最新刊期

    卷 23 , 期 1 , 2025

      Expert Forum

    • LI Jia-nan, WANG rong, ZHUANG Bo-xiang
      Vol. 23, Issue 1, Pages: 1-4(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.001
      摘要:Enlarged vestibular aqueduct (EVA) is an autosomal recessive disease, with a wide range of clinical manifestations in audiology. The degrees of hearing loss range from mild to extremely severe, and can be characterized by delayed sensorineural hearing loss, fluctuating sensorineural hearing loss, or sudden sensorineural hearing loss, or mixed hearing loss, with tinnitus, vertigo, and balance disorders. This article describes the pathophysiologic mechanisms underlying the diversity of clinical manifestations of EVA audiology, and describes the main factors that current research has identified as influencing the clinical manifestations and progression of EVA.  
      关键词:Enlarged vestibular aqueduct;Clinical manifestations;Pathophysiological mechanisms;Influencing factors   
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      Cochlear Implantation in Complex Cases

    • Perrault Syndrome Disease Characterization and Cochlear Implantation

      HONG Meng-di, YU Si-han, KANG Shuo-shuo, LI Jia-nan
      Vol. 23, Issue 1, Pages: 5-7(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.002
      摘要:ObjectiveThis article describes the diagnosis of Perrault syndrome in a male child with profound sensorineural deafness in both ears and gait instability who was successfully implanted with a cochlear implant.MethodsAnalyze and organize the preoperative evaluations, surgical procedures, postoperative adjustment parameters, and efficacy assessments of a patient with Perrault Syndrome. Observe the patient's auditory outcomes with a cochlear implant and speech discrimination ability.ResultsThe patient was diagnosed with Perrault Syndrome based on the results of genetic testing that confirmed compound heterozygous TWNK missense variants (c.1172G>A: p.Arg391His and c.1844G>C: p.Gly615Ala). The audiological manifestations, in conjunction with clinical findings, are indicative of Auditory Neuropathy Spectrum Disorder (ANSD). The patient, five years after cochlear implant, has an average aided hearing threshold of 30 dB HL and can distinguish and imitate the Ling's Sounds. The Categories of Auditory Performance is at level 6. The Speech Intelligibility Rating is at level 4. The patient can communicate daily with family members, but has slightly poor speech expression ability.ConclusionPatients with Perrault syndrome who have hearing loss can restore auditory and verbal communication ability after cochlear implantation. The early genetic diagnosis of hearing loss patients plays an important role in the treatment plan, intervention methods and intervention efficacy of patients.  
      关键词:Perrault syndrome;Sensorineural deafness;Cochlear implant   
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    • WANG Dan-dan, KANG Shuo-shuo, ZHUANG Bo-xiang, LI Jia-nan
      Vol. 23, Issue 1, Pages: 8-11(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.003
      摘要:ObjectiveThis study aims to investigate the disease characteristics of patients with Townes-Brocks Syndrome (TBS) and explore appropriate interventions for different types of hearing loss.MethodsA comprehensive examination was conducted on TBS patients, summarizing the clinical phenotype, laboratory and imaging abnormalities, as well as evaluating and recording detailed results of hearing-related examinations.ResultsBased on the evaluation of systemic multi-system abnormalities' tolerability for surgery combined with hearing-related examination results, appropriate interventions were developed.ConclusionThe optimal treatment for patients with TBS should be chosen based on the specific clinical phenotype and the degree and type of hearing loss. including hearing AIDS, auditory chain reconstruction surgery, and cochlear implant.  
      关键词:Townes - Brocks syndromes;Hearing loss;SALL1 mutation   
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    • The Characteristic Features of Noonan Syndrome and Cochlear Implantation

      WANG Dan-dan, ZHUANG Bo-xiang, HONG Meng-di, LI Jia-nan
      Vol. 23, Issue 1, Pages: 12-15(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.004
      摘要:ObjectiveTo explore the diagnosis and treatment strategy of Noonan syndrome (NS) patients with extremely severe sensorineural deafness.MethodsThe clinical phenotypic characteristics of NS were comprehensively understood, the patients were comprehensively evaluated before surgery, and the potential risks caused by systemic multi-system abnormalities in perioperative period were identified and effective preventive measures were taken. Gathered were comprehensive and detailed collection of ear related data, postoperative effect evaluation and follow-up.ResultsFor the NS patients successfully implanted, the postoperative effect was promising, and 3 years after surgery, the sentence recognition rate in quiet environment was 100%. SIR Scores level 5 and CAP scores level 9.ConclusionFollowing a comprehensive pre-operative examination and preparation,The operation of implant can be successfully accomplished and the patient is capable of achieving excellent hearing improvement, which significantly improves the quality of life of patients.  
      关键词:Noonan syndrome;Cochlear implant;Sensorineural hearing loss   
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    • Turner Syndrome Disease Features and Cochlear Implantation

