音乐音符训练提高助听器配置青少年的音符听辨能力的临床研究  

The clinical study for the music training to improve the teenagers music perception with hearing aid

作　　者：李健鹰[1] 李广盛[1] 汪贺媛[1] 付前杰 白莉[3] 杨莉萍[1] 李高明[4] 丁红兵[4] 

机构地区：[1]河北省石家庄市第一医院耳鼻咽喉科,河北石家庄050011 [2]美国豪氏听觉研究所,加利福利亚洛杉矶90057 [3]河北省石家庄市第一医院科教科,河北石家庄050011 [4]河北省石家庄市特殊教育学校,河北石家庄050011

出　　处：《中国现代医学杂志》2011年第21期2665-2667,共3页China Journal of Modern Medicine

基　　金：石家庄市国际科技合作计划项目(No.08746106-A)

摘　　要：目的探讨交互式的音乐音符训练是否可以提升助听器配置青少年的音符听辨能力,进而提升他们欣赏音乐的能力。方法 30例语前聋而佩戴助听器的青少年参加了这项试验,在音符听辨训练之前,先进行基准测试至少4次。之后所有试验者进行包含5、6个半音差异的音符听辨训练,1周5 d,1 d练习时间达30 m in(可分多次进行),持续12周。结果训练前受试者旋律轮廓识别的正确率为(26.83±10.65)%,训练后受试者旋律轮廓识别的正确率为(36.54±12.57)%,差异有显著性(t=-4.3213,P=0.0002)。训练后双耳纯音听阈较训练前均减低,右耳差异有显著性(t=2.0845,P=0.0460),左耳差异无显著性。结论交互式的音乐音符训练可以提升佩戴助听器青少年的音符听辨能力,进而提升他们欣赏音乐的能力;同时通过训练,佩戴助听器青少年的听力亦可得到提高,这可能反映了佩戴助听器青少年的大脑具有听觉可塑性。【Objective】 To observe how the interactive music auditory training can improve the teenagers music perception wearing hearing aid.【Method】 30 prelingual teenagers who use hearing aid were trained with interactive music auditory training（recorded at House Ear Institute as part of the CAST program）.Four benchmark tests were done for baseline before training,and then all the experiments conducted the training contained five-six semitone for 30 minutes per day,five days per week,for a period of 12 weeks.【Result】 ① The melodic contour performance was（26.83±10.65）% before training,and was（36.54±12.57）% after training.There was a significant difference between them（t =-4.3213,P =0.0002）.② After treatment,the pure tone auditory threshold of both ears were lower than those before training.There was a significant difference in the right ear（t =2.0845,P =0.0460）,while no difference in the left ear（P〈0.05）.【Conclusion】 The interactive music auditory training can improve the teenagers music perception who use hearing aid,and their audition also can be improved.

关 键 词：交互式的音乐听能训练 助听器 音乐音符听辨能力 听力 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]