CAJ | 학술논문

目的比较3岁听障儿童与同龄健听儿童开放式单音节测试结果，为提高康复教学效果提供依据。方法选取3岁听障儿童与同龄健听儿童各30例，采用言语听觉反应评估（evaluation of auditory response to speech ，EARS）中的开放式单音节分别对两组儿童进行测试，比较其结果。结果两组儿童各测试项得分高低排序均为声调得分＞韵母得分＞声母得分＞字得分，且两两之间的差异均有统计学意义（P＜0．01）；3岁听障儿童的声母、韵母和字得分均显著低于同龄健听儿童（ P＜0．001）。错误分析表明两组儿童中舌尖后音、边音的正确率均最低；健听儿童的双唇音、唇齿音、鼻音、塞音正确率最高，而听障儿童的舌根音正确率最高。听障儿童各发音部位及发音方法的声母、鼻韵母的正确率均显著低于健听儿童（P＜0．05）。结论3岁听障儿童在开放式单音节测试中的声母、韵母和字得分差于同龄健听儿童，且以舌尖后音、边音最为突出，这可能与听障儿童听力状况带来的输入性语言信息不足和听觉干预起始年龄有关。
목적비교3세은장인동여동령건은인동개방식단음절측시결과，위제고강복교학효과제공의거。방법선취3세은장인동여동령건은인동각30례，채용언어은각반응평고（evaluation of auditory response to speech ，EARS）중적개방식단음절분별대량조인동진행측시，비교기결과。결과량조인동각측시항득분고저배서균위성조득분＞운모득분＞성모득분＞자득분，차량량지간적차이균유통계학의의（P＜0．01）；3세은장인동적성모、운모화자득분균현저저우동령건은인동（ P＜0．001）。착오분석표명량조인동중설첨후음、변음적정학솔균최저；건은인동적쌍진음、진치음、비음、새음정학솔최고，이은장인동적설근음정학솔최고。은장인동각발음부위급발음방법적성모、비운모적정학솔균현저저우건은인동（P＜0．05）。결론3세은장인동재개방식단음절측시중적성모、운모화자득분차우동령건은인동，차이설첨후음、변음최위돌출，저가능여은장인동은력상황대래적수입성어언신식불족화은각간예기시년령유관。
Objective The present study analyzed the performances of hearing impaired children and normal hearing children at age 3 on the open set monosyllables test to provide reference for rehabilitation .Methods 30 typi-cal children and hearing impaired children at age 3 were randomly selected and tested using the open -set monosylla-ble test in evaluation of auditory response to speech (EARS) .Results ① There were significantly differences be-tween different test items in both groups ,the decreasing order of the score was tone> vowel>consonant>word(P<0 .01) ,and the scores on vowels ,consonants and words of hearing -impaired children were respectively signifi-cantly lower than that in normal hearing children(P<0 .001) .②There were similarities and differences between the mistakes of typical children and hearing impaired children .Blade-palatals and laterals in both groups achieved the lowest accuracy .While the accuracies on bilabials ,labiodentals ,nasals and plosives were highest in typical children , the accuracy on velar was highest in hearing impaired children .And the accuracies of consonants and nasal vowels on each place and manner of articulation in hearing -impaired children were significantly lower .Conclusion The study showed that the performances on vowels ,consomants and words of hearing -impaired children aged 3 in the open set monosyllables test were poorer than that in normal hearing children .The main errors were between the same places or methods of articulation ,especially for Blade -palatals and laterals .It is possible related to the deficiency of lan-guage input with the hearing impairment and the age with HA/CI .