      KANG Shuo-shuo, ZHUANG Bo-xiang, DU Hai-qiao, LI Jia-nan
      Vol. 23, Issue 1, Pages: 16-18(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.005
      摘要:ObjectiveA case of Turner syndrome with cochlear implant was analyzed to summarize the clinical features of Turner syndrome.MethodsClinical data, karyotype analysis and bioinformatics were used to identify pathogenic genes and mutations, and to evaluate hearing and speech ability before and after cochlear implantation.ResultsThe patient had typical TURNER syndrome phenotype and was diagnosed as total deafness in the left ear and conductive deafness in the right ear. Chromosome karyotype analysis showed that the patient carried X haplotype (45, X0) and underwent cochlear implantation in the left ear. The auditory behavior rating (CAP) was level 5 and the speech intelligibility rating (SIR) was level 4 at 1 year follow-up.ConclusionChromosome karyotype analysis of peripheral blood is helpful to determine the clinical diagnosis of TURNER syndrome deafness, and cochlear implantation is helpful to improve the hearing and speech ability of children with Turner syndrome.  
      关键词:Turner syndrome;Cochlear implant;Hearing loss   
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    • WANG Qian, DU Hai-qiao, WANG Shu-wei, LI Jia-nan
      Vol. 23, Issue 1, Pages: 19-21(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.006
      摘要:ObjectiveTo investigate the effect of cochlear implantation on hearing and speech rehabilitation for a patient with suspected Alport syndrome.MethodsThe case data of patients before cochlear implantation, cochlear implantation surgery, postoperative cochlear mapping results and evaluation data were sorted out.ResultsThe patient was admitted to the hospital with the main complaint of "finding the hearing loss of the child for more than 5 months". CT of temporal bone showed left otitis media and common cavity malformation of bilateral inner ears. Gene report results showed that a highly suspicious mutation was found: NM_033380.3 (COL4A5): c.1331t>g (p.ile444ser). Five years after cochlear implantation, the impedance results of each electrode were within the normal range (<15 kΩ). The child could complete the electrical stimulation threshold test with the child behavior audiometry method. All 12 pairs of electrodes were open, without discomfort to loud sound. The child could distinguish Lin's six tones. After rehabilitation, the child could have daily conversation, but his pronunciation was not clear enough. The questionnaire result showed that MAIS scored 37 points, SIR scored 4 points and CAP scored 6 points. The hearing threshold was 30-45dB HL. The syllable test result was 80%, and sentence in quiet was 84%.ConclusionThe patients with suspected Alport syndrome combined with common cavity can obtain a good intervention effect by cochlear implantation and mapping.  
      关键词:Alport syndrome;Common cavity malformation;Cochlear implantation   
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    • Cochlear Implantation For Single-Sided Deafness: A Systematic Review

      DU Hai-qiao, ZHUANG Bo-xiang, WANG Shu-wei, LI Jia-nan
      Vol. 23, Issue 1, Pages: 22-29(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.007
      摘要:ObjectiveTo quantify the clinical benefits of cochlear implantation (CI) among individuals with single-sided deafness (SSD).MethodsEmbase, Cochrane, and PubMed were searched from database inception up to November 30, 2022 for SSD and cochlear implantation or their synonyms. With the inclusion and exclusion criteria, eligible studies were involved into the review. Our outcomes of interest were speech perception in noise, sound localization, quality of life, and tinnitus assessment. Meta-analysis was performed using RevMan 5.4 software.ResultsA total of 27 studies met inclusion criteria, involving 383 adults and 76 children with SSD receiving a cochlear implant.ConclusionsThis systematic review indicates that a cochlear implant can bring benefits to patients with associated deafness.  
      关键词:Single-sided deafness;Cochlear implantation;Unilateral hearing loss;Systematic review   
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    • Cochlear Implantation in a Child with Kabuki Make-up Syndrome

