最新刊期
卷 ， 期 1 ， 2023
- 摘要：世界卫生组织估计，全世界有3.6亿人患有致残性听力损失，其中近一成是儿童[1]。第二次全国残疾人抽样调查数据显示，我国听力障碍总人数约2780万，先天性听力障碍发病率为1‰～3‰，每年新增听力障碍儿童超过30万[2]。受传统文化影响，许多听障儿童被贴上“不正常”的标签或被视为智力低下、能力较差，
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发布时间：2023-08-07 - 摘要：Through case interviews with 12 mothers of hearing-impaired children, we find that families of hearing-impaired children shrink inward and gradually hide in urban society because they are busy with their children’s treatment, rehabilitation and livelihood, as well as being limited to a stigmatized social environment. Therefore, the families of hearing-impaired children have gradually become a voicesless group. To this end, for the families of hearing-impaired children, the stigma environment should be gradually eliminated and families should be brought to the forefront of society. Hearing-impaired children and their families should be allowed to express their demands. The government and society need to "listen" to their voices, improve the social support system,enhance family resilience, and promote social integration.关键词：Families with hearing-impaired children;Social retreat;Social support
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发布时间：2023-08-07 - 摘要：The identity of the person with disabilities plays an important role in their personal development and social inclusion. This paper conducts a qualitative study on the status quo, differences in characteristics and influencing factors of the identity of hearing-impaired children in ordinary schools and special education schools. The research finds that those hearing-impaired children receiving inclusive education show a healthy hearing culture identity, while those receiving special education show a sprout of disability culture identity, thus the identity of hearing-impaired children in different educational environments is different. The study analyzes the reasons for the formation of different identities, examines the construction mechanism of the identity of hearing-impaired children in the local context, and puts forward suggestions to promote hearing-impaired children to form a positive identity.关键词：Hearing-impaired children;Identity;Social construction;Empirical research
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发布时间：2023-08-07 - 摘要：Objective This study explored the level of self-concept of hearing-impaired children aged 8-16 attending general schools and compared it with the norm to provide policy and service recommendations for the whole-person development of children with hearing and speech rehabilitation. Method The Piers Harris Self-Concept Scale was used as the measurement tool, and 460valid questionnaires were collected from hearing-impaired children aged 8-16 years old attending various types of general schools in five provinces, Guangdong, Shaanxi, Hunan, Jilin and Shandong. Results There were significant differences in the self-concept levels of hearing-impaired children aged 8-16 years in two dimensions: age and geography; there were no significant differences in the dimensions of gender, means of rehabilitation, whether they were an only child, or primary caregiver. Hearing-impaired students’ scores on the four sub-dimensions of behavior, anxiety, conformity, and happiness and satisfaction and the total score were significantly lower than the normative Chinese children’s self-concept level, and the differences were significant. The level of selfconcept is one of the important indicators of children’s mental health as a starting point for the status of self-concept level of hearingimpaired children attending regular schools. Conclusion The level of self-concept of hearing-impaired children aged 8-16 years was lower than that of able-bodied children of the same age. Social policies and systematic support services under the concept of wholeperson development were the key to achieving psychological well-being in hearing-impaired children.关键词：Hearing-impaired children attending general schools;Self-concept;Whole-person development
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发布时间：2023-08-07 - 摘要：Objective To analyze the basic characteristics of the first diagnosis of large vestibular aqueduct syndrome(LVAS and the influencing factors of delayed diagnosis, and to investigate the effect of combined screening of deafness gene and hearing on early diagnosis rate of children with LVAS. Methods A retrospective study was conducted on 276 children with LVAS who were first diagnosed in our hospital from January 2014 to June 2012. The characteristics of 276 children with LVAS were analyzed, including age of first diagnosis, chief complaint, degree of hearing loss, family genetic history, newborn hearing screening and deafness gene screening history, etc. Using chi-square test, the causes of failure to see a doctor in infancy were analyzed by univariate analysis. The children who completed combined screening for SLC26A4 gene and hearing were analyzed to compare the difference in failure rate between the two screen methods. Results The rate of first visit in infancy was only 