“多人言语声”语音训练对人工耳蜗植入儿童声调感知能力干预效果研究

李永勤;陶仁霞;赵伟时;卫仁涛;张昊;丁红卫;

1:上海市残疾人康复职业培训中心

2:上海交通大学言语-语言-听力研究中心

摘要
目的探讨"多人言语声"语音训练法对人工耳蜗植入儿童声调感知能力康复训练效果。方法研究对象为16例3~7岁双耳重度、极重度感音神经性听力损失并单侧植入人工耳蜗的儿童,其中干预组8例,平均年龄为5.99±0.63岁,听觉年龄为4.36±0.86岁;对照组8例,平均年龄为5.95±0.49岁,听觉年龄为3.77±1.27岁。使用"多人言语声"语音训练方法对干预组儿童进行声调感知训练,以个训的形式分五次完成对10位发音人共600个语音样本的声调识别训练,语音训练周期为一个月。对照组儿童不进行干预训练。采用自编声调测试材料,分别于干预前、干预后和干预结束3个月后对两组儿童进行声调感知能力测试,比较两组声调识别正确率反正强变换转化为的RAU值。结果干预前干预组和对照组声调感知表现无显著差异(P=0.71);所有受试儿童二声-三声平均分辨正确率的RAU值为47.11,显著低于其他声调配对(P<0.05)。语音训练干预后,干预组声调分辨正确率(101.34±10.14)显著高于对照组(86.02±20.4)(P=0.02);干预结束三个月后两组儿童声调分辨差异呈现边缘性显著(P=0.088)。结论二声和三声相较其他声调配对更难分辨;使用"多人言语声"语音训练方法可以短时间内有效提升人工耳蜗术后儿童声调感知能力。
关键词
多人言语声;声调感知;干预策略;人工耳蜗
基金项目(Foundation):
作者
李永勤;陶仁霞;赵伟时;卫仁涛;张昊;丁红卫;
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