PDF(Pubmed)
Abstract：
This study aimed to investigate the role of hearing aid (HA) usage in language outcomes among preschool children aged 3-5 years with mild bilateral hearing loss (MBHL). The data were retrieved from a total of 52 children with MBHL and 30 children with normal hearing (NH). The association between demographical, audiological factors and language outcomes was examined. Analyses of variance were conducted to compare the language abilities of HA users, non-HA users, and their NH peers. Furthermore, regression analyses were performed to identify significant predictors of language outcomes. Aided better ear pure-tone average (BEPTA) was significantly correlated with language comprehension scores. Among children with MBHL, those who used HA outperformed the ones who did not use HA across all linguistic domains. The language skills of children with MBHL were comparable to those of their peers with NH. The degree of improvement in audibility in terms of aided BEPTA was a significant predictor of language comprehension. It is noteworthy that 50% of the parents expressed reluctance regarding HA use for their children with MBHL. The findings highlight the positive impact of HA usage on language development in this population. Professionals may therefore consider HAs as a viable treatment option for children with MBHL, especially when there is a potential risk of language delay due to hearing loss. It was observed that 25% of the children with MBHL had late-onset hearing loss. Consequently, the implementation of preschool screening or a listening performance checklist is recommended to facilitate early detection.
摘要：
这项研究旨在调查3-5岁轻度双侧听力损失（MBHL）的学龄前儿童使用助听器（HA）在语言结果中的作用。数据来自52名MBHL儿童和30名听力正常（NH）儿童。人口统计之间的关联，检查了听力学因素和语言结果。进行了方差分析，以比较HA用户的语言能力，非HA用户，和他们的NH同行。此外，进行回归分析以确定语言结局的重要预测因子.辅助更好的耳朵纯音平均（BEPA）与语言理解得分显着相关。在MBHL儿童中，在所有语言领域使用HA的人优于未使用HA的人.MBHL儿童的语言能力与NH儿童的语言能力相当。就辅助BEPTA而言，可听度的提高程度是语言理解的重要预测指标。值得注意的是，有50％的父母表示不愿意将HA用于MBHL的孩子。研究结果强调了HA使用对该人群语言发展的积极影响。因此，专业人士可以将HAs视为MBHL儿童的可行治疗选择，特别是当存在由于听力损失导致的语言延迟的潜在风险时。据观察，25%的MBHL患儿患有迟发性听力损失。因此,建议实施学前筛查或听力表现检查表，以促进早期发现。
