最新刊期
卷 21 ， 期 3 ， 2023
- 摘要：Severe vocal disorders have a serious impact on the physical and mental health of children, causing adverse effects on their function, physiology, emotions, and other aspects. Currently, there are increasingly diverse methods of vocal intervention that can be more precise in treating vocal disorders in children. This article summarizes the causes and effects of vocal disorders in children, and examination, evaluation, and treatment, and emphasizes the importance of paying attention to children's vocal disorders.关键词：Voice disorders in children;Voice assessment;Voice therapy;Voice behavioral intervention
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发布时间：2023-05-22
Expert Forum
- 摘要：ObjectiveThis study aimed to explore the effects of voice behavioral intervention combined with drug therapy on children's vocal nodules.Methods6 children with vocal nodules who visited the Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital from July to August 2022 were selected for voice intervention. Before and after the intervention, the children were evaluated for auditory perception, acoustics, and aerodynamics. The effects of voice intervention were observed.ResultsLaryngoscopy showed that the nodules of vocal cords disappeared completely in 2 cases and shrank in the other 4 cases. The evaluation results demonstrated that children who received treatments improved to varying degrees on auditory perception skill, acoustic test, and aerodynamic evaluation tests.ConclusionVoice behavioral intervention combined with drug therapy can effectively improve the recovery of vocal nodules and the quality of life of voice in children.关键词：Vocal nodules in children;Voice behavioral intervention;Voice training;Voice acoustic analysis
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发布时间：2023-05-22 - 摘要：ObjectiveTo investigate voice disorders caused by inhaled corticosteroids, and to explore intervention strategies.MethodsLiteratures related to inhaled glucocorticoids and voice disorders were retrieved from Wanfang database, China Journal Full-Text Database (CNKI), VIP database and PUBMED database from establishment to December 2022.ResultsInhaled glucocorticoids can cause voice disorders, such as hoarseness, dysphonia and so on. It is related to many factors, including the size of the drug particle, the active ingredient of the glucocorticoids, the dosage and usage of the drug, the duration of the drug, the device used to deliver the drug, the technique used by the patient and so on.ConclusionWhen prescribing inhaled glucocorticoids for patients, clinician should pay attention to strengthen patient education, especially for patients with occupational needs of voice. At the same time, attention should be paid to early identification of adverse reactions of glucocorticoids to exclude the influence of disease. If related adverse reactions occur, the influencing factors should be found in time, and the drug treatment plan should be adjusted if necessary.关键词：Inhaled glucocorticoids;Voice problems;Voice disorders
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发布时间：2023-05-22 - 摘要：ObjectiveTo research the causes of the hoarseness in neonate.MethodsA total of 78 neonates who underwent laryngoscopy in Beijing Children's Hospital for hoarseness from January 2018 to March 2023 were retrospectively analyzed. All subjects were established the reflux finding score (RFS), and analyzed the etiology of hoarseness in combination with medical history.ResultsIn 78 cases, vocal cord hypertrophy was diagnosed in 23 cases (29.49%), vocal nodule in 12 cases (15.38%), unilateral vocal cord paralysis in 30 cases (38.46%) and congenital laryngeal web in 5 cases (6.41%). Other diagnoses included congenital laryngotracheal esophageal fissure, acute laryngitis and laryngeal cyst. The common complications were neonatal pneumonia(29.49%), laryngeal softening (19.23%) and neonatal hyperbilirubinemia (16.67%). In addition, among the causes of neonatal hoarseness, patients with vocal nodules and vocal cord hypertrophy had a statistically significant higher RFS score.ConclusionVocal cord proliferative diseases are the most common cause of neonatal hoarseness, followed by vocal cord paralysis. The occurrence of vocal cord proliferative disease may be related to pharyngeal reflux.关键词：Hoarseness;Neonate;Aetiology;RFS score
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发布时间：2023-05-22 - 摘要：ObjectiveTo investigate the diagnosis and treatment of adolescent patients with sudden aphonia.MethodsThe diagnosis, evaluation, treatment and curative effect of 4 cases of adolescent aphonia were analyzed.ResultsThe results of acoustical assessment and subjective auditory perception assessment changed significantly in all patients before and after treatment. The SPL and HNR of patients were significantly higher than those before treatment. The fundamental frequency(F0), standard deviation of F0, jitter, shimmer, fraction of locally unvoiced frames, degree of voice breaks were significantly decreased compared with those before treatment. The G score of all patients was 3 points before treatment, and 0 points after treatment. The scores of Breathiness and Asthenia were reduced from 3 to 0 in all patients except patient A. After 3 months of follow-up, all patients had no recurrence.ConclusionFor adolescent patients with sudden aphonia, voice behavior intervention can achieve significant therapeutic effect, and can be promoted in clinical diagnosis and treatment of this disease.关键词：Adolescent sudden aphonia;Voice behavioral therapy;Acoustical assessment;Auditory perception assessment
