的全面和性能智商.
- 虽然许多儿童在CI后达到正常的智商范围,但口头智商缺陷仍然存在,可能是由于植入前的听觉剥夺.
- 早期的耳植入可能会减轻对口头智商发展的长期影响.
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