中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (1): 79-82.

• 临床研究与分析 • 上一篇    下一篇

语言发育迟缓儿童中的听力问题探讨

葛海静1,章依文1,2,刘秀梅1,徐小娟1,2   

  1. 1 上海交通大学医学院附属上海儿童医学中心发育行为儿科,上海 200127;
    2 教育部-上海市环境与儿童健康重点实验室,上海 200092
  • 收稿日期:2012-06-27 发布日期:2013-01-06 出版日期:2013-01-06
  • 通讯作者: 章依文,E-mail:zhangyiwen@hotmail.com
  • 作者简介:葛海静(1978-),女,浙江人,主治医师,主要从事儿童保健工作。

Analysis of hearing impairment in children with language developmental delay

GE Hai-jing1,ZHANG Yi-wen1,2,LIU Xiu-mei1,XU Xiao-juan1,2.   

  1. 1 Department of Developmental and Behavioral Pediatrics,Shanghai Children's Medical Center Affiliated to Medical School of Shanghai Jiaotong University,Shanghai 200127,China;
    2 Shanghai Key Laboratory of Children's Environmental Health,Shanghai 200092,China
  • Received:2012-06-27 Online:2013-01-06 Published:2013-01-06

摘要: 目的 探讨语言发育迟缓儿童中的听力问题,为儿童语言发育迟缓的临床评估提供参考建议。方法 539例语言发育迟缓儿童均进行听觉行为测试(pediatric audiometer,PA5),有异常者进一步进行耳声发射仪(OAE)、声阻抗仪、听性脑干反应(ABR)检查。结果 发现听力问题在儿童语言发育迟缓中占有一定的比例,听觉行为测试共发现25例异常,筛查阳性率为4.64%;其中15例进行听性脑干反应检查,结果5例听力异常,占阳性筛查者的20%;其中2例为中耳积液,3例为中度听力损失。结论 语言发育迟缓儿童应常规进行听力检查,以期尽早发现听力异常对儿童语言发育的影响,使语言发育迟缓儿童得到早期干预、早期诊治。

关键词: 语言发育迟缓, 听力问题, 儿童

Abstract: Objective To investigate the hearing impairment in children with language developmental delay,and provide reference for clinical evaluation of language delayed children. Methods 539 children with language developmental delay were included,and all were tested for pediatric audiometer (PA5).If the results of PA5 were abnormal,then there was a need to do otoacoustic emission(OAE),Acoustic impedance audiometer and auditory brainstem response(ABR). Result Hearing impairment accounted for a certain proportion in children with language developmental delay;Pediatric Audiometer found 25 abnormal cases,and indicated positive rate of hearing screening was 4.46%;Only 15 of the 25 children were then tested by ABR,5 children were diagnosed as hearing impairment,which accounted for 20% of positive screening;2 cases were middle ear effusion and 3 were moderate hearing loss. Conclusions Children with language delay should do hearing test as a routine,even for children who had already passed neonatal hearing screening.In that case the influence of hearing impairment on child language development earlier can be found and maken the language delayed children receive earlier diagnosis and intervention.

Key words: language developmental delay, hearing impairment, children

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