CI植入儿童与正常儿童音位对比式听觉识别能力的比较研究.doc

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1、doi:10.3969/j.issn.1672-4933.2017.04.000基金项目：上海市残疾人康复重点学科建设“听障儿童康复”（2015ZDXK-TZKF）作者单位：1上海市聋儿康复中心上海2001272华东师范大学教育康复系上海200062作者简介：易海燕硕士幼教高级；研究方向：听障儿童早期康复教育通讯作者：易海燕，E-mail:haiyan_yi@sina.com人工耳蜗植入儿童与健听儿童音位对比式听觉识别能力的比较研究CompareofMinimalphonemecontrastrecognizeabilityBetwe

2、enCIChildrenandNormalChildren易海燕1刘巧云2YIHai-yan,LIUQiao-yun【摘要】目的研究人工耳蜗植入儿童与健听儿童在179项音位对比式听觉识别能力上存在的具体差异，为听障儿童的听觉康复提供参考和建议。方法采用自编的儿童音位对比式听觉识别测试软件对14名学前人工耳蜗植入儿童和90名学前健听儿童进行测试。结果①3～5岁健听儿童言语识别率存在显著年龄差异，性别差异不显著；②对健听儿童和CI儿童而言，韵母识别率均高于声母识别率；③除卷舌音识别外，CI儿童其它五组声母识别能力和全部韵母识别能力均低于同

3、龄健听儿童；④对人工耳蜗植入儿童而言，韵母4个分测验中前后鼻音识别最难，不同结构、相同开口及结构的识别其次，不同开口音的识别最容易。结论人工耳蜗植入儿童与健听儿童音位对比式听觉识别能力存在一定差异。【关键词】人工耳蜗植入;音位对比;听觉识别【Abstract】PurposeThisstudyinvestigatedthedifferenceof179phonemiccontrastauditoryrecognitionabilitiesbetweencochlearimplantchildrenandhealthyhearingchi

4、ldren,andtoprovidereferenceandsuggestionsforhearingrehabilitationofhearing-impairedchildren.Method14preschoolchildrenwithcochlearimplantsand90preschoolchildrenweretestedbyusingthechildren'sphonemiccontrastauditoryrecognitiontestsoftware.ResultsThereweresignificantagedif

5、ferencesinspeechrecognitionrateamongthe3-5yearoldhealthyhearingchildren,butthegenderdifferencewasnotsignificant.ForhealthychildrenandCIchildren,thefinalrecognitionratewashigherthantheinitialrecognitionrate.Inadditiontocacuminalrecognition,CIchildren'sotherfivegroupsofin

6、itialrecognitionabilityandallvowelrecognitionabilitywaslowerthanthatofnormalhearingchildren.ForCIchildren,itisthemostdifficulttodistinguishthenasalstructuresfromthefourvowels,thedifferentstructures,thesameopeningsandthestructuralrecognition.Secondly,therecognitionofdiff

7、erentopentonesistheeasiest.ConclusionTherearesomedifferencesinphonemiccontrastauditoryrecognitionabilitybetweencochlearimplantchildrenandhealthyhearingchildren.【KeyWords】Cochleaimplant；Minimalphonemecontrast;Hearingrecognize1引言听觉识别是指个体能够通过记忆识别目标音，实现声音的再认[1]。一般认为，个体是在听觉识

8、别阶段完成对语音物理刺激的全面把握，并为最终实现音义结合达到听觉理解奠定了基础[2]。语音识别是听觉识别的重要内容，它是以语音刺激为材料进行的听觉再认测试，声母识别和韵母识别是语音识别的核心内容。语音平衡式言语识别测试与