在生命的前六年,在早期双边耳植入后的语言获取
Louisa Schedel1, Anke Lesinski-Schiedat, Angelika Illg
1Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany.
概括
在12个月前双边耳植入显著改善了儿童的言语和语言发育. 早期植入导致更好的结果,强调及时听力学和语音评估的重要性.
科学领域:
- 听力学 听力学是指听力学.
- 儿科语音语言病理学
- 神经科学是一个神经科学.
背景情况:
- 耳植入物 (CIs) 为严重到严重听力损失的人提供听觉输入.
- 早期的语言学习和语音感知对于儿童的认知和社会发展至关重要.
- 了解双边CIs对语言发展的长期影响对于优化患者护理至关重要.
研究的目的:
- 评估双边CI儿童的语言学习和语音感知.
- 为了比较CI接受者的表现与年龄相匹配,正常听力同龄人的标准化规范.
- 确定植入时的年龄对语音和语言结果的影响.
主要方法:
- 对142名双边CI植入的参与者的回顾性分析.在24个月前植入.
- 使用的德语语言学习测试和语音感知测试 (弗莱伯格单音单词测试等). ) 的情况.
- 统计分析包括t测试和ANOVA与Bonferroni对显著性进行校正.
主要成果:
- 语言生产,感受性语言和听觉记忆通常与年龄相适应,但对于年幼的儿童来说,句子生产是例外.
- 从2岁到6岁观察到语言生产的显著改善.
- 在12个月之前的植入与12-24个月之间的植入相比,产生了明显更好的语音和语言结果.
- 在噪音中理解句子与语音产生和理解相关,但与安静中的理解无关.
结论:
- 建议在12个月前进行双边耳植入,因为其可变性降低,语音获取性能更好.
- 语言学习延迟需要在入学前进行早期诊断和治疗干预.
- 在生命的前六年,持续的听力学和语音发育评估至关重要.
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