Auditory and language development in Mandarin-speaking children after cochlear implantation

作者：Lu, Xing; Qin, Zhaobing^*

来源：International Journal of Pediatric Otorhinolaryngology, 2018, 107: 183-189.

DOI：10.1016/j.ijporl.2018.02.006

• Cochlear implant
• Auditory performance
• Speech perception
• Language development
• Mandarin Chinese

Objective: To evaluate early auditory performance, speech perception and language skills in Mandarin-speaking prelingual deaf children in the first two years after they received a cochlear implant (CI) and analyse the effects of possible associated factors.
Methods: The Infant-Toddler Meaningful Auditory Integration Scale (ITMAIS)/Meaningful Auditory Integration Scale (MAIS), Mandarin Early Speech Perception (MESP) test and Putonghua Communicative Development Inventory (PCDI) were used to assess auditory and language outcomes in 132 Mandarin-speaking children pre- and post-implantation.
Results: Children with CIs exhibited an ITMAIS/MAIS and PCDI developmental trajectory similar to that of children with normal hearing. The increased number of participants who achieved MESP categories 1-6 at each test interval showed a significant improvement in speech perception by paediatric CI recipients. Age at implantation and socioeconomic status were consistently associated with both auditory and language outcomes in the first two years post-implantation.
Conclusion: Mandarin-speaking children with CIs exhibit significant improvements in early auditory and language development. Though these improvements followed the normative developmental trajectories, they still exhibited a gap compared with normative values. Earlier implantation and higher socioeconomic status are consistent predictors of greater auditory and language skills in the early stage.

• 出版日期2018-4
• 单位郑州大学