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发布时间：2023-05-22
Treatment of Voice Disorders in Children
- 摘要：ObjectiveTo evaluate the levels of satisfaction of post-lingual hearing-impaired adults wearing the hearing aid. To provide the basis for the government to formulate policies.MethodsA total of 23 hearing-impaired patients (13 males,10 females ) with an average age of 58.5±1.1 years who received government-funded hearing aids were followed up. A questionnaire was used to evaluate the effects of professional hearing aid instruction before and after 2 weeks of professional hearing aid instruction.The international outcome inventory for hearing aids (IOI-HA) was selected.ResultsIn the two questionnaire evaluations before and after the patients receiving the professional hearing aid use guidance, there were significant differences between the two scores of the seven questions in the questionnaire (t=-2.86, -4.09, -2.49, -2.45, -3.27, -3.81, -3.59, P<0.05). After the patients received the professional hearing aid use guidance, the effects of wearing hearing aid were significantly improved. Before the professional hearing aid instruction, patients were not satisfied with the overall evaluation of the effects of wearing hearing aids, and the total score was only 16.17. After the professional hearing aid instruction, the overall evaluation of the effects of wearing hearing aids increased to 23.74. There was a significant difference between the two scores (t=-3.62, P<0.05).ConclusionWhen formulating the policy of hearing aid distribution, the government should include the services of hearing aid fitting for patients in addition to the hearing aid equipment itself.关键词：Adult;Hearing aid effect;IOI-HA
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发布时间：2023-05-22 - 摘要：ObjectiveAnalyzing the sedation onset, efficacy and adverse effects of chloral hydrate (CH) in hearing diagnosis of infants.MethodsCollecting the data of sedation onset time and efficacy of CH in 100 cases of 2-10 month old infant, observing and analyzing the adverse effects of sedation.ResultsCH sedation was successful in 94 of 100 infants,and failed in 6 infants including 5 partial effective and 1 ineffective. This ineffective case failed to sedate because of breath-holding spells and we stopped administering sedative. 66 of 99 infants (66.7%) fell asleep within 5 min, 22 infants (22.2%) fell asleep between 6-10 min, 11 infants (11.1%) fell asleep between 11-30 min. Adverse effects were 5 cases of spitting or vomiting, 4 cases of breath-holding spells and 1 case of allergic eruption.ConclusionThe outcomes for CH as sedative for infant hearing diagnosis is very successful. The time onset for sedation is short for most infants and these data provide useful information for the choices of CH sedative procedure including methods of sedation and time of administering. Breath-holding spells are one of the common adverse effects and most of these cases feel asleep well without giving the full initial dose. Different symptoms of allergic eruption of our case provide clinical experience for the risk prevention of CH sedation.关键词：Hearing diagnosis;Infant;Chloral hydrate;Adverse effect;Sedation
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发布时间：2023-05-22 - 摘要：ObjectiveTo analyze the effects of auditory cognitive training on cognitive function and quality of life of senile deaf patients.Methods151 cases of presbycusis patients from June 2019 to June 2020 were selected and divided into a control group (N=75) and research group (N=76). The control group received routine rehabilitation training, and the research group received auditory cognitive training. The hearing functions (hearing threshold, HHIE-S score, and hearing ability), cognitive functions (MoCA score and MMSE score), and quality of life (SF-36 score) of the two groups were compared before and after training, and the correlation between the hearing threshold and HHIE-S score and MoCA score and MMSE score was analyzed.ResultsThe recovery of auditory and cognitive functions in the research group was significantly superior to those in the control group (P<0.05). There was a negative correlation between hearing thresholds, hearing functions, and hearing accuracy and cognitive functions in patients with presbycusis (r<0, P<0.05). The SF-36 scores of physiological function, physiological function, emotional function, social function, mental health, energy, general health status and overall health of the research group were significantly higher than those of the control group (P<0.05). There was no significant difference in physical pain score between the two groups (P>0.05).ConclusionHearing ability and cognitive functions are closely related. Hearing cognitive training helps to improve the auditory and cognitive function and improve the quality of life.关键词：Presbycusis;Auditory cognitive training;Cognitive function;Quality of life
