Effect of chronic otitis media on language and speech development.
Effect of chronic otitis media on language and speech development.
复制标题
慢性中耳炎对语言和言语发育的影响。
作者：
V. A. Holm;L. Kunze
比较两组儿童，以确定波动传导性听力损失并发慢性中耳炎对语言和言语发育的影响。实验组包括16名5至9岁的儿童，患有慢性中耳炎并有听力图记录的听力波动。对照组根据年龄、性别和社会经济背景进行匹配。采用Illinois心理语言能力测验、Peabody图片词汇测验、Templin-Darley图片发音筛选测验和Mecham言语语言发展量表对各组的语言表现进行比较。结果表明，实验组在所有需要接受或处理听觉刺激或产生言语反应的语言技能上都有统计学上显著的延迟。在主要测量视觉和运动技能的测试中没有发现显著差异。这表明伴随慢性中耳炎的波动性听力损失是实验组语言发展迟缓的原因。医生、家长和教育工作者需要意识到这种语言障碍的含义，因为它可能会影响表现。由于中耳炎频繁发作导致的传导性听力损失，需要进一步的研究来评估周期性缺乏感觉刺激对永久性语言能力的影响。
Two groups of children were compared in order to determine the effect on language and speech development of the fluctuating conductive hearing loss which accompanies chronic otitis media. The experimental group consisted of 16 children, aged 5 to 9 years, with chronic otitis media and with hearing fluctuations documented by audiograms. The control group was matched for age, sex, and socioeconomic background. The language performances of the groups were compared by means of the Illinois Test of Psycholinguistic Abilities, the Peabody Picture Vocabulary Test, the Templin-Darley Picture Articulation Screening Test, and the Mecham Verbal Language Development Scale. The result shows that the experimental group was delayed to a statistically significant degree in all language skills requiring the receiving or processing of auditory stimuli or the production of verbal responses. No significant differences were found in tests measuring primarily visual and motor skills. This would suggest that the fluctuating hearing loss accompanying chronic otitis media was the cause of the delay in language development found in the experimental group. Physicians, parents, and educators need to be aware of the implication of this language handicap, as it might affect performance. Further studies are needed to evaluate the influence on permanent language ability by the periodic lack of sensory stimulation experienced during conductive hearing loss due to frequent episodes of otitis media.