助听后耳聋儿童音乐能力与听觉能力、言语可懂度相关性的初步研究

发布时间：2018-08-13 16:05

【摘要】：目的探讨使用人工听觉装置后耳聋儿童音乐能力与听觉能力及言语可懂度的相关性,为听觉言语康复提供参考。方法以27例感音神经性语前聋(耳聋程度为中度至极重度)儿童为研究对象,男14例,女13例。生理年龄9~95个月,平均42±25个月;均为双耳助听,干预年龄1~72个月,平均26±24个月;听力年龄为1~60个月,平均16±14个月。使用儿童音乐能力评估量表(Musical Ears量表)、听觉行为分级(categories of auditory performance,CAP)量表、言语可懂度分级(speech intelligibility rating,SIR)量表分别评估患儿的音乐能力、听觉能力、言语可懂度,并对评估结果进行线性相关与回归分析。结果本组患儿音乐能力、听觉能力、言语可懂度得分分别为27.1±16.7、4.4±1.9、2.8±1.4分,音乐能力得分与听觉能力得分显著相关(r=0.856,P=0.001),音乐能力得分与言语可懂度得分显著相关(r=0.827,P=0.001)。结论助听后感音神经性聋患儿音乐能力与听觉能力及言语能力密切相关。
[Abstract]:Objective to explore the relationship between musical ability, auditory ability and speech intelligibility of deafness children after using artificial hearing device, and to provide reference for auditory speech rehabilitation. Methods 27 children (14 males and 13 females) with sensorineural prelingual deafness (moderate to severe deafness) were studied. The physiological age ranged from 9 to 95 months (mean 42 卤25 months), the intervention age ranged from 1 to 72 months (mean 26 卤24 months) and the hearing age ranged from 1 to 60 months (mean 16 卤14 months). The children's musical ability, hearing ability, speech intelligibility and speech intelligibility were evaluated by using (Musical Ears scale, (categories of auditory performance scale and speech intelligibility scale. Linear correlation and regression analysis were used to evaluate the results. Results the scores of musical ability, auditory ability and speech intelligibility were 27.1 卤16.7and 4.4 卤1.9U 2.8 卤1.4, respectively. The score of musical ability was significantly correlated with the score of auditory ability (r = 0.856p ~ (0.001), and the score of musical ability was significantly correlated with the score of speech intelligibility (r ~ (0.827) P ~ (0.001). Conclusion the musical ability of children with sensorineural hearing loss is closely related to their hearing ability and speech ability.
【作者单位】：淄博市妇幼保健院;首都医科大学附属北京同仁医院
【基金】：首都市民健康项目培育专项(Z141100002114033) 北京市医院管理局临床医学发展专项-2015年度“扬帆”计划临床技术创新项目(XMLX201514) 首都卫生发展科研专项项目(首发2011-1017-01)联合资助
【分类号】：R764.43

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