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发布时间：2023-05-22 - 摘要：ObjectiveThe changes of impedance and early auditory and speech rehabilitation outcomes after cochlear implantation(CI) were compared between patients with normal cochlear and Mondini malformation.MethodsThe changes of impedance at 1, 3, 6 and 12 months after CI, the changes of hearing threshold before and 1, 3, 6, 12 months after CI were retrospectively compared between 80 patients (the normal group and the Mondini group). The auditory and speech outcomes before and 3, 6 and 12 months after CI were compared between patients with bilateral prelingual deafness in these two groups.ResultsThe impedance in the Mondini group at 1 month after CI were significantly higher than those of the normal group (P<0.05), there was no significant difference in impedance between the two groups within other time after CI (P>0.05). The hearing threshold of the normal group was significantly higher than that of Mondini group before and 1, 3, 6 and 12 months after CI (P<0.05). However, there was no statistically significant difference in hearing threshold between the two groups at frequencies of 0.5, 1, 2 and 4 kHz 12 months after CI (P>0.05). There was no significant difference in preoperative CAP and SIR scores between patients with bilateral prelingual deafness in these two groups(P>0.05). CAP, SIR and MAIS/ITMAIS scores in the Mondini group were higher than those in the normal group at 3, 6 and 12 months after CI, and only SIR and MAIS/ITMAIS scores at 3 months after CI were statistically significant (P<0.05).ConclusionCI is an effective treatment for patients with Mondini malformation. These patients will produce temporarily higher impedance after CI without adverse effects on the later mapping. Their hearing threshold with CI and hearing and speech abilities are comparable to those of patients with normal cochlear. Even 3 months after CI, Mondini patients show faster adaptation.关键词：Mondini malformation;Cochlear implantation;Electrode impedance;Auditory threshold
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发布时间：2023-05-22 - 摘要：ObjectiveTo analyze the characteristics of the distribution of age and etiology of hearing disability in patients from some urban areas of Beijing who participated the disability assessment, which will provide evidence for making the regional management strategies for individuals with hearing disability.MethodsPatients with hearing disability who participated the disability assessment during January 2019 to January 2023 from the Beijing urban areas of Chaoyang, Haidian, Fengtai, and Xicheng districts were retrospectively recruited. The characteristics of the distribution of age and etiologies of hearing disability were analyzed.ResultsThe mean age of 1339 recruited patients with hearing disability (mean age: 64.18±20.47 years old, 749 males and 590 females.), 68 (5.08%), 23 (1.72%), 290 (21.65%), and 958 (71.55%) patients were in 0-6 years group, 7-17 years group, 18-59 years group, and ≥60 years group, respectively. The analysis of etiologies the patients showed that the dominant etiology of 0-6 years group, 7-17 years group, 18-59 years group, and ≥60 years group was hereditary factor (44.12%), unknown etiology (43.48%), other causes (25.52%), and presbycusis (55.11%), respectively.ConclusionThe dominant patients with hearing disability from some urban areas of Beijing who participated disability assessment were adults (particularly elderly individuals), and a substantial number of patients were preschool children. The distribution of etiology for hearing disability varied in different age groups.关键词：Hearing disability;Age;Etiology
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发布时间：2023-05-22 - 摘要：ObjectiveThis article analyzes the correlation between chronic suppurative otitis media (CSOM) and different types of obstructive nasal diseases, and provides basis for study on the pathogenesis and treatment of CSOM.MethodsThe CSOM cases admitted to our hospital were analyzed retrospectively, and the types of nasal diseases and their effects on the incidence of single and double ears, tinnitus and hearing loss were summarized and analyzed in combination with their history, incidence, accompanying symptoms and imaging examinations.ResultsA total of 168 patients with CSOM were collected, including 88 males and 80 females, with an average age of 39.7±14.7 years. 120 patients (71.43%) were complicated with obstructive nasal lesions, including 76 cases of inferior turbinate hypertrophy, 53 cases of sinusitis, and 22 cases of nasal septum deviation; There were 94 patients with other head and neck diseases as the control group, with an average age of 48.9±18.3years,and 45 patients with nasal lesions, accounting for 47.87%. The difference between the two groups was statistically significant. There was no significant correlation between nasal diseases and unilateral and binaural sides, tinnitus and hearing loss.ConclusionObstructive nasal disease can significantly promote the onset of CSOM, among which inferior turbinate hypertrophy has a large nasal resistance value, which contributes greatly to the onset of CSOM. While treating this kind of CSOM, we should also prevent nose diseases. Obstructive nose diseases did not significantly promote the side of the disease, tinnitus and hearing loss symptoms.关键词：Chronic suppurative otitis media;Obstructive nasal disease;pathogenesis;Symptoms