      WANG Qian, WANG Shuwei, YU Sihan, LI Jia-nan
      Vol. 23, Issue 1, Pages: 30-33(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.008
      摘要:This medical record analyzes the clinical presentation and genetic diagnosis of a child with kabuki face-spectrum syndrome, and summarizes the results of his hearing and speech rehabilitation. The child was found to have poor hearing in both ears three months after birth. Growth and development were delayed. The child carried the KMT2D c.6109+2T>C(splicing) mutation, as well as a heterozygous SLC26A4 c.1286C>A(Ala429Glu) mutation. Three months after boot-up, the child was able to discriminate and mimic the LAM six sounds. Five years after start-up, the SIR score was 4 and the CAP score was 6. Cochlear implant hearing thresholds ranged from 30 to 35 dB HL, and the child was enrolled in a 40-minute, twice-weekly hearing and speech parent-child program at a professional rehabilitation facility after start-up. Three years after the start-up in the increase in the intensity of rehabilitation, cognitive understanding, sensory, speech correction, hearing speech, logical thinking courses, 5 days a week, 45-60min a day a course. The child's long-time sound correction is easy to cause laryngitis, dozing at noon, and slow progress in learning language. Insufficient strength of sound-constituting organs, insufficiently clear articulation. After four years, the child can speak simple children's songs and daily simple conversations.  
      关键词:Kabuki syndrome;Cochlear implantation;Autosomal dominant inheritance   
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      Clinical Research

    • CUI Yuan-yuan, ZHANG Biao-xin, QIU Jian-xin, SUN Qin-zhi, WANG Lu-lu, LIU Pei, ZHANG Chun-jing, WU Ting
      Vol. 23, Issue 1, Pages: 34-38(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.009
      摘要:ObjectiveTo compare the auditory effects of sequential implantation of bilateral cochlear implants at different intervals in preschool children.Methods45 preschool children aged 13-68 months who were treated in our hospital from February 2022 to May 2023 were selected and divided into SBCI1 group of 10 cases (interval<12 months), SBCI2 group of 23 cases (interval 12-23 months), and SBCI3 group of 12 cases (interval 24-36 months) according to the interval of sequential implantation. At the time of the first cochlear implantation (T0), contralateral cochlear implantation (T1), and one year after bilateral cochlear implantation (T2), the auditory effects of the children were evaluated using The Speech,Spatial And Qualities Of Hearing Scale-Parent's Version(SSQ-P) and Parents' Evaluation Of Aural/Oral Performance Of Children (PEACH), Speech Intelligibility Rate (SIR).ResultsOne year after bilateral cochlear implantation (T2), the auditory abilities of the three groups of children were similar (P>0.05). After one year of bilateral cochlear implantation (T2), the auditory ability of the three groups of children significantly improved compared to the contralateral cochlear implantation (T1). During contralateral cochlear implantation (T1), the auditory abilities of the three groups of children were significantly improved compared to the first cochlear implantation (T0) (P<0.01). From T0 to T1, the growth levels of SSQ-P and PEACH scores in the SBCI2 and SBCI3 groups were higher than those in the SBCI1 group. The SIR score growth level of SBCI3 group was higher than that of SBCI1 group (P<0.05). From T1 to T2, the SSQ-P score growth level in the SBCI1 group was higher than that in the SBCI2 group, and SBCI2 was higher than that in the SBCI3 group. The growth level of PEACH scores in SBCI1 and SBCI2 groups was higher than that in SBCI3 group (P<0.01).ConclusionPreschool children who undergo sequential bilateral cochlear implantation at different intervals have similar short-term auditory abilities, but the shorter the implantation interval, the earlier the auditory effect gain. A precise rehabilitation plan should be developed to promote comprehensive recovery of the children.  
      关键词:Cochlear implant;Sequential implantation;Binaural hearing;Preschool children   
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    • CHEN Yun, YANG Xia, CHEN Yue-mei, OUYANG Dong-hai
      Vol. 23, Issue 1, Pages: 39-42(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.010
      摘要:ObjectiveTo study and analyze the correlation between auditory steady-state response (ASSR) threshold and pure-tone audiometry (PTA) hearing threshold in patients with occupational noise hearing loss.Methods70 patients with occupational noise hearing loss diagnosed in our institute from February 2022 to April 2023 were selected as the research subjects, of which 15 were moderate to severe loss and 55 were mildly loss. Healthy patients who came to the hospital for physical examination during the same period were then selected. 38 cases were used as the control group. ASSR and PTA were used for detection, and the ASSR response threshold detection results and PTA results were compared and analyzed.ResultsCompared with the control group, the ASSR and PTA values of the observation group were higher, and the inter group comparison was statistically significant (P<0.05). Among them, the ASSR and PTA values of the moderate group were higher than those of the mild group (P<0.05). Meanwhile, through correlation analysis, it was found that the PTA threshold was positively correlated with ASSR (The frequency correlation coefficients r of 0.5 kHz, 1 kHz, 2 kHz and 4 kHz are 0.70, 0.84, 0.92 and 0.94, respectively).ConclusionThere is a correlation between PTA and ASSR thresholds in patients with occupational noise induced hearing loss. Timely detection of various indicators can provide effective reference for the diagnosis and treatment of diseases.  
      关键词:Auditory steady-state response;Pure-Tone Audiometry;Occupational noise induced deafness;Correlational study   
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    • DING Qian-qian, WANG Ya-ru, ZHANG Ying, WANG Lin
      Vol. 23, Issue 1, Pages: 43-46(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.011
      摘要:ObjectiveTo analyze the relationship between attitude, effect and cognitive function of hearing aid use in patients with senile hearing loss.Methods100 patients with senile hearing loss admitted to our hospital from January 2023 to August 2024 were included as research objects. The patients' general information, hearing aid wearing attitude, hearing aid wearing effect evaluated by International Outcome Inventory for Hearing Aid Effects (IOI-HA) and cognitive function by Montreal Cognitive Assessment Scale (MoCA) were investigated. The influencing factors for hearing aid wearing in patients with senile hearing loss were analyzed, and the attitude and effect of hearing aid wearing in cognitive function were compared. Pearson correlation was used to analyze the relationship among hearing aid wearing attitude, hearing aid wearing effect and cognitive function in patients with senile hearing loss.ResultsIn 100 patients with senile hearing loss, the cognitive score was 18.86±2.27 points, the emotional score was 8.81±1.85 points and the behavioral tendency score was 25.89±2.66 points in wearing attitude, the score of IOI-HA was 24.45±3.01 points, MoCA score was 26.56±1.74 points. Age, education level, family monthly income and cognitive function were the influencing factors of hearing aid wearing effect in patients with senile hearing loss (P<0.05). The dimensions of cognitive, emotional and behavioral tendency in hearing aid wearing attitude of normal cognitive function patients were significantly higher than those of disabled cognitive function patients (P<0.05). Hearing aid wearing attitude score and IOI-HA score were correlated with MoCA score in patients with senile hearing loss (P<0.05).ConclusionsThe wearing attitude and wearing effect of hearing AIDS in patients with senile hearing loss are related to their cognitive function, and cognitive function, age, education level and family monthly income are related factors affecting the wearing effect of patients.  
      关键词:Hearing loss;Senile;hearing aid;Cognitive function;Correlation   
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    • A Study of Hyperacusis in Patients with Acute Acute Nerves Tinnitus