29.71%. Only 27.54% of the chief complaints were failure of newborn screening. The degree of hearing loss was mild, moderate, severe and extremely severe, and moderate and severe were the main ones. Some cases passed binaural or monaural newborn hearing screening. The combined screening of deafness gene and hearing was improved in 51 cases. The reasons for delay were mainly related to passing birth hearing screening or passing monaural screening, not doing hearing screening or unknown screening history, the degree of hearing loss was not serious, and parents’ insufficient judgment of hearing abnormalities in infants. The main reason for early diagnosis was failure of newborn screening, while the early diagnosis rate was higher in patients with family history and failed to combined screening of deafness gene and hearing.In 51 children with combined screening, the failure rate of hearing screening was 84.31%, SLC26A4 gene screening was 80.39%, and the total failure rate was 96.08%, the difference was statistically significant. Conclusions Some children with LVAS have mild or normal early hearing loss, which can pass the binaural or monaural newborn hearing screening, and the consultation rate in infancy is low. The failure rate of SLC26A4 deafness gene screening is not higer than that of hearing screening. But the combined screening can identify the etiology earlier and improve the early diagnosis rate of the disease.关键词：Large vestibular aqueduct syndrome;SLC26A4 gene;Newborn hearing screening;Gene screening
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发布时间：2023-08-07 - 摘要：Objective To explore the language recognition ability and communication ability of young adults with hearing loss aged 18～40 years and analyze the risk factors of hearing loss. Methods 150 hearing loss patients aged 18～40 who were diagnosed and treated in our hospital from 2020.1 to 2021.4 were collected, and 150 hearing healthy people of the same age who underwent physical examination in the hospital during the same period were included. Recognition and communication skills were assessed and compared between groups. The correlation analysis between the degree of hearing loss and language recognition ability and communication ability was carried out. Factors such as age, smoking history, occupational noise exposure history and other factors were included to conduct univariate and multivariate analysis of the occurrence of hearing loss. Results The speech recognition ability score of the hearing loss group was significantly lower than that of the healthy group（P<0.05）. The total scores of communication ability, interpersonal communication, occupation, social interaction and communication ability of the hearing loss group were significantly lower than Control group（P<0.05）. The correlation analysis showed that the degree of hearing loss in the hearing loss population was negatively correlated with the scores of language recognition ability, language communication ability and the total score（r<0, P<0.05）. Univariate analysis showed that the incidence of hearing loss in the population with smoking history, occupational noise exposure history and improper ear use history was significantly higher than that in the population without smoking history, occupational noise exposure history, and improper ear use history（P<0.05）, and there was no significant difference in factors such as history of disabettes and hypertension（P>0.05）. Multivariate regression analysis confirmed that smoking history, occupational noise exposure history, and improper ear use history were all risk factors for the occurrence of hearing loss（OR>1, P<0.05）. Conclusion Young and middle-aged hearing loss patients aged 18-40 generally have the problem of decreased communication ability and language recognition ability, and the greater the degree of hearing loss, the more obvious the decline in language recognition and communication ability. Smoking, occupational noise exposure listory and improper use of ears. etc are risk factores.关键词：Hearing loss;Young adults;Risk factors;Communication ability;Language recognition ability
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发布时间：2023-08-07 - 摘要：Objective To explore the correlation between auditory evoked potential（AEP） examination P1 peak, P1 latency and postoperative categories of auditory performance（CAP） and speech intelligibility rating（SIR） in children with external and middle ear malformations and the evaluation value of hearing improvement. Methods 82 children with external and middle ear malformations in our hospital from January 2017 to January 2019 were selected as the study subjects. The P1 peak, P1 incubation period, CAP and SIR classification were compared before and 12 months after the operation, and the correlation between P1 peak and P1 incubation period and CAP and SIR classification was analyzed. The meaningful auditory integration scale（MAIS） score was used to evaluate the hearing improvement of children 12 months after the operation, and the clinical data, P1 peak, and P1 latency of