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选配助听器儿童日常生活模式下听说能力研究

The Factors of Aural/Oral Performance in Quiet and Noise of Children with Hearing Aids

金欣;李颖;龙越;张薇;刘海红;

1:国家儿童医学中心(北京)首都医科大学附属北京儿童医院耳鼻咽喉头颈外科儿童耳鼻咽喉头颈外科疾病北京市重点实验室

2:澳大利亚国家声学研究所

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摘要

目的探讨选配助听器儿童日常生活模式下听说能力发育特征及影响因素。方法将144例选配助听器的儿童分为:选配时月龄<12个月者50例,13～36个月43例,37～60个月33例,61～108个月18例;其中,轻度听力损失5例、中度20例、中重度72例、重度40例、极重度及以上7例。采用父母评估孩子听说能力量化表(parents evaluation of aural/oral performance of children,PEACH),分别在选配助听器0、3、6、9、12、24个月时进行听说能力评估,分析助听器使用时间、选配月龄、听力损失程度、助听器价格及监护人受教育程度等因素对其日常生活模式下听说能力的影响。结果 (1)随着助听器使用时间延长,儿童听说能力得分呈现显著增长趋势,安静环境下显著高于噪声环境下(P<0.01);(2)选配助听器时月龄显著影响其早期听说能力发展,选配时月龄<12月组PEACH得分增长迅速,且该组佩戴助听器24个月后,其得分与37～60月和61～108月组差异有统计学意义(P<0.05)。(3)初次选配助听器时(评估时间为0个月),轻度听力损失组PEACH得分与中度、重度组差异有显著统计学意义(P<0.01);选配助听器3个月和9个月时,中度组与重度、极重度组PEACH得分差异有统计学意义(P<0.05)。结论儿童助听器选配时年龄越小,其听觉言语能力进步速度越快;听力损失程度越轻,早期听觉言语发育水平越高。

关键词

儿童;助听器;听觉言语能力

基金项目(Foundation):

作者

金欣;李颖;龙越;张薇;刘海红;

参考文献

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