      HAO Xue-rui, DONG Yan, WANG Jun, SUN Yan-min
      Vol. 23, Issue 1, Pages: 47-50(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.012
      摘要:ObjectiveTo explore the influencing factors of hyperacusis in patients with first-episode acute nerves tinnitus.Methods146 patients with first-episode acute neurological tinnitus who were admitted to the Department of Otolaryngology of our hospital from June 2023 to May 2024 were enrolled. The general information questionnaire, Chinese version of hyperacusis scale, generalized anxiety disorder scale, depression screening scale and Pittsburgh sleep quality index scale were used to investigate the influencing factors of hyperacusis.ResultsThe total score of 146 patients on the Chinese version of the hyperacusis scale was 78.15±10.15. The univariate analysis showed that age, tinnitus frequency, anxiety, depression and sleep disturbance were associated with hyperacusis in patients with first-episode acute nerves tinnitus (P<0.05). The multiple linear logistic regression analysis showed that age ≥60 years medium and high frequency tinnitus,anxiety,depression, and sleep disturbance were risk factors for hyperacusis in patients with first-episode acute neurological tinnitus (P<0.05).ConclusionsHyperacusis in patients with first-episode acute neural tinnitus is at moderate to severe level, and age, tinnitus frequency, anxiety, depression, and sleep disorder are the main influencing factors.  
      关键词:Neurological tinnitus;Hyperacusis;Anxiety;Depression;Sleep disturbances   
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      Review

