普通话人工耳蜗植入儿童早期词汇水平对后期语言能力的预测研究  

Prediction of future language proficiency in Mandarin-speaking cochlear implant recipients based on early childhood vocabulary proficiency

作　　者：王敏[1] 罗建芬[1] 李金铭 晁秀华 王睿婕[1] 刘宪琪 谢殿钊 徐磊[1] Wang Min;Luo Jianfen;Li Jinming;Chao Xiuhua;Wang Ruijie;Liu Xianqi;Xie Dianzhao;Xu Lei(Department of Otolaryngology Head and Neck Surgery,Shandong Provincial ENT Hospital,Shandong University,Department of Auditory Implantation,Shandong Second Provincial General Hospital,Shandong Key Laboratory of Deafness Gene Therapy for Medicine and Health,Shandong Provincial Key Laboratory of Deafness and Vertigo Diseases,Jinan 250022,China)

机构地区：[1]山东大学山东省耳鼻喉医院耳鼻咽喉头颈外科、山东省第二人民医院听觉植入科、山东省医药卫生耳聋基因治疗重点实验室、山东省耳聋与眩晕疾病重点实验室,济南250022

出　　处：《中华耳鼻咽喉头颈外科杂志》2025年第2期144-152,共9页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：国家自然科学基金重大项目(82196821);国家自然科学基金面上项目(82071053、81800905);山东省自然科学基金重点基础研究计划(ZR2021ZD40);山东省泰山学者工程-青年专家计划(tsqn202211357);山东大学横向课题(6010420001);山东省医药卫生科技重点项目(202307010345)。

摘　　要：目的追踪人工耳蜗植入(cochlear implantation,CI)儿童开机后1~3年词汇水平和语言能力的发展,探讨CI儿童开机后早期理解性词汇和表达性词汇是否对后期的语言能力具有预测作用。方法研究对象为42例CI儿童,其中男19例、女23例,开机时生理年龄为(16.6±4.9)个月(均数±标准差,下同)。在开机1年时(简称T1)以《普通话早期词汇量表-婴儿版》考察其理解性词汇量和表达性词汇量;开机2年时(简称T2)以《普通话早期词汇量表-幼儿版》考察其表达性词汇量,以《华语婴幼儿沟通发展量表-语句复杂度分测验》考察其语法能力;开机3年时(简称T3)使用《修订学前儿童语言障碍评量表》测试其语言理解、语言表达及语法能力等综合语言发展水平。应用SPSS 22.0软件进行数据分析。结果CI儿童T1理解性词汇量为(155.7±52.8)个,表达性词汇量为(85.1±63.9)个;T2表达性词汇量为(455.7±167.7)个,语句复杂度成绩为(36.5±13.0)分;T3语言发展成绩为(53.6±14.2)分。相关分析表明,T1理解性词汇量与T1表达性词汇量、T2两项测试、T3语言发展成绩之间均显著相关(P值均<0.01);T1表达性词汇量与T2两项测试显著相关(P值均<0.01),与T3语言发展成绩不相关;T2各项成绩均与T3语言发展成绩显著相关(P值均<0.01)。回归分析显示,T1理解性词汇量对T2表达性词汇量和语句复杂度成绩及T3语言发展成绩预测作用更明显;T2语句复杂度成绩对T3语言发展成绩预测作用更为显著。结论CI开机后早期的理解性词汇对后期的语言能力具有显著的预测作用,在康复过程中要关注早期理解性词汇的发展。ObjectiveThe objective of this longitudinal study is to longitudinally monitor the lexical development and language proficiency of Mandarin-speaking children with cochlear implants(CI)over a three-year post-implantation period while also investigating whether early receptive and expressive vocabulary skills can serve as predictors for later language abilities in CI recipients.MethodsIn this study,42 children with CIs were selected as participants,including 19 males and 23 females,and with a mean age at CI activation of 16.6±4.9 months.Receptive and expressive vocabulary skills were assessed using the Infant Checklist of the Early Vocabulary Inventory for Mandarin Chinese(EVI)at one-year post-activation(T1).Additionally,expressive vocabulary sizes were evaluated using the EVI-Toddler Checklist,while syntactic ability was measured by the Grammatical Complexity test of the Mandarin-Chinese Communicative Developmental Inventory for Infants and Toddlers at two years post-activation(T2).The comprehensive language development level of preschool children,including language comprehension,expression,and grammar ability,was examined during the third year post-activation(T3)using the Revised Scale for Assessment of Language Disorders in Preschool Children.Data analysis was conducted using SPSS 22.0.ResultsOne year after CI activation,children exhibited a mean receptive vocabulary size of 155.7±52.8 and an expressive vocabulary size of 85.1±63.9.T2′s expressive vocabulary size was 455.7±167.7,while the Grammatical Complexity score was 36.5±13.0.The original language development score was determined to be 53.6±14.2 at T3.Correlation analysis revealed significant positive associations between T1′s receptive and expressive vocabulary with tests conducted at T2 and subsequent language development measured at T3(P<0.01).Furthermore,there was a significant correlation between expressive vocabulary at T1 and both tests conducted at T2(P<0.01),but no significant correlation with subsequent language development measured at T

关 键 词：耳蜗植入术 儿童 言语 词汇 语言发展 

分 类 号：G63[文化科学—教育学]