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  

The Preliminary Study on the Correlation among the Musical Ability,Auditory Ability and Speech Intelligibility in Children with Artificial Hearing Devices

作　　者：韩军宁[1] 陈雪清[2] 郭倩倩[2] 孟超[2] 尤妍颜 

机构地区：[1]淄博市妇幼保健院,淄博255029 [2]首都医科大学附属北京同仁医院,北京市耳鼻咽喉科研究所,耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)

出　　处：《听力学及言语疾病杂志》2017年第1期58-61,共4页Journal of Audiology and Speech Pathology

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

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。Objective