    • Research Progress of Working Memory in Aphasia after Stroke

      GUO Yan-xue, WANG Ping-zhi, LV Zheng, HAN Bing
      Vol. 23, Issue 1, Pages: 51-54(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.013
      摘要:Working memory is the ability to temporarily maintain or psychologically manipulate incoming information. Working memory impairment may lead to impairment of speech and cognitive function in patients with aphasia after stroke,which seriously affects the reacquisition of speech ability and daily communication. The improvement of working memory may induce the improvement of the function of speech,providing new ideas and methods for the recovery of patients with aphasia. This paper will review the research progress of working memory in aphasia in order to provide theoretical and practical basis for clinical diagnosis and treatment.  
      关键词:Aphasia;Working memory;Stroke   
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    • LUO Xiao-yang, GUO Yan, DENG Yu
      Vol. 23, Issue 1, Pages: 55-60(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.014
      摘要:Based on Citespace, a visualization tool, this article provides a mapping-knowledge-domain analysis of the research trend of hearing impairment and hearing rehabilitation, by drawing on data from CNKI Chinese Journal database and Web of Science Core Collection from 2002 to 2022. Regarding keywords, domestic research mainly focus on infantile hearing impairment and its screening. Influence on the elderly and depression caused by hearing impairment remain newly developing directions. International studies are divided into three parts: children, adults and the elderly. Generally, research topics concentrate on hearing aid, language and speech development, and quality of life. Working memory, cochlear implantation and cognitive impairment show a growing trend. An Analysis of highly-cited articles indicate that studies pay more attention to early hearing screening and related interventions in children, while concentrating on the relationship between hearing impairment and cognitive impairment in adults' and elderly population. In the future, research on hearing impairment and hearing rehabilitation should collaborate with cognitive science and other disciplines, and dedicate to hearing rehabilitation of elderly and children.  
      关键词:Hearing impairment;Hearing rehabilitation;Elderly;Adult;Child   
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    • Research Advance of Children's Speech Perception Ability under Noise

      QIU Huang-ling, KONG Ling-zhi
      Vol. 23, Issue 1, Pages: 61-65(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.015
      摘要:The noise pollution in modern society is becoming more and more serious. There are all kinds of noises in the classroom which will seriously affect their speech perception, learning and health for children. Therefore, it is very important to understand and evaluate the development of children's speech-in-noise perception, which can help us identify and diagnose lesions of the auditory system in a timely manner. However, the hearing tests and results reported in the existing literature are different, which cause great inconvenience to clinical audiologists. Therefore, based on the theory of auditory development, this paper summarizes the target materials, noise materials, and evaluation methods commonly used in the evaluation of children's speech perception ability under noise.  
      关键词:Hearing tests;Noise;children;Speech perception   
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      Rehabilitation Education

