孤独症患儿听力障碍的早期发现与干预  

Early discovery and intervention study in autism spectrum disorders children with dysaudia

作　　者：马晶[1] 万浪[1] 丁海峰[1] 徐芬[1] 

机构地区：[1]黄石市中心医院耳鼻咽喉头颈外科,湖北黄石435000

出　　处：《中国耳鼻咽喉头颈外科》2016年第6期325-327,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨孤独症谱系障碍(autism spectrum disorders,ASD)患儿合并有听力障碍的干预效果。方法对3例有语言交流障碍的患儿进行声阻抗测试、畸变耳声发射(DPOAE)和听性脑干反应(ABR)测试,确诊他们有听力障碍。3例患儿经进一步诊治确诊为孤独症患者。为他们选配助听器和进行言语康复训练,随访1年观察言语交流情况。结果 3例患儿在佩戴助听器后听觉行为分级(categories of auditory performance,CAP)和言语可懂度分级(speech intelligibility rate,SIR)评分均有提高。结论孤独症伴听力障碍患儿,尽早进行干预,佩戴助听器并针对性进行言语康复训练,语言交流能有改善。OBJECTIVE To explore the early intervention effect in autism spectrum disorders children with dysaudia.METHODS Three cases of child with language barrier were diagnosed with dysaudia by acoustic impedance test,distortion otoacoustic emission（DPOAE）and short sound auditory brainstem response test（ABR）.They were diagnosed with autism pectrum disorders through further test.They were matched with hearing aid,and took speech rehabilitation training,followed-up one year to observe the language communication effect.RESULTS After one year of treatment with hearing aid,both CAP and SIR score increased.CONCLUSION Autism spectrum disorders children with dysaudia can get better language exchange by early intervention with hearing aid and speech rehabilitation training.

关 键 词：孤独性障碍 听力障碍 儿童 早期干预(教育) 言语可懂度分级 

分 类 号：R749.94[医药卫生—神经病学与精神病学]