儿童期分泌性中耳炎与语言发育迟缓的临床分析

目的探讨儿童期分泌性中耳炎所致感音神经性耳聋对语言、认知和交流能力的影响，及对分泌性中耳炎感音神经性耳聋患儿早期确诊、早期治疗、早期进行听力语言康复的重要性。方法根据26例语言发育迟缓的分泌性中耳炎患儿就诊情况及听力调查资料，分析高频听力损失和语言频率的关系以及对语言、认知和交流能力的影响。结果分泌性中耳炎所致感音神经性耳聋患儿对语言、认知和交流能力有影响，只有当高频听力损失达到一定程度，并波及到语频时，才会引起语言发育迟缓。早期发现分泌性中耳炎感音神经性耳聋儿童，早期确诊，早期进行听力语言康复非常必要，可以大大地减少因感音神经性耳聋所致的语言障碍。结论儿童期分泌性中耳炎所致的感音神经性耳聋可以引起患儿语言发育迟缓。对分泌性中耳炎患儿早期诊断、早期治疗可避免残余听力障碍对语言、认知和交流能力的影响。我们将病程超过3个月以上的儿童期分泌性中耳炎作为感音神经性耳聋的高危儿童，在儿童保健系统开展听力筛查，及早发现感音神经性耳聋儿童，可将此类儿童的早期诊断的确诊率、早期配戴助听器和早期开展听觉语言康复的年龄提前。

dClinic Analyzing of Child Secretory Otitis Media and Language Retardation

Objective To explore how sensorineural deafness caused by Secretory otitis media effect language cognizing and communication, and the consequence of his early diagnosis treatment and carry through audition language healing essentiality. Methods According to the material of 26 patients, analyzing the relationship of high frequency loss language frequency and language impairment. Results Secretory otitis media effect language cognizing and communication and cause hypoevolutism even when high frequency loss extend over language frequency. That early diagnosis and language training is important and can reduce language obstruct. Conclusion Sensorineural deafness caused by secretory otitis media can cause language hypoevolution. Early diagnosis treatment can avoid influence like language cognizing and communication. That child sanitarian system early carry out hearing check and finding deaf child can diagnose, use audiphone and carry out language training ahead of time.