    • ZHANG Jia-fang, ZHANG Chen-hua, YANG Wei-na, XIAO Xia, LI Xiao-jing, SONG Yan-li
      Vol. 23, Issue 1, Pages: 66-70(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.016
      摘要:ObjectiveTo explore the influence of music therapy combined with memory training on memory and daily living ability of patients with mild to moderate cognitive impairment.Methods103 patients with mild to moderate cognitive impairment admitted to the hospital from March 2022 to March 2023 were selected as the study objects. The patients were divided into the control group (n=51) and the study group (n=52) according to the random number table method. The control group received music therapy intervention, and the study group received memory training on the basis of the control group. The intervention efficacy, cognitive function, memory and daily living ability before and after treatment were compared between the two groups.ResultsThe total effective rate of intervention in the study group (92.31%) was significantly higher than 78.43% in the control group (P<0.05). After the intervention, the scores of calculation, language expression, orientation, attention, memory, recall and other cognitive function scores in the study group were significantly higher than those in the control group (P<0.05). After intervention, the scores of instantaneous memory, recognition and delayed memory in the study group were significantly higher than those in the control group (P<0.05). After the intervention, the scores of daily living ability such as eating, dressing, bed and chair transfer, bathing, defecation, grooming, flat walking, toileting, and going up and down stairs in the study group were significantly higher than those in the control group (P<0.05).ConclusionsMusic therapy combined with memory training for patients with mild to moderate cognitive impairment can improve their memory and their ability of daily living, and the intervention effect is significant.  
      关键词:Music therapy;Memory training;Cognitive impairment;Ability of daily living   
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    • HE Yan-ling, ZHONG Zhi-ru, GU Dan-juan, HUANG Shi-wei, YU Ze-feng, LV Hong
      Vol. 23, Issue 1, Pages: 71-74(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.017
      摘要:ObjectiveTo investigate and study the effect of 187 hearing-impaired children with cochlear implant (hereinafter referred to as CI) coupled with Roger + FM (hereinafter referred to as FM) in 17 grassroots rehabilitation institutions in Guangdong Province, so as to provide reference for guiding hearing-impaired children to use CI+FM mode to assist hearing.MethodA questionnaire survey was used to compare and analyze the auditory response of hearing-impaired children aged 3-6 wearing CI and CI + FM in different scenes.ResultsIn CI and CI + FM modes, the scores in the four listening environments are from high to low as quiet environment - By hearing only- noisy environment - far distance. The scores of quiet environment are significantly higher than those of the other three environments, and the scores of CI+FM mode are also significantly higher than CI mode (P<0.01). The scores of the five auditory abilities are auditory perception, sound source location, ability to listen attentively, auditory comprehension and auditory recognition from high to low. Among them,The scores of auditory perception are significantly higher than the other auditory abilities, and the scores of CI + FM mode are also higher than CI mode (P<0.01).ConclusionCI+FM can effectively improve the listening effect of hearing ability of hearing impaired children with cochlear implant.  
      关键词:Hearing impaired children;Cochlear implant;Frequency modulated system   
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    • ZHEN Hui-min, LI Yan-fei, QIAO Xiao-feng
      Vol. 23, Issue 1, Pages: 75-78(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.018
      摘要:ObjectiveExploring the placement outcomes and factors influencing different inclusive education for prelingually deaf cochlear implanted children.Methods60 prelingually deaf children with cochlear implantation who entered into inclusive education and placement after rehabilitation from the database of our hospital cochlear implant rehabilitation programme were selected, divided them into 2 groups according to whether they cooperated with the continuous speech rehabilitation training under the inclusive education status, and tested the speech recognition rate of the patients and carried out questionnaires to record the patients' academic adaptability, peer relationship, active interaction,subjective perception and social competenceof the degree of teacher's caring in the inclusive education and placement status, and then analyze the effect of education and placement and its influencing factors.ResultsThere were significant differences between the subjective perceptions of academic adaptability, peer relationships, active interaction and teacher care in the two groups who entered into inclusive education and placement (P<0.05). There were significant differences in social competence scores and speech recognition rate between the two groups (P<0.05). Whether or not to cooperate with continuous speech rehabilitation training and speech recognition rate were relevant factor affecting the subjective perceptions of the children, and the children who cooperated with continuous speech rehabilitation training had a higher speech recognition rate and a more positive subjective perception (OR=0.030,CI:0.002-0.398, P=0.008); and there was no correlation between the children's physiological age, gender, age at cochlear implantation, and the duration of integrated education and the patients' subjective perceptions.ConclusionCochlear implantation of prelingual deaf children in the state of inclusive education should continue with their speech rehabilitation training, which largely influences the effectiveness of educational placement of children with hearing impairments.  
      关键词:Cochlear implant;Inclusive education;Adaptability;Subjective perception   
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    • CAO Ying, JIN Xia, WANG Wu-zhen
      Vol. 23, Issue 1, Pages: 79-82(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.019
      摘要:ObjectiveExploring the effectiveness of computer-assisted executive function training combined with traditional speech language therapy.MethodsUsing a random number table method, 150 prospective patients with post-stroke articulation disorders were divided into a language training group, a computer group, and a combination group, with 50 cases in each group. The language training group received speech language therapy intervention, the computer group received computer-assisted executive function training, and the combined group received both speech language therapy intervention and computer-assisted executive function training. Compare the efficacy of three groups and evaluate the changes in Frenchay articulation disorder grading, speech function, and acoustic indicators (maximum phonation time, MPT), pitch, volume, and average photic airflow) before and after treatment. Use the Stroke Quality of Life Scale (SS-QOL) to assess the changes in patients' quality of life before and after treatment.ResultsThe total effective rate of the combined treatment group was significantly higher than that of the language training group and the computer group (96.00% vs. 74.00%/76.00%, P<0.05). After treatment, the Frenchay articulation disorder evaluation scale grading and speech function grading of the three groups of patients were significantly improved, MPT was significantly prolonged, and SS-QOL score was significantly improved (P<0.05). After treatment, the speech function grading of the combined group patients was significantly better than that of the language training group and the computer group, and the MPT was significantly longer than that of the language training group and the computer group. The SS-QOL score was significantly higher than that of the language training group and the computer group (P<0.05).ConclusionThe combination of computer-assisted executive function training and traditional speech language therapy can significantly improve the rehabilitation effect of post-stroke patients with articulation disorders, improve their quality of life, and prolong their speaking time. The effect is superior to traditional speech language therapy and computer-assisted executive function training conducted separately.  
