CAJ | 학술논문

目的评估REZ-1型人工耳蜗成人语后聋植入者的汉语言语识别和普通话声调识别水平,探讨其对汉语普通话声调识别特点及影响因素.方法采用中国聋儿康复研究中心<听觉、语言能力评估方法和标准>对2009年6至10月复旦大学附属眼耳鼻喉科医院耳鼻喉科的34例接受REZ-1型人工耳蜗成人语后聋植入者术耳进行术前及术后(开机1、2、3、6、12个月)韵母、声母、单音节词和声调识别能力的评估及统计学分析.结果 34例患者开机12个月平均韵母、声母、单音节词和声调正确识别率分别为(82±8)%、(70±8)%、(76±10)%和(77±13)%,与术前(0)相比显著提高,差异有统计学意义(P<0.01),且随着开机时间的增加识别率逐步提高.结论 REZ-1型人工耳蜗成人语后聋植入者在安静环境下可以获得较好的汉语普通话声调识别效果,随着患者使用时间的增加,言语识别和声调识别能力均逐步改善.
목적 평고REZ-1형인공이와성인어후롱식입자적한어언어식별화보통화성조식별수평,탐토기대한어보통화성조식별특점급영향인소.방법 채용중국롱인강복연구중심<은각、어언능력평고방법화표준>대2009년6지10월복단대학부속안이비후과의원이비후과적34례접수REZ-1형인공이와성인어후롱식입자술이진행술전급술후(개궤1、2、3、6、12개월)운모、성모、단음절사화성조식별능력적평고급통계학분석.결과 34례환자개궤12개월평균운모、성모、단음절사화성조정학식별솔분별위(82±8)%、(70±8)%、(76±10)%화(77±13)%,여술전(0)상비현저제고,차이유통계학의의(P<0.01),차수착개궤시간적증가식별솔축보제고.결론 REZ-1형인공이와성인어후롱식입자재안정배경하가이획득교호적한어보통화성조식별효과,수착환자사용시간적증가,언어식별화성조식별능력균축보개선.
Objective To assess the tone recognition of cochlear-implant subjects by a REZ-1 device.Methods Speech recognition experiments were conducted to measure the tone recognition with standard assessment table and standard testing program. A total of 34 postlingual hearing-impaired adults who were native speakers of Mandarin undergoing operations from June to October, 2009 were tested and scored both preoperatively and postoperatively (1, 2, 3, 6, 12 months post-implantation)for speech recognition. Results All patient scores of speech recognition (initials, finals, monosyllabic words & tones) decreased gradually during the postoperative follow-up period. Preoperative speech recognition scores were all 0. And after a 12-month training, their average scores were increased significantly [(70±8)%±(82±8)%]. Significant statistical differences existed between pre- and post-implantation in each test (P<0.01). Conclusion REZ-1 cochlear implantation may improve the tone recognition of adults with severe-to-profound postlingual hearing loss in a quiet environment.