4～6岁听障儿童连续语音清晰度的研究

Features of Connected Speech Intelligibility of Hearing-Impaired Children Aged 4～6

张磊;韩秀华;汪梅梅;

1:上海闵行区启英幼儿园

摘要

目的探讨应用可理解词语百分比(percentage of intelligible words,PIW)评估4～6岁学龄前听障儿童连续语音清晰度特征的意义。方法采用经改编的10个句子,对59例4～6岁听障儿童和59例4～6岁健听儿童进行连续语音的发音测试,让不熟悉听障儿童语音的成人聆听其录音,计算PIW;通过听障儿童言语可懂度分级(speech intelligibility rating,SIR)和PIW的相关性研究,验证PIW作为反映连续语音清晰度指标的科学性,并比较两组儿童中不同年龄组PIW的差异。结果听障儿童PIW和SIR呈现高度正相关(言语可懂度3、4、5级分别对应可理解词语百分比52.04%、86.46%、95.45%)(r=0.778,P<0.01);4～6岁听障儿童的PIW(4、5、6岁组分别为86.15%、85.03%、89.67%)显著低于4～6岁的健听儿童(4、5、6岁组分别为96.04%、99.05%、98.76%)(P<0.01);不同年龄儿童PIW差异无统计学意义(P>0.05)。结论 PIW能够量化并精确反映听障儿童连续语音清晰度水平;学龄前听障儿童连续语音清晰度低于同龄健听儿童,生理年龄对听障儿童连续语音清晰度影响不大。

关键词

连续语音清晰度;言语可懂度分级;可理解词语百分比;听障儿童

基金项目(Foundation):

上海市哲学社会科学规划教育学青年项目(B1605)

作者

张磊;韩秀华;汪梅梅;

参考文献

1 Nicolosi L, Harryman E, Kresheck J. Terminology of communication disorders[M].4th ed. Baltimore MD: William & Wilkins,1996.255～257.

2 刘巧云, 黄昭鸣, 张梦超,等. 语音能力评估的原理及方法[J]. 中国听力语言康复科学杂志, 2011(1):63.

3 孙喜斌, 于丽玫, 曲成毅,等. 中国听力残疾构成特点及康复对策[J]. 中国听力语言康复科学杂志, 2008(1):21.

4 龙墨, 梁巍, 周丽君,等. 聋儿语音获得分析[J]. 中国耳鼻咽喉头颈外科, 2006, 13:313.

5 张磊, 朱群怡, 黄昭鸣,等. 学龄前聋儿声母发音难度研究[J]. 听力学及言语疾病杂志, 2012, 20:102.

6 张磊,黄昭鸣.学前听障儿童声调发音的声学研究[J].中国特殊教育,2012,21:21.

7 张磊, 黄昭鸣, 朱文倩,等. 小龄人工耳蜗植入儿童非鼻韵母发音研究[J]. 听力学及言语疾病杂志, 2014,22:81.

8 Ertmer DJ. Relationships between speech intelligibility and word articulation scores in children with hearing loss[J]. Journal of Speech Language & Hearing Research, 2010, 53:1075.

9 张芳, 刘巧云, 范佳露,等. 3～5岁健听儿童连续语音切换清晰度的研究[J]. 听力学及言语疾病杂志, 2010, 18:430.

10 范佳露. 3～5岁听障与健听儿童连续语音重复能力的比较研究[J]. 听力学及言语疾病杂志, 2013, 21:394.

11 高晓慧, 万勤, 惠芬芬,等. 不同语言任务下4～7岁听障儿童的言语流畅性特征[J]. 中国特殊教育, 2015,24:27.

12 Osberger MJ, Maso M, Sam LK. Speech intelligibility of children with cochlear implants, tactile aids, or hearing aids[J]. Journal of Speech and Hearing Research, 1993, 36:186.

13 Miyamoto RT, Svirsky M, Kirk KI, et al. Speech intelligibility of children with multichannel cochlear implants[J]. Volta Review, 1994, 96:169.

14 Fu QJ, Zhu M, Wang X. Development and validation of the Mandarin speech perception test[J]. J Acoust Soc Am, 2011, 129: 267.

15 Ertmer DJ. Assessing speech intelligibility in children with hearing loss: toward revitalizing a valuable clinical tool[J]. Language Speech & Hearing Services in Schools, 2011, 42:52.

16 Rachovitsas D, Psillas G, Chatzigiannakidou V, et al. Speech perception and production in children with inner ear malformations after cochlear implantation[J]. International Journal of Pediatric Otorhinolaryngology, 2012, 76:1370.

17 Alpiner JG, McCarthy PA. Rehabilitative audiology:children and adults[M].3rd ed. Philadelphia, PA: Lippincott, Williams & Wilkins, 2000.89～168.

18 Ertmer DJ, Ertmer PA. Constructivist strategies in phonological intervention: facilitating self-regulation for carryover[J]. Lang Speech Hear Serv Sch, 1998, 29:67.

19 李蕴, 陈向平, 陶铮,等. 中度以上听力障碍患儿助听器或人工耳蜗植入后语言发育状况分析[J]. 听力学及言语疾病杂志, 2010, 18:176.

20 Chin SB, Tsai PL, Gao S. Connected speech intelligibility of children with cochlear implants and children with normal hearing[J]. American Journal of Speech-Language Pathology, 2003, 12:440.

21 Moeller MP. Early intervention and language development in children who are deaf and hard of hearing[J]. Pediatrics, 2000, 106:E43.

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