婴幼儿有意义听觉整合量表评估极重度聋幼儿助听后早期语前听能发育的价值

Clinical Value of ITMAIS in the EPLAD Assessment for Profound Hearing Impaired Children with Hearing Aids

李刚;郑芸;孟照莉;胥科;陶勇;张圆;

1:四川大学华西医院耳鼻咽喉头颈外科听力中心/听觉言语实验室

摘要

目的探讨婴幼儿有意义听觉整合量表(infant-toddler meaningful auditory integration scale,ITMAIS)评估双耳极重度感音神经性听力损失(sensorineural hearing loss,SNHL)幼儿助听(hearing aid,HA)后6个月内的早期语前听能发育(early prelingual auditory development,EPLAD)规律及价值。方法以配戴助听器时年龄为12岁的51例双耳极重度SNHL幼儿为研究对象,分为1岁组(28例)和2岁组(23例),比较助听器配戴时及配戴后3个月、6个月的ITMAIS得分,并与同龄未助听的不同程度SNHL幼儿比较,以此评估其EPLAD情况。结果 1岁组、2岁组幼儿在配戴助听器后3、6个月时的ITMAIS得分(3个月时分别为30.6%±17.0%、41.4%±23.5%,6个月时分别为41.42%±24.2%、50.1%±27.6%)较配戴前(分别为9.7%±5.2%、17.9%±10.1%)均显著提高(P<0.05);两组幼儿的ITMAIS平均得分在配戴助听器后6个月时接近或达到同龄未助听的重度SNHL幼儿平均水平。结论助听器有助于极重度SNHL幼儿在配戴助听器早期(6个月)提升其EPLAD水平;ITMAIS测试是一项简单、有效、可用于评估助听器配戴幼儿初期康复效果的方法。

关键词

婴幼儿有意义听觉整合量表;早期语前听能发育;助听器;幼儿

基金项目(Foundation):

国际合作基金(312130182);; 四川省学术和技术带头人培养基金(JH2014002);; 四川省科技支撑计划项目(2014JY0237);; 四川省卫生计生适宜技术推广项目(JH2015044)联合资助

作者

李刚;郑芸;孟照莉;胥科;陶勇;张圆;

参考文献

1郑芸,Soli SD,李刚.早期言语-语言发育的客观评估[J].中国听力语言康复科学杂志,2010(4):10.

2 Zheng Y,Soli SD,Wang K,et al.A normative study of early prelingual auditory development[J].Audiol Neurotol,2009,14:214.

3 Robbins AM,Renshaw JJ,Berry SW.Evaluating meaningful auditory integration in profoundly hearing-impaired children[J].The American Journal of Otology,1991,12(Supp):144.

4 Ching TYC,Hill M.The parents'evaluation of aural/oral performance of children(PEACH)scale:Normative data[J].Journal of the American Academy of Audiology,2007,18:220.

5 Bagatto MP,Scollie SD.Validation of the parents'evaluation of aural/oral performance of children(PEACH)rating scale[J].Journal of the American Academy of Audiology,2013,24:121.

6 Quar TK,Ching TYC,Mukari SZ,et al.Parents'evaluation of aural/oral performance of children(PEACH)scale in the Malay language:data for normal-hearing children[J].International Journal of Audiology,2012,51:326.

7 韩睿,腾白玉,孙喜斌,等.听障儿童助听器效果评估方法的一致性分析[J].中国听力语言康复科学杂志,2009(5):22.

8 伍丽东,李健鸿,黄妍.家长/教师助听器效果评估问卷在听障儿童助听器验配中的应用[J].中国听力语言康复科学杂志,2009(5):25.

9 Weichbold V,Tsiakpini L,Coninx F,et al.Development of aparent questionnaire for assessment of auditory behaviour of infants up to two years of age[J].Laryngo Rhino Otologie,2005,84:328.

10 Coninx F,Weichbold V,Tsiakpini L,et al.Validation of the LittlEARS?Auditory Questionnaire in children with normal hearing[J].International Journal of Pediatric Otorhinolaryngology,2009,73:1761.

11 Rauhamki T,Lonka E,Lipsanen J,et al.Assessment of early auditory development of very young finnish children with LittlEARS?Auditory Questionnaire and McArthur communicative developmental inventories[J].International Journal of Pediatric Otorhinolaryngology,2014,78:2089.

12 Wang LY,Sun XB,Liang W,et al.Validation of the Mandarin version of the LittlEARS?Auditory Questionnaire[J].International Journal of Pediatric Otorhinolaryngology,2013,77:1350.