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发布时间：2023-05-22 - 摘要：ObjectiveTo determine the prevalence of other inner ear malformations and compare the size of inner ear structures in patients with bilateral large vestibular aqueduct (LVA) using high resolution computed tomography (CT).MethodsWe retrospectively analyzed the high resolution CT images of 75 patients with bilateral LVA (mean age: 6.53 ± 6.13 years old; 45 males). The prevalence of co-existing other inner malformations was determined. The size of inner ear structures including the diameters for internal auditory canal, vestibule, middle segment of vestibular aqueduct, cochlear foramen, and cochlear was measured and compared bilaterally.ResultsOf the 75 recruited patients with bilateral LVA, 55 (73.3%) had deficit of bilateral cochlear axis, 42 (56.0%) had bilateral periapical fusion of cochlea, 59 (78.7%) had bilateral large vestibule, and 1 (1.3%) had bilateral stenosis in internal auditory canal, respectively. The prevalence of other inner malformations between male and female patients with bilateral LVA was not significantly different (all P>0.05). Among the size of inner ear structures, only the diameter of internal auditory canal at axial view was significant different between left and right side (4.71 ± 0.80 mm [left] vs. 4.57 ± 0.78 mm [right]; P = 0.019). There were no significant differences in the size of other inner ear structures between left and right side (all P >0.05).ConclusionWe found that the co-existing other inner ear malformations were prevalent in patients with bilateral LVA, particularly bilateral large vestibule. In patients with bilateral LVA, the diameter of bilateral internal auditory might be asymmetric.关键词：Large vestibular aqueduct;Tomography;X-ray computed
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发布时间：2023-05-22 - 摘要：The rehabilitation of hearing-impaired adult is receiving more and more attention. Under the modern concept of rehabilitation, the contents of hearing assessment, rehabilitation effect evaluation, rehabilitation curriculum setting, etc. have changed significantly than ever. Our adult hearing rehabilitation will make continuous progress against difficulties and challenges.关键词：Adult hearing rehabilitation;Modern rehabilitation concept
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发布时间：2023-05-22
Clinical Research
- 摘要：Diabetes is a common clinical basic disease in the elderly, often accompanied by complications - hearing impairment. Previous studies have shown that about 35%~50% of diabetic patients eventually suffer from different severities of hearing loss. Hearing loss is mainly manifested by high frequency hearing loss, bilateral symmetry, progressive onset, accompanied by or without vertigo, tinnitus and other symptoms. The pathogenesis of this disease is rather complicated. It is believed that the changes of cochlea metabolism and cochlear microcirculation and its structure and function may be caused by high glucose induced vascular and neuropathy. However, the specific pathogenesis and mechanism of this hearing loss are not yet clear. This article mainly reviews the pathogenesis and treatment progress of hearing impairment in diabetic patients.关键词：Diabetes mellitus;Hearing loss;Occurrence mechanism;Treatment progress
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发布时间：2023-05-22 - 摘要：The COVID-19 epidemic has had many impacts on the healthcare. Cochlear implantation (CI), a common procedure in otolaryngology, head and neck surgery, was also affected during the outbreak. In this paper, the influence of COVID-19 virus on the hearing of patients, the impact of the pandemic on the hearing recovery after CI surgery and the effect of postoperative rehabilitation were expounded, in order to provide new ideas for improving the postoperative effect of cochlear implant in patients under this new situation.关键词：COVID-19;Cochlear implantation;Rehabilitation efficacy
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发布时间：2023-05-22 - 摘要：ObjectivesReview the characteristics of evoked potentials in the auditory cortex of infants and children aged 0-12 years, the parameter settings, and the latest advances in clinical research. It provides a reference for the future application of evoked potentials in the auditory cortex.MethodAfter searching databases (CNKI, PubMed, Cochrane, MEDLINE, etc.), the literature on evoked potentials in the auditory cortex was collated.ResultsAccording to the theme, 27 articles were screened out, and the compositional characteristics, parameter settings, clinical application and advantages of auditory cortex evoked potentials in infants and young children aged 0~12 years old were summarized.ConclusionEvoked potential test of the auditory cortex can be used to assess the auditory maturity, auditory ability and speech audibility of children with and without hearing loss, and can also assess the effect of rehabilitation interventions such as cochlear implantation, which has advantages in diagnosing diseases such as acoustic neuropathy, although there are still problems such as the lack of reference values for children of different ages, but with future optimization, the test will be more widely used in clinical research.关键词：Auditory cortex evoked potential;Infants and young children;Preschool children;School-age children
