基于中国文化背景临床音乐感知评估软件在听力正常人群中的可行性分析
Feasibility Evaluation of Music Assessment in Clinical in People with Normal Hearing
兰亚男;古鑫;周嵌;刘博
1:首都医科大学附属北京同仁医院耳鼻咽喉头颈外科研究中心
2:北京市耳鼻咽喉科研究所耳鼻咽喉头颈外科教育部重点实验室(首都医科大学)

【Abstract] Objective Through the assessment of music perception in people with normal hearing, the feasibility of music assessment in clinical (MAC),which is developed by our research group based on Chinese culture and music background was evaluated. Methods A total of 40 normal hearing adults(23 females and 17males, aged 18 to37 years) participated in the test of both MAC and ‘’musical sounds in cochlear implants perception”(Mu.S.I.C) software. Their pitch,melody, and timbre perception abilities were evaluated under“pitch discrimination threshold”,“melody identification",“instrument identification”sessions of MAC and“pitch discrimination”,“melody discrimination”,“instrument identification”sessions of Mu.S.I.C. In addition, the test duration was recorded, and the subjects' subjective preference scores for the two software test items were analyzed. Results ①There was no statistically significant difference in the subjective preference scores of timbre, melody and pitch test between MAC and Mu.S. L. C software (P>0.05).There was no significant difference between the test duration of MAC and Mu. S. L. C among the 40 subjects (P>0.05).②The pitch discrimination threshold of MAC for all subjects was l quarter-tone, significantly lower than the average pitch discrimination threshold (7.47±6.42 quarter-tone) of Mu. S. L C (P<0.01).③The average accuracy rate of familiar melody identification in MAC (95.63%士6.76%) was significantly higher than that of Mu.S. L. C software (84.13%±7.96%).④There was no significant difference (P>0.05) between the instrument identification performance of MAC (87.34%±10.25%) and Mu.S. L C (84.38%±12.97%).Conclusion There was no significant difference in the subjects' preferences and test duration between the two softwares. The pitch and melody recognition scores were higher using MAC when comparing with Mu.S. I C, which initially verified the clinical feasibility of MAC.




1 Gfeller K,Driscoll V,Schwalje A.Adult cochlear implant recipients' perspectives on experiences with music in everyday life:a multifaceted and dynamic phenomenon[J].Front Neurosci,2019,21(13):1229.
2 Limb CJ,Roy AT.Technological,biological,and acoustical constraints to music perception in cochlear implant users[J].Hear Res,2014,308:13-26.
3 Hwa TP,Wen CZ,Ruckenstein MJ.Assessment of music experience after cochlear implantation:a review of current tools and their utilization[J].World J Otorhinolaryngol Head Neck Surg,2021,7(2):116-125.
4 Brockmeier SJ,Fitzgerald D,Searle O,et al.The Mu.S.I.C perception test:a novel battery for testing music perception of cochlear implant users[J].Cochlear Implants International,2011,12(1):10-20.
5 冯永,蔡鑫章,贺楚峰,等.人工耳蜗植入者音乐感知能力的初步研究[J].听力学及言语疾病杂志,2004,12(6):378-380.
6 平利川,原猛,郗昕,等.人工耳蜗使用者音乐感知评估系统的设计[J].声学技术,2010,29(5):512-517.
7 Gu X,Liu B,Liu ZY,et al.A follow-up study on music and lexical tone perception in adult mandarin-speaking cochlear implant users[J].Otol Neurotol,2017,38(10):421-428.
8 Plant KL,McDermott HJ,van Hoesel RJM,et al.Factors influencing electrical place pitch perception in bimodal listeners[J].J Acoust Soc Am,2014,136(3):1199-1211.
9 蔡洁青,柳依萌,姚闽云,等.人工耳蜗植入患者对西洋乐器和民族乐器感知研究[J].中国耳鼻咽喉颅底外科杂志,2019,25(5):476-481.
10 Wang S,Liu B,Dong RJ,et al.Music and lexical tone perception in Chinese adult cochlear implant users[J].Laryngoscope,2012,122(6):1353-1360.
11 董瑞娟,王硕,周芸,等.音乐评估系统Mu.S.I.C的正常值研究[J].临床耳鼻咽喉头颈外科杂志,2013,27(13):712-716.
12 刘子夜,刘博,钟佳利,等.文化差异与音乐感知的相关性分析[J].听力学及言语疾病杂志,2014,22(4):351-355.
13 古鑫,刘子夜,刘博,等.文化差异与音乐音色感知的相关性分析[J].临床耳鼻咽喉头颈外科杂志,2016,30(20):1589-1592.
14 周嵌,古鑫,刘博.成年人工耳蜗使用者的音质感受和音乐感知[J].临床耳鼻咽喉头颈外科杂志,2019,33(1):47-51.
15 Smith L,Bartel L,Joglekar S,et al.Musical rehabilitation in adult cochlear implant recipients with a self-administered software[J].Otology & Neurotology,2017,38(8):262-267.