children with different MAIS scores were compared. The relationship between P1 peak, P1 latency and MAIS score was analyzed, and the evaluation value of P1peak and P1 latency on hearing improvement was evaluated. Results At 12 months after surgery, the P1 peak was lower than before surgery, the P1 latency was shorter than before surgery, and the CAP and SIR ratings were higher than before surgery（P<0.05）; the P1 peak and P1 latency were negatively correlated with the CAP and SIR ratings before surgery and 12 months after surgery（P<0.05）;the degree of hearing loss before surgery, the CAP and SIR ratings before surgery and 12 months after surgery, and the P1 peak were statistically significant when comparing children with different MAIS scores（P<0.05）. The difference was statistically significant（P<0.05）; the AUC for the combined assessment of P1 peak and P1 latency was the highest at 0.872, with sensitivity and specificity of 74.19% and 85.00% respectively. Conclusion P1 peak, P1 latency and postoperative CAP and SIR classification of children with external and middle ear malformations are all negatively correlated. The use of AEP to check P1 peak and P1 latency has important clinical value in evaluating hearing improvement after cochlear implantation.关键词：Auditory evoked potential examination;Malformation of the outer middle ear;Categories of auditory performance;Speech intelligibility rating;Hearing improvement
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发布时间：2023-08-07 - 摘要：Objective To evaluate the effect of hearing rehabilitation after cochlear implantation in aged patients with severe or profound sensorineural hearing loss, and to analyze the influencing factors. Methods The data of 27 deaf patients aged 70 years and above with cochlear implantation were analyzed retrospectively, and the rehabilitation behaviors were evaluated, and auditory perception was assessed using the categories of auditory performance（CAP）. Results 22 patients（70-79 years old）, 3 patients（80-89 years old）, and 2 patients（91 years old）, with an average age of 75.4 years, underwent single ear implantation, including 13 left ear and 14 right ear. One patient underwent cochlear implantation 9 months after operation due to recurrent dizziness and anxiety. The remaining 26 patients were followed up for 9-24 months and divided into two groups according to the time of daily use of cochlear implantation. 13 patients（Group 1） wore the CI more than 8 hours/day, the mean of CAP before operation was 1.38 ± 0.87. The mean after operation was 5.23 ± 1.09, the difference was statistically significant（P<0.05）. The other 13 patients（Group 2） wore CI irregularly,the mean of CAP before operation was 1.54 ± 1.33, and the mean after operation was 2.92 ± 1.04. The difference was statistically significant（P<0.05）. There was no significant difference between the two groups in gender, ear side, time of deafness, age and follow-up time（P>0.05）, no significant difference in average CAP before operation（P>0.05）, and no significant difference in average CAP after operation（P<0.05）. Conclusion The deaf patients aged 70 years and above can safely accept the home-made cochlear implantation,according to individual difference, the higher the cognitive level and family support, the longer the wearing time, the more regular, the more satisfied the auditory rehabilitation effect.关键词：Elderly;Postlingual deafness;Cochlear implantation
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发布时间：2023-08-07 - 摘要：Objective To study the effect of climatic changes on the incidence and treatment of sudden sensorineural hearing loss by retrospective analysis. Methods 282 cases of sudden deafness in Hainan province were collected and their data were statistically analyzed to study the difference of onset time and treatment results among the population and subgroup. Results The average age of 282 patients was 47.25±16.95 years old. There were 190 cases in the healthy group and 92 cases in the basic disease group. There were more patients in the dry season and less in the raining season, with the most in March and the least in May. Although the overall incidence had no obvious impact form the climate change, the incidence of basic diseases was more concentrated in dry season（P<0.05）. The types of hearing loss in the dry season and rainy season are mainly flat decline type and total deafness type. The effective rate of basic disease group was lower than that of healthy group. Conclusion Sudden deafness with basic diseases was more likely to occur in the dry season, and the treatment effect of this group of patients was relatively poor. Therefore, in dry season, such people needed to pay more attention to protection.关键词：Sudden sensorineural hearing loss;Climate;pathogenesis;Treatment