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发布时间：2023-05-22 - 摘要：Translational medicine is an important concept in the bio-psycho-social medicine model that breaks the traditional barriers, advocates patient-centeredness and emphasizes multidisciplinary cooperation. Its core is to translate the results of basic research in medical biology into theories, technologies, methods and drugs that can be applied in clinical practice, to achieve a two-way translation between basic and clinical research, and to improve the overall level of medical treatment. Hearing impairment is one of the most common human disabilities. In this paper, we present a literature review on the application of translational medicine in the field of otology, and introduce cochlear implant improvement, gene therapy for deafness, inner ear drug therapy and delivery techniques, unilateral hearing loss intervention, and hearing rehabilitation techniques for adults. We summarize existing research results, shortcomings, and future directions,which is of great significance to the next development for clinically available intervention and rehabilitation techniques for various types of hearing loss.关键词：Translational medicine;Otology;Auditory science
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发布时间：2023-05-22 - 摘要：As a controllable variable of positive psychology, perceived control has an important impact on cognitive behavior and physical and mental health of patients.This paper introduces the features and functions of perceived control, and reviews the evaluation tools, influencing factors and intervention studies of perceived control in patients with voice disorders. It emphasizes the importance of improving perceived control, aims to enhance the understanding of medical staff on patients' perceived control, and provides reference for psychological nursing of patients with voice disorders in China.关键词：Voice disorders;Perceived control;Positive psychology
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发布时间：2023-05-22
Review
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The Effects of Assessment Methods on the Evaluation Results of Initials in Hearing-Impaired Children
摘要：ObjectiveThis study aimed to examined the influence of assessment forms by imitated and spontaneous words on the evaluation results and time-consuming of initials in hearing-impaired children.Method93 Children with hearing impairment were evaluated with evaluation of the pronouncing articulation ability by imitated and spontaneous words. The differences of initial target sound extraction rate, percent correct consonants (PCC), corrected of percent correct consonants (CPPC) and time-consuming between the two tests were analyzed.Results(1) The initial elicitation rate of hearing-impaired children in imitated assessment was 76.55±11.36, and in the spontaneous was 99.25±1.94, and the difference was statistically significant (F(1, 92)= 399.907,P=0.000<0.001); (2) The PCC scores in imitated assessment were 56.52±15.41, and in the spontaneous were 73.30±14.05. The difference was statistically significant (F(1, 92)= 422.476,P=0.000<0.001); (3) The CPCC scores in imitated assessment were 73.10±14.08, and in the spontaneous were 73.84±14.02. The difference was statistically significant (F(1, 92)= 1.83,P=0.179<0.05); (4) The time-consumption in imitated assessment were 70.42±15.82, and in the spontaneous were 18.15±3.17. The difference was statistically significant (F(1, 49)= 1008.423,P=0.000<0.001); (5) Under the imitated assessment,the difference between PCC and CPCC was statistically significant (F(1, 92)= 390.429,P=0.000<0.001), but under spontaneous was not (F(1, 92)= 1.138,P=0.254<0.05).ConclusionDifferent assessment methods on hearing-impaired children had a great effect on the accuracy of the initial assessment. Repeat assessment can accurately obtain the hearing-impaired children's initial error performance directly, with shorter time-consuming, which can be recommended for routine use evaluation way.关键词：Assessment forms;Initials;Time-consuming- 8
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发布时间：2023-05-22 - 摘要：ObjectiveTo explore the phonemic contrastive speech recognition ability and speech breathing function of children with functional articulation disorder, and to explore the correlation between them and the degree of articulation disorder.MethodsChildren with functional articulation disorder admitted to our hospital from July 2020 to August 2021 were selected as the case group (functional articulation disorder, n=46), and 46 children with normal physical examination in our hospital were selected as the control group (normal children, n=46). The phonemic contrastive speech recognition ability and speech breathing function of the two groups were compared and analyzed, and Pearson correlation analysis was used to explore the correlation between phonemic contrastive speech recognition ability and speech breathing function of the children with functional articulation disorder and the degree of articulation disorder.ResultsVowel scores (front nasal vowel-back nasal vowel score, same opening and same structure score, same opening and