人工耳蜗植入儿童术后长期言语识别及语言理解表达能力研究
The Study on Long-term Speech Perception and Language Performance in Children with Cochlear Implants
卢星;王斌;宋凡;秦兆冰
1:郑州大学第一附属医院
摘要[Abstract] Objective To assess long-term speech recognition and language performance in children with cochlear implants and study the correlation between two language scales.Methods A total of 72 children with cochlear implants were recruited in the study. Children with cochlear implants were divided into ≤3 years (43 cases) and>3 years group (29 cases), Mandarin lexical neighborhood test (MLNT) was used to assess the word recognition performance. The language skill was evaluated by revised preschool/ primary school language assessment test (RPSLA) and meaningful use of speech scale (MUSS). Results Children showed higher recognition scores in easy words than in hard words, as well as higher scores in disyllabic words than in monosyllabic words. Children with cochlear implants demonstrated higher scores in language reception than in verbal expression. The speech recognition was associated with language performance significantly. The children in≤3 years group showed better performance in both MLNT scores and language assessments than the children in >3 years group did. The RPSLA results were associated with MUSS scores. Conclusion With the long-term usage, children with cochlear implant achieved obvious progress in speech recognition and language performance in various degree. Early implantation is expected to achieve a better long-term rehabilitation result.RPSLA was demonstrated a useful assessment in long term rehabilitation evaluation in children with cochlear implants.
关键词基金项目(Foundation):作者参考文献1 Chen Y,Wong LL.Speech perception in Mandarin-speaking children with cochlear implants:a systematic[J].Int J Audiol,2017,56(sup2):S7-S16.
2 Lu X,Qin ZB.Auditory and language development in Mandarin-speaking children after cochlear implantation[J].Int J Pediatr Otorhinolaryngol,2018,107:183-189.
3 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(4):274-280.
4 Blanchard M,Celerier C,Parodi M,et al.Long term results after cochlear implantation:schooling and social insertion of teenagers and young adults[J].Eur Ann Otorhinolaryngol Head Neck Dis,2016,133(Suppl 1):S40-43.
5 张宁，刘莎，盛玉麒，等.普通话儿童词汇相邻性多音节词表编制研究[J].中华耳科学杂志，2008,6(1):30-34.
6 张宁，盛玉麒，刘莎，等.普通话儿童词汇相邻性单音节词表的编制[J].听力学及言语疾病杂志，2009,17(4):313-317.
7 林宝贵，林美秀.主编.《修订学前儿童语言障碍评量表》指导手册[M].台北：台湾师范大学特殊教育研究所，2008.2-5.
8 郗昕.当前中文言语测听的几个误区[J].听力学及言语疾病杂志，2012,20(6):509-511.
9 Liu C,Liu S,Zhang N,et al.Standard-Chinese lexical neighborhood test in normal-hearing young children[J].Int J Pediatr Otorhinolaryngol,2011,75(6):774-781.
10 Krull V,Choi S,Kirk KI,et al.Lexical effects on spoken-word recognition in children with normal hearing[J].Ear Hear,2010,31(1):102-114.
11 Eisenberg LS,Martinez AS,Holowecky SR,et al.Recognition of lexically controlled words and sentences by children with normal hearing and children with cochlear implants[J].Ear Hear,2002,23(5):450-462.
12 Wang NM,Wu CM,Kirk KI.Lexical effects on spoken word recognition performance among Mandarin-speaking children with normal hearing and cochlear implants[J].Int J Pediatr Otorhinolaryngol,2010,74(8):883-890.
13 Yuen KC,Ng IH,Luk BP,et al.The development of Cantonese Lexical Neighborhood Test:a pilot study[J].Int J Pediatr Otorhinolaryngol,2008,72(7):1121-1129.
14 傅莹，陈源，洪梦迪，等.语前聋儿童人工耳蜗植入2年内词汇能力的发展[J].临床耳鼻咽喉头颈外科杂志，2015,29(13):1168-1171.
15 Monteiro CG,Cordeiro AAA,Silva HJ,et al.Children's language development after cochlear implantation:a literature review[J].Codas,2016,28(3):319-325.
16 Ruben RJ.Language development in the pediatric cochlear implant patient[J].Laryngoscope Investig Otolaryngol,2018,3(3):209-213.
17 Ching TYC,Dillon H,Leigh G,et al.Learning from the longitudinal outcomes of children with hearing impairment (LOCHI) study:summary of 5-year findings and implications[J].In J Audiol,2018,57(Sup2):S105-S111.
18 Sharma SD,Cushing SL,Papsin BC,et al.Hearing and speech benefits of cochlear implantation in children:a review of the literature[J].Int J Pediatr Otorhinolaryngol,2020,133:109984.
19 Cowan RSC,Edwards B,Ching TYC.Longitudinal outcomes of children with hearing impairment (LOCHI):5 year data[J].Int J Audiol,2018,57(sup2):S1-S2.
20 Karltorp E,Eklof M,Ostlund,et al.Cochlear implants before 9 months of age led to more natural spoken language development without increased surgical risks[J].Acta Paediatr,2020,109(2):332-341.
21 Dettman SJ,Dowell RC,Choo D,et al.Long-term communication outcomes for children receiving cochlear implants younger than 12 months:a multicenter study[J].Otol Neurotol,2016,37(2):e82-95.