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发布时间：2023-08-07 - 摘要：Objective To investigate endolymphatic hydrosor in patients with different types of unilateral sudden deafness and the relationship with the type of hearing curve and the degree of ear fullness. Methods 20 cases of sudden deafness within 2 weeks of onset were selected, the interlymphatic space of vestibular and cochlea of inner ear was measured on the MRI results of internal auditory canal of all subjects, and the score of ear fullness VAS was compared to statistically analyze the correlation between the two. Results There were 20 cases of unilateral sudden deafness, including 10 cases of left ear and 10 cases of right ear, among which 8 cases（40%,8/20） were accompanied by symptoms of ear fullness. The incidence of ear fullness in low frequency type（80%, 4/5） was more than that in flat type（40%, 2/5）, in total deafness type（40%, 2/5） and in high frequency type（0, 0/5）. There was no statistical difference（P>0.05）.2 cases of low frequency sudden deafness had endolymphatic hydros in the vestibular of the affected side, and no endolymphatic hydros was found in the rest. There was no significant difference in the lymphoid ratio between the type of sudden deafness and the vestibular area and cochlea area of the affected side（P>0.05）. Low-frequency patients were more likely to have symptoms of ear fullness, and the degree of ear fullness was correlated with endolymphatic hydros（R=0.622, P<0.05）. Conclusion Endolymphatic hydros exists in patients with sudden deafness, especially in patients with low-tone sensorineural hearing loss. The more severe the degree of ear fullness is, the more severe the degree of endolymphatic hydros may be.关键词：Sudden deafness;Endolymphatic hydros;Endolymphatic angiography;Ear fullness
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发布时间：2023-08-07 -
The Correlation between Home Isolation and Infant Neuropsychological Development during the Epidemic
摘要：Objective To investigate the effects of home isolation on the neuropsychomotor development of 0-1 year old infants during the epidemic period. Methods A retrospective analysis was conducted on the screening data of neuropsychological development of 0-1-year-old infants who received child health care in the physical examination outpatient department of the Health Center of Beijing Children’s Hospital. The study group was composed of 622 infants from April 1, 2020 to August 30, 2020, and the control group of 569 infants from April 1, 2019 to August 30, 2019. Independent sample t test was used to compare and analyze the gross motor, fine motor, adaptive ability, language and social behavior of the two groups of infants. Results There were no significant differences between the study group and the control group in the mean scores of all energy areas except for the gross motor（P=0.323）,and there were differences in the scores of fine motor, adaptability, language ability and social behavior（P<0.05）, among which the mean of fine motor increased, the mean of adaptability, language ability and social behavior decreased, and the mean of average score decreased. There was no significant difference in the incidence of gross motor dysplasia between the study group and the control group（136/62,21.9% vs. 125/569, 21.8% P=0.966）, and no significant difference in the incidence of social behavior dysplasia（95/62, 15.3%vs. 81/569, 14.2%, P=0.647）. The incidence of fine motor dysplasia in the study group（91/62,14.6% vs.112/569, 19.9% P<0.05）was lower than that in the control group, and the incidence of adaptive dysplasia（152/62, 24.4% vs. 89/569, 15.6% P<0.05） was higher than that in the control group. The incidence of abnormal language development（134/62, 21.5% vs. 75/569, 13.2% P<0.05） was significantly higher than that of control group. Conclusion The effects of home isolation on infants’ neuropsychomotor development mainly lie in the areas of adaptive and language development. Attention should be paid to infants’ social behavior, to reduce adverse factors at home, and to family parenting guidance and intervention follow-up.关键词：Baby;Neuropsychology;Home isolation;Language;Social behavior- 7
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发布时间：2023-08-07 - 摘要：Sensorineural hearing loss（SNHL） is a common clinical type of hearing impairment, It is mainly due to the damage of hair cells of the cochlear spiral organ and the pathway above the acoustic nerve, resulting in the difficullties of sound perception,nerve conduction and cortical dysfunction, which leads to hearing loss. It accounts for more than 90% of all hearing impairment and seriously affects people’s daily work and life. Because SNHL is the most common in clinic, the incidence is high, the etiology,pathogenesis and pathological changes are complex and diverse, the treatment methods are different, and the overall curative effect is different, so choosing the right treatment method is of great significance for hearing improvement or recovery. Therefore this paper summarizes the progress in the treatment of SNHL at home and abroad, in order to provide some reference for the clinical diagnosis and treatment of SNHL.关键词：Hearing impairment;Sensorineural hearing loss;Treatment;Progress