13 刘海红,金欣,周怡,等.小龄儿童听觉发展问卷对助听器选配婴幼儿听觉言语能力的评估[J].听力学及言语疾病杂志,2015,23:291.

14 Kishon-Rabin L,Taitelbaum R,Elichai O,et al.Developmental aspects of the IT-MAIS in normal-hearing babies[J].Isr J Speech Hear,2001,23:12.

15 徐天秋,陈雪清,王红.使用普通话听力正常婴幼儿听觉能力发育规律的研究[J].中华耳鼻咽喉头颈外科杂志,2013,48:908.

16 Valencia DM,Rimell FL,Friedman BJ,et al.Cochlear implantation in infants less than 12months of age[J].International Journal of Pediatric Otorhinolaryngology,2008,72:767.

17 Eisenberg LS,Johnson KC,Martinez AS,et al.Speech recognition at 1-year follow-up in the childhood development after cochlear implantation study:methods and preliminary findings[J].Audiol Neurotol,2006,11:259.

18 Robbins AM,Koch DB,Osberger MJ,et al.Effect of age at cochlear implantation on auditory skill development in infants and toddlers[J].Arch Otolaryngol Head Neck Surg,2004,130:570.

19 Zheng Y,Soli SD,Tao Y,et al.Early prelingual auditory development and speech perception at 1-year follow-up in Mandarin-speaking children after cochlear implantation[J].International Journal of Pediatric Otorhinolaryngology,2011,75:1418.

20 Zheng Y,Li G,Meng ZL,et al.Outcome assessment alternatives for young children during the first 12months after pediatric hearing-aid fittings[J].International Journal of Audiology,2012,51:846.

21 Ben-Itzhak D,Greenstein T,Kishon-Rabin L.Parent report of the development of auditory skills in infants and toddlers who use hearing aids[J].Ear&Hearing,2014,35:e262.

22 兰莉,李斐,刘宇清,等.不同听觉补偿方式下听障儿童的听觉言语康复效果比较[J].听力学及言语疾病杂志,2015,23:186.

23 于丽玫,李佳楠,王丽燕,等.儿童诺尔康人工耳蜗植入者术后长期康复效果分析[J].中华耳鼻咽喉头颈外科杂志,2015,50:646.

24 傅莹,陈源,郗昕,等.语前聋儿童人工耳蜗植入术后一年内的听觉发展和言语识别[J].中华耳鼻咽喉头颈外科杂志,2015,50:274.

25 郭思荃,唐冬梅,李华伟,等.语前聋儿童人工耳蜗植入后听觉言语能力评估[J].听力学及言语疾病杂志,2015,23:61.

26 张宏征,钱宇虹,郭梦和.语前聋患儿人工耳蜗植入术后听觉言语功能发育的观察[J].听力学及言语疾病杂志,2013,21:519.

27 郑芸,孟照莉,胥科,等.ITMAIS在听障婴幼儿早期干预中的临床应用[J].中国听力语言康复科学杂志,2011,4:26.

28 李刚,郑芸,孟照莉,等.婴幼儿有意义听觉整合量表对人工耳蜗植入幼儿康复效果的评估[J].听力学及言语疾病杂志,2012,20:163.

29 陈雪清,李靖,吴燕君,等.耳聋程度对选配助听器婴幼儿听觉能力发育的影响[J].临床耳鼻咽喉头颈外科杂志,2012,26:1080.

30 陈雪清,刘莎,孔颖,等.不同月龄婴幼儿人工耳蜗植入术后听觉能力发育规律及特点[J].临床耳鼻咽喉头颈外科杂志,2009,23:148.

31 陈雪清,王靓,孟黎晖,等.婴幼儿人工耳蜗植入术后听觉能力的发育[J].临床耳鼻咽喉头颈外科杂志,2005,19:442.

32 郗昕,洪梦迪,韩东一,等.人工耳蜗植入后聋儿听力培建效果的评价[J].听力学及言语疾病杂志,2002,10:143.

33 Liang SY,Soli SD,Zheng Y,et al.Initial classification of pediatric hearing impairment using behavioral measures of early prelingual auditory development[J].International Journal of Audiology,2016,55:224.

本文信息

PDF(322K)

本文关键词相关文章

婴幼儿有意义听觉整合量表早期语前听能发育助听器幼儿

本文作者相关文章

李刚郑芸孟照莉胥科陶勇张圆