      关键词:Stroke;Dysarticulation;Computer-aided executive function training;Speech-language therapy;Rehabilitation   
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    • WANG Wen-qing
      Vol. 23, Issue 1, Pages: 83-86(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.020
      摘要:Declarative sentences are the most commonly used sentence type by children and are very helpful for learning other sentence types. This study takes (who) doing something while (doing something) as an example to improve the understanding and expression ability of Down's syndrome students' declarative sentences through action research. After three rounds of action adjustments, the intervention plan was gradually optimized. Finally, the matters needing attention in the intervention process were summarized.  
      关键词:Down's syndrome;Declarative sentence;Comprehension and expression;Action research   
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    • CHEN Wei-ke, WU Xi-yu
      Vol. 23, Issue 1, Pages: 87-91(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.021
      摘要:ObjectiveThis study aims to explore the understanding of projective spatial terms (front, back, left and right) in Mandarin-speaking children with autism and further examine the relationship between Theory of Mind (ToM) abilities and spatial perspective taking.MethodThe experiment involved two groups of participants: typically developing children and children with autism. Participants were instructed to place objects in the positions of front, back, left or right of a reference object based on given directives. The study assessed their understanding of projective spatial terms by analyzing accuracy and related factors such as mental rotation angles, Theory of Mind abilities, and the animacy of reference objects.ResultsThe results revealed that children with autism demonstrated significantly lower comprehension of projective spatial terms compared to typically developing children.For tasks involving left-right judgments,the accuracy of children with autism was significantly correlated with the angle required for mental rotation. However, no significant correlations were found between their comprehension ability and factors, such as Theory of Mind abilities, the relative position of the objects, the animacy of the reference objects, or the structural relationship between spatial terms and nouns in the instructions.ConclusionThe study indicates that Mandarin-speaking children with autism face notable challenges in understanding projective spatial terms, especially in tasks requiring complex mental rotation. These difficulties may be attributed to deficits in spective taking rather than direct links to Theory of Mind abilities or other factors examined.  
      关键词:Autism;Spatial terms;Spatial perspective taking;Theory of Mind   
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    • LI Li, LIU Yong-ling, TIAN Zi-rong, HE Yi-ran
      Vol. 23, Issue 1, Pages: 92-96(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.022
      摘要:ObjectiveTo examine the impact of a family empowerment program on the psychological resilience and family resilience of caregivers of children with Cochlear Implants (CI).MethodsA multidisciplinary collaborative model was used to design and implement a family empowerment program based on family empowerment theory and in conjunction with a literature review. Caregivers of children with CI who underwent CI surgery in the otology ward of a tertiary care hospital in Beijing between February 2023 and January 2024 were selected for the study. The selected caregivers of children with CI were randomly assigned to the experimental and control groups by generating random numbers through SPSS. The experimental group received the intervention of family empowerment program based on the conventional rehabilitation training modality and the control group received the conventional rehabilitation training modality. The study used the Connor-Davidson Resilience Scale (CD-RISC) and Family hardiness index (FHI) assessment tools. Psychological resilience and family hardiness were compared between the two groups of caregivers at baseline and at the end of the intervention.ResultsAfter the intervention of the Family Empowerment Program, the total psychological resilience score of caregivers of children with CI in the experimental group (73.24±9.51) was significantly increased, and the total family resilience score (71.97±9.81) was significantly strengthened, which was statistically different from that of the control group (P<0.05).ConclusionBy implementing a family empowerment program, not only did this study enhance the psychological resilience of caregivers, but also significantly strengthened the overall resilience of the family, creating a more conducive rehabilitation environment for the child, and the program deserves to be widely applied and replicated.  
      关键词:Family empowerment programs;Cochlear implants;Prelingual deafness;Caregivers;Family resilience;Psychological resilience   
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    • LIU Ying, TIAN Hai-can, HE Si-ying
      Vol. 23, Issue 1, Pages: 97-99(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.023
      摘要:ObjectiveTo explore the influence of language teaching in comprehensive education on language rehabilitation in language disorders children.Methods80 language disorders children participated in language rehabilitation training in our hospital from May 2020 to May 2021.40 cases and each group received traditional language rehabilitation training. The intervention group implemented comprehensive educational language teaching. Three months after the intervention, the intervention effect, hearing ability, language ability, social adaptability and quality of life in both groups.ResultsThe total response rate in the intervention group (97.50%)was better than that in the control group (87.50%) (P<0.05) were studied and analyzed. Before intervention, there was no significant difference between the two groups in language proficiency scores and social adaptation scores (P>0.05). After intervention, the scores of language ability and social adaptability in the intervention group were significantly higher than those in the control group (P<0.05).ConclusionThe intervention effect of integrated education language teaching in language rehabilitation training for children with language disorders is significant, which can effectively improve children's language ability and social adaptability, and has high clinical application value.  
      关键词:Language disorders children;Integrated education;Language teaching;Language rehabilitation   
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      Case Study