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发布时间：2023-08-07 - 摘要：Ototoxic substances and noise are two important factors that lead to sensorineural hearing loss, and the combined exposure of multiple factors is more serious and common in daily environment, causing the hearing loss to increase year by year. This paper reviews the research progress of hearing loss induced by ototoxic substances and noise and introduces the classification of ototoxic substances and noise, the epidemiological study of compound hearing loss, animal experiments, mechanism analysis and prevention.It summarizes the achievements, shortcomings and future directions of the present research. The paper is of great significance to understand the present situation of compound hearing loss and to guide the prevention, treatment and the next research direction.关键词：Ototoxic substances;Noise;Hearing loss
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发布时间：2023-08-07 - 摘要：Sensorineural deafness is a common disease caused by dysfunction in one or more parts of the auditory pathway between the inner ear and the auditory cortex, with complex etiologies that include ototoxic drugs, noise exposure and ageing in addition to genetic factors. According to a 2018 WHO study, 466 million people worldwide have moderate to severe binaural hearing loss,accounting for approximately 6.1% of the world’s population, and the number of people with hearing impairment is growing year on year and is trending younger. A large body of research evidence suggests that oxidative stress generates excess reactive oxygen radicals as a possible common pathological link in hearing impairment processes including noise deafness, age-related deafness, drug-induced deafness and sudden sensorineural deafness. This study provides a review of the mechanisms of oxidative stress damage in these diseases.关键词：Sensorineural deafness;Oxidative stress;Mechanism
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发布时间：2023-08-07 - 摘要：Motor language refers to the language tasks involving the use of words related to the concept of action. In motor language processing, the frontal cortex will project the stored motion-related information to the basal ganglia, which will process the information and integrate with the conceptual and semantic information stored in the temporal lobe, and then project it back to the frontal cortex to activate the internal action meaning of verbs. The pathological basis of Parkinson’s Disease（PD） is the damage of basal ganglia, and the patients may have varying degrees of impairment in motor language processing even when they are at the early stage of this disease and with relatively intact cognitive function. This paper reviews and summarizes the research on the neural basic mechanism related to PD motor language processing disorders, to provide new ideas and enlightenment for the existing clinical speech rehabilitation of PD.关键词：Parkinson disease;Language disorders;Action verbs;Basal ganglia;Frontotemporal circuit
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发布时间：2023-08-07 - 摘要：Cochlear implant（CI） is the most widely used implantable electronic device to reconstruct auditory speech.Present studies mainly reviewed the hearing speech rehabilitation of patients after CI from the aspects of speech recognition and comprehension, as well as speech production ability. Also, the inner ear malformation, preoperative average residual hearing and hearing-aid time, as well as other influencing factors such as operation age, postoperative recovery pattern and recovery time of rehabilitation were discussed.关键词：Cochlear implant;Hearing impairment;Rehabilitation of auditory speech;Influencing factors
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发布时间：2023-08-07 - 摘要：Objective To explore the effect of family interactive reading on speech rehabilitation in children with language development delay（LDD） aged 1-6 years old. Methods A total of 85 LDD children aged 1-6 years old treated in our hospital from January 2020 to March 2021 were divided into the study group with 43 cases and the control group with 42 cases by the random number table method. The control group received conventional drug intervention and rehabilitation training, and the study group received family interactive reading on the basis of the control group. The efficacy and satisfaction of parents were evaluated after 3months of intervention. Gesell Developmental Scale（GDS） survey and serum growth hormone measurement was performed before and after 3 months of intervention. Results The total effective rate in the study group was 83.72%, which was higher than 61.90% in the control group（P<0.05）. After 3 months of intervention, development quotient（DQ） score of GDS scale in both groups significantly increased compared with those before intervention, and those in the study group were higher than those in the control group（P<0.05）.After 3 months of intervention, the scores and total scores of the parents of the children in the study group on the rehabilitation effect,professional level, service attitude and humanistic care were significantly higher than those in the control group（P<0.05）. Conclusion Family interactive reading is beneficial to the improvement of language and motor behavior in LDD children aged 1-6 years old with high parents’ satisfaction.关键词：Language development delay;Family interactive reading;Speech rehabilitation;Gesell developmental scale