different structure score, same structure and different opening score, total vowel score) and initial consonant scores (same parts and different ways score, retroflex-non-retroflex score, aspirates-unaspirated sound score and total consonant score) in the case group were lower than those in the control group (P<0.05). The maximum phonation time (MPT), mean flow rate (MFR) and maximum counting ability (MCA) in the case group were lower than those in the control group, and the s/z ratio was higher than that in the control group (P<0.05). Same opening and same structure score, same opening and different structure score, same structure and different opening score, total vowel score, same parts and different ways score, voiceless consonant and voiced consonant, fricative and non-fricative, aspirates-unaspirated sound score and total consonant score, MPT, MFR and MCA were negatively correlated with articulation disorder, while s/z ratio was positively correlated with the articulation disorder degree (P<0.05).ConclusionCompared with age-matched normal children, the phonemic contrastive speech recognition ability and speech breathing function of children with functional articulation disorder are relatively low, and speech recognition ability and speech breathing function of children is negatively correlated with articulation disorder degree. Children with functional articulation disorder should be trained in the phonemic contrastive speech recognition and speech breathing.关键词：Functional articulation disorder;Phonemic contrast;Speech recognition ability;Speech breathing function
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发布时间：2023-05-22 - 摘要：ObjectiveTo explore the effects of guided health education combined with swallowing and language rehabilitation training on the rehabilitation in patients with dysphagia and dysarthria.Methods66 patients with dysphagia and dysarthria admitted to our hospital from August 2021 to July 2022 were selected, and divided into the study group (33 cases) and the control group (33 cases) by the random number table method. The control group was given swallowing and language rehabilitation training. The study group was given guided health education combined with swallowing and language rehabilitation training. The swallowing functions, language functions, quality of life and adverse events of the two groups were compared.ResultsIn comparision of the control group, the swallowing function of the study group was better (P<0.05). After intervention, the scores of Frenchay Dysarthria Assessment (FDA) in both groups were significantly decreased (P<0.05), and in comparision of the control group, the study group was significantly lower (P<0.05). After intervention, the Swallowing Quality of Life (SWAL-QOL) scores in both groups were significantly improved (P<0.05), and in comparision of the control group, the study group was significantly higher (P<0.05). In comparision of the control group (24.24%), the incidence of adverse events in the study group (3.03%) was significantly lower (P<0.05).ConclusionGuided health education combined with swallowing and language rehabilitation training for patients with dysphagia and dysarthria can improve their swallowing and language functions, improve their quality of life and reduce the incidence of adverse events.关键词：Dysphagia;Dysarthria;Guided health education;Swallowing rehabilitation training;Language rehabilitation training
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发布时间：2023-05-22 - 摘要：ObjectiveTo explore the effects of peer education combined with language training on language functions, daily life communication ability, and quality of life in elderly patients with aphasia.Methods92 elderly patients with aphasia admitted to our hospital from October 2020 to October 2022 were selected, and divided into the intervention group (n=46) and the control group (n=46) by random number table method. The control group was given language training, the intervention group was given peer education combined with language training. The language skills, daily life communication skills, and quality of life of the two groups were compared.ResultsAfter intervention, the China rehabilitation research center aphasia examination (CRRCAE) scores in the two groups were significantly improved (P<0.05), and in comparision of the control group, the scores in the intervention group were significantly higher (P<0.05). After intervention, the communication activities of daily living (CADL) scores in both groups were significantly improved (P<0.05), and in comparision of the control group, the scores of the intervention group were significantly higher (P<0.05). After intervention, the World Health Organization on quality of life brief scale (WHOQOL-BREF) scores in both groups were significantly improved (P<0.05), and in comparision of the control group, the scores in the intervention group were significantly higher (P<0.05).ConclusionPeer education combined with language training can improve language functions, daily communication ability, and quality of life in elderly patients with aphasia.关键词：Peer education;Language training;Elderly;Aphasia;Language function