    • XU Zhi-jia, HU Yang, LIU Qiao-yun
      Vol. 23, Issue 1, Pages: 100-103(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.024
      摘要:ObjectiveThis study investigated the application of ICF-CY to the assessment and intervention of speech perception and production in auditory brainstem implanted children.MethodThe study analyzed a case of rehabilitation. The child was assessed for speech function and home language environment based on ICF-CY. Then the child underwent the ECNU ladder model for speech training, twice a week, each time 1 hour for a total of 10 weeks.ResultsAfter the training and fitting with an auditory brainstem implant, the child's ability to recognize and produce speech was improved. The recognition rate of minimal phoneme contrast of finals increased from 63.77% to 81.88%, and the recognition rate of t minimal phoneme contrast of initials increased from 69.73% to 81.61%. In terms of production, the child was able to produce /h/ and its phonological combinations stably.ConclusionThe speech intervention based on the ICF-CY theoretical framework can effectively improve the speech function of children with auditory brainstem implantation.  
      关键词:ICF-CY;Hearing impairment;ABI;Speech training   
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      Post Education

    • ZHONG Min-xuan, YANG Chong-ling, TANG Fei, GUO Wei-wei, LV Ping, LIU Jun
      Vol. 23, Issue 1, Pages: 104-108(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.025
      摘要:Auditory deprivation time and implantation age are important factors affecting the auditory and speech rehabilitation outcomes of cochlear implantation (CI) in patients with congenital deafness possibly associated with the functional level of the auditory cortex at different developmental stages. In terms of predicting preoperative efficacy, evaluating postoperative efficacy of CI, and conducting research on neurological, psychiatric, and psychological related diseases, the functional evaluation of the auditory cortex is essential. Methods for evaluating auditory cortex function encompass neuroelectrophysiology, morphology, functional imaging, and molecular biology. The neuroelectrophysiological methods have characteristics such as simplicity in operation and non-invasiveness, mainly including cortical auditory evoked potential (CAEP) based on electroencephalography (EEG), such as P1-N1-P2 waves and mismatch negative (MMN), and auditory evoked field (AEF) based on magnetoencephalography (MEG). However, AEF is less applied due to its costly detection equipment, complex operation, and stringent environmental requirements. This article will review neuroelectrophysiological evaluation methods and the research progress in auditory cortex function.  
      关键词:Auditory cortex;Functional evaluation;CAEP;MMN   
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      Autism Rehabilitation

    • MU Bao-ni
      Vol. 23, Issue 1, Pages: 109-112(2025) DOI: 10.3969/j.issn.1672-4933.2025.01.026
      摘要:ObjectiveTo explore the influence of Orff music teaching on the development of language function in autism spectrum disorder.Methods100 children with autism who met the inclusion criteria from June 2022 to June 2023 were randomly divided into experimental group and control group, with 50 cases in each group. The control group received conventional treatment, and the experimental group added Orff music teaching on the basis of the control group. The intervention duration of the two groups was 12 weeks. The influence of Orff's music teaching on the development of ASD children's language function was evaluated by using the behavioral assessment of speech and language (ver BAS), the Chinese Revised psychoeducational profile-3rd Edition (c-pep-3) and the language development delay examination (S-S).Results100 children participated in this study throughout, and the Ver BAS scores, C-PEP-3 scores, and S-S scores were higher in the post-intervention period than in the control group (P<0.05).ConclusionOn the basis of conventional treatment, adding Orff music teaching activities can improve the language function development of children with ASD, and it is safe and reliable, and can improve the prognosis of children with ASD.  
      关键词:Orff music teaching activities;Autism spectrum disorder;Language function development   
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