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发布时间：2023-08-07 - 摘要：Objective To explore the rehabilitation effect of Child Language Intervention ECNU Ladder Model on vocal imitation skills in children with language development delay. Method According to the assessment results of speech ability of a child with language retardation, the rehabilitation program of vocal imitation ability was developed based on the ECNU ladder model, and the intervention lasted for 1 month. The effect of speech rehabilitation was analyzed by the assessment results of language ability before and after the intervention. Results After rehabilitation, the children’s vocal imitation frequency and correct rate were significantly improved, and the awareness of initiating meaningful speech was significantly enhanced, which laid a foundation for the subsequent oral expression. Conclusion ECNU ladder model can effectively improve the vocal imitation ability of children with language development delay, and can provide reference for clinical language rehabilitation of children with language disorders.关键词：ECNU ladder model;Children with language retardation;Vocal imitation skill
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发布时间：2023-08-07 - 摘要：Objective To investigate the application of speech spectrum analysis to functional speech disorder. Methods 60 patients with simple functional speech disorders from the hospital from December 2018 to December 2019 were selected as the experimental group; At the same time, 60 healthy volunteers without speech disorders were recruited as the control group. In a quiet speech room, the speech signals of the two groups of subjects were sampled by the computer. Speech Analyzer software was used to analyze the speech files of each subject, and the differences in the occurrence rates of plosives, affricate release burst and fricative random were compared between different groups. Dr Speech Science for Windows was used to analyze the acoustic parameters of sound samples in the two groups: Jitter, Shimmer, and normal noise energy（NNE）. After the preliminary analysis of the speech spectrum of patients with functional speech disorder, targeted speech training was conducted. After the training, Speech Analyzer software was used to objectively evaluate the speech therapy, and the speech intelligibility of patients in the experimental group was evaluated subjectively according to the "Speech Intelligibility Word Table". Results Compared with the control group, the release burst and blank space of/pa//ka/sound appeared in the verbal map of the experimental group, but the release burst and fricative random of affricate/zi//ji/were not obvious. There was no significant difference in the acoustic index of the plosives and affricate between the experimental group and the control group（P>0.05）, but there was a significant difference in the affricate/zi//ji/（P<0.05）. Shimmer and NNE of the experimental group were significantly higher than those of the control group（P<0.05）, and there was no significant difference in the jitter value between the two groups（P>0.05）. After targeted speech therapy, the speech intelligibility of the experimental group was significantly improved（P<0.05）. Conclusion The speech spectrum analysis can visualize the sound and intuitively display the speech characteristics of the sound. After targeted speech therapy, the speech intelligibility of the patients in the experimental group has significantly improved, providing a reliable scientific basis for speech correction training and evaluation of speech correction effect in patients with functional speech disorder.关键词：Speech spectrum;Functional speech disorder;Speech spectrum analysis;Speech training
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发布时间：2023-08-07 - 摘要：Objective To study the intervention effect of positive behavior support strategies on self-injury behavior of autistic children, and to provide reference for the intervention of self-injury behavior of autistic children. Methods A functional assessment was performed on the case through direct observation records. Based on the results of the assessment, an intervention plan for antecedent control, teaching alternative behaviors and consequential handling were formulated, and implemented for ten weeks. Results Functional behavioral assessment can correctly and effectively find the function of self-injury behavior in children with autism. Positive behavioral support program can effectively reduce the self-injury behavior of autistic children.Positive behavioral support program can increase autism positive behavior of children. Parent participation can strengthen the positive behavior of autistic children and improve the quality of their life. Conclusion Positive behavior support technology is effective in the intervention of self-injury behavior.关键词：Children with autism;Self-injury behavior;Positive behavioral support