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发布时间：2023-05-22 - 摘要：This paper summarized the models and content of home-based rehabilitation for children with hearing impairment, and analyzed different intervention methods, including online training, online assessment, guidance on the analysis of home-based rehabilitation video, expert consultation, professional lectures, regular offline assessments etc, and identified interventions and services suitable for home-based rehabilitation.关键词：Hearing impairment;children;Home-based rehabilitation;Early intervention
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发布时间：2023-05-22 - 摘要：ObjectiveTo explore the correlation of the Checklist for China's Infants with Autism(CHCIA) scale and Gesell development scale and understand the consistency of positive results in both scales, providing references for early screening and diagnosis of autistic spectrum disorder (ASD) infants.MethodsFrom January 2021 to April 2022, 109 infants who were highly suspected of autism or comprehensive/language development retardation in the Children's Health Clinic of West China Second Hospital were selected. The characteristics, the results of CHCIA and Gesell were collected retrospectively, and the correlation between the results of the two scales and the consistency of positive results were analyzed. Resutls CHCIA and its all dimensions are in low correlation with Gesell (except for the great motor development region). The dimension of language in CHCIA is mainly related to the language region in Gesell (r=0.445) and the positive results are highly consistent, the social interaction dimension in CHCIA is mainly related to the individual-social region in Gesell (r=0.327) and the positive results are highly consistent, and the interest-behavior dimensions in CHCIA have little correlation with Gesell.ConclusionsGesell development scale can identify the specific region of infant development retardation and quantify the severity of retardation, in combination with CHCIA which can significantly identify the core symptoms of narrow interest and stereotyped behavior in autistic infants. It is suggested that Gesell combined with CHCIA can be used for early screening and differential diagnosis of ASD and comprehensive/language development retardation in infants before 24 months age.关键词：Autism spectrum disorder;Earling screening;Diagnosis
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发布时间：2023-05-22 - 摘要：ObjectiveTo understand the differences of mental stress of parents under different living modes, whose preschool children has hearing impairment.MethodsUsing Questionnaire on Mental Stress of Parents with Disabled Children to survey 162 hearing-impaired preschool children's parents.ResultsThe mental stress of hearing-impaired preschool children's parents in five dimensions from high to low is:excessive protection, economic burden,life-span care, individuals and families, lack of a sense of accomplishment. There are significant differences in mental stress levels of parents under different family living modes.ConclusionWe should provide psychological support for parents of hearing-impaired children, according to the characteristics of mental stress of parents and the differences in the level of mental stress of parents under different living modes.关键词：Hearing-impaired children;Parents;Mental stress;Living mode
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发布时间：2023-05-22
Rehabilitation Education
Post Education
- 摘要：ObjectiveTo explore the rehabilitation training process, effect and user experience of children with autism spectrum disorder (ASD) using a digital cognitive rehabilitation software based on applied behavior analysis theory.MethodsSelecting a 5.5-year-old ASD child as a case to conduct digital cognitive rehabilitation training for 3 months, and using interview and data analysis to sort out the user experience, rehabilitation and effect.ResultsThe ASD child and her parents had a positive experience of digital cognitive rehabilitation training. In 3 months, the individual's training content involved a total of 57 individualized education programs (IEP), 13 IEPs were newly acquired, and 23% of the rehabilitation program was completed. Both the overall and independent IEP training processes showed learning effects.ConclusionDigital cognitive rehabilitation training is feasible, and children with ASD can acquire cognitive skills through digital cognitive rehabilitation training, but researchers need to further improve the function of parents participating in children's digital rehabilitation training.关键词：Autism spectrum disorder;Digital rehabilitation;Cognitive training;Case studies
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发布时间：2023-05-22
Autism Rehabilitation
- 摘要：The Gesell developmental schedules is an essential tool for assessing the developmental levels of infants and toddlers in four areas: motor, object, verbal, and coping abilities. This paper analyses the linguistic rationale for the phonological, lexical, and grammatical components of the Gesell developmental schedules from a linguistic perspective. It makes suggestions for the localization of the scale.关键词：Gesell development schedules;Principles of linguistics;Verbal ability test
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发布时间：2023-05-22
Applied Linguistics and Language Rehabilitation
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