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发布时间：2023-08-07 - 摘要：Objective To compare the effects of different background sounds on the short-term memory（STM） of hearingimpaired children. Methods Under four different environments, namely quiet, soothing music, traffic noise, and speech noise, fifteen hearing-impaired children aged 3-7 were tested for the STM span of common object picture. The results were statistically analyzed.Results The STM capacity of hearing-impaired children in quiet, soothing music, traffic noise, and speech noise were 3.00（3.00-4.00）,3.00（2.00-3.00）, 3.00（2.00-3.00） and 2.00（2.00）-2.00), respectively. There were significant differences between the results of different environments, showing speech noise was significantly lower than that of soothing music and quiet environment（P<0.01）. There was no significant statistical difference between different genders or hearing compensation methods（P>0.05）. Conclusion Hearing-impaired children have STM deficits independent of gender and auditory compensation method. There is a correlation between the environment and STM, in which speech noise has an inhibitory effect, and other background sounds have no obvious effect.关键词：Background sounds;Hearing-impaired children;Short-term memory
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发布时间：2023-08-07 - 摘要：Objective To explore the effect of continuing nursing based on peer education on hearing aids in elderly patients with hearing loss. Methods From January 2020 to March 2021, 80 elderly patients with hearing loss in our hearing fitting center were selected as the research objects, and they were randomly divided into a control group and study group with 40 cases in each group. The control group adopted traditional continuous nursing intervention methods, and the research group adopted peer education listening training and health education on the basis of the control group. The International Outcome Inventory for Hearing Aids（IOI-HA）, the Satisfaction with Amplification in Daily Life（SADL）questionnaire scores and speech discrimination test results of patients in the two groups were compared and analyzed after hearing aid wearing for 3 months. Results（1） After the two groups of patients wore hearing aids for 3 months, the SADL scores in the three dimensions of positive effect,service and cost,and negative effect in the study group were significantly better than those of the control group（P<0.05）. Score of the study group was significantly better than that of the control group（P<0.05）.（2） The maximum speech recognition rate of the two groups was significantly improved, and the study group was better than the control group（P<0.05）. In the study group, type A was significantly increased and more than the control group,while Type B was decreased and less than the control group（P<0.05）. Conclusion Continuous nursing based on peer education plays a positive role in hearing aids for elderly patients with hearing loss.关键词：Peer education;Hearing aids;Continuous care;Hearing loss in the elderly
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发布时间：2023-08-07 - 摘要：In the evaluation of rehabilitation education for hearing-impaired children, we should pay attention to the establishment of goal objective, merit objective and comprehensive objective, so as to correctly judge whether to achieve the expected educational goals, timely revise the rehabilitation teaching plan, and improve the quality of the whole rehabilitation education. We should treat hearing-impaired children from a multi-dimensional, comprehensive and dynamic development perspective, evaluate each individual, respect his or her differences, and establish an evaluation system conducive to their rehabilitation. These evaluation consciousness promote the growth of hearing-impaired children and their teachers, as well as enriching the development of the curriculum.关键词：Hearing-impaired children;Rehabilitation education;Educational evaluation
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发布时间：2023-08-07 - 摘要：Objective To understand the real feelings and supportive service practice of caregivers of hearing-impaired children in the care process, and to formulate corresponding intervention countermeasures. Methods Based on the theory of human development ecosystem, 21 primary caregivers of hearing-impaired children were selected as the research objects. Semi-structured interviews were conducted, and Colaizzi’s phenomenological data analysis method was used for analysis. Results Four themes were extracted: the microsystem was the caregiver’s physical and mental exhaustion; the medium system is the lack of connection between families, institutions and schools; and the external system is the social environment to be improved; the macro system for policy support is weak. Conclusions The ecological environment system of caregivers of hearing-impaired children needs to be gradually improved.Rehabilitators should pay attention to the systematic factors affecting the physical and mental health of caregivers, and provide targeted systematic services, which can effectively reduce the care burden of caregivers of hearing-impaired children and improve their care quality.关键词：Ecosystem theory;Hearing-impaired children;The burden of care;Support services;Practice research
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发布时间：2023-08-07 - 摘要：This paper investigates the key technologies of air conduction digital hearing aid and cochlear implant by means of questionnaire survey of hearing experts. Through the analysis of the questionnaire results, the following conclusions are drawn: for air conduction digital hearing aids, the main factor affecting its performance is noise reduction technology, and for cochlear implant, the main factor affecting its performance is speech coding strategy.关键词：Digital hearing aids;Cochlear implant;Key technology;Questionnaire
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发布时间：2023-08-07 - 摘要：耳聋是人类的常见疾病之一，严重困扰听障人士交流和社会融入，影响其生活质量，也增加了社会、家庭和个人的经济负担。2006年，我国第二次残疾人抽样调查数据表明，全国各类听力残疾人约2780万，近期初步统计我国重度-极重度感音性聋患者约80万，且每年新生儿中有2～3万名是先天性聋。重度-极重度耳聋且助听器康复效果不佳或无效时需考虑人工耳蜗植入（CI）。
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发布时间：2023-08-07 - 摘要：Objective To explore the consistency of digital assessment and manual assessment on the ability in children with autism spectrum disorder（ASD）. Method 30 ASD children aged 2-8 years were recruited with the within-subject experimental design for digital assessment and manual assessment respectively. Results The digital and manual assessment had a high consistency（average >80%）, and were not affected by ASD children’s gender and age. The score of children’s digital assessment was significantly lower than that of manual assessment（P<0.05）. After controlling the experience of using the tablet, there was no statistically significant difference in the scores between the two methods（P>0.05）.Compared to manual assessment, digital assessment saved an average of 23 minutes per ASD children. Conclusion The digital assessment has a high consistency with manual assessment, which can accurately assess the ability of ASD children, and can save more time cost. The digital assessment may underestimate the ASD children’s performance,however it can be compensated by practicing the preparatory skills of the operation.关键词：Autism spectrum disorder;Digital assessment;Manual assessment
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发布时间：2023-08-07 - 摘要：Objective To grasp the research hotspots and methods of children’s speech and language disorders in China in the past 30 years. Methods The literature related to children’s speech and language disorders from 1990 to 2021 was searched in CNKI database, and the visual analysis tool CiteSpace was used to present the knowledge graph of keyword co-occurrence, institutional cooperation, main authors, and development process. Results Key words with high frequenly are autistic children and hearing impaired children. The most active institution is the China Rehabilitation Research Center for Hearing and Speech Impairment. Main authors are Sun Xibin and Liang Wei, with the highest number of articles published which is 24. "Cluster #0" hearing-impaired children and "cluster #1" autistic children cover the time span from 1990 to 2021, and are the largest subjects. Conclusion At present, the research results are fruitful, and the cooperation between relevant research institutions is getting closer and closer. With the deepening of the research on speech and language disorders in children in China, it is still necessary to strengthen professional, standardized and personalized research, improve the quality of speech therapy.关键词：Speech-language Disorders in Children;Hot Spot Analysis;Visual Analytics
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发布时间：2023-08-07 - 摘要：Objective To analyze the characteristics of complications after cochlear implantation, and to provide clinical experience and reference for the prevention and treatment of the complications. Methods The clinical data of 970 patients who underwent cochlear implantation in Sichuan China 81 Rehabilitation Center from November 2013 to November 2020 were reviewed and analyzed retrospectively. Results Postoperative complications occurred in 85 patients（8.8%）, and 2 complications occurred in 6patients, including 26 cases of vertigo, 14 cases of acute otitis media, 21 cases of subcutaneous hematoma, 1 case of facial paralysis, 21cases of subcutaneous hematoma, 7 case of skin infection, 2 cases of ectopic implantation, 20 cases of device failure. Conclusion The complications after cochlear implantation are not high, and the long-term complications are mainly implant device failure. After active treatment of postoperative complications, most of them can be cured by conservative treatment.关键词：Cochlear implant;Surgery;Complications
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发布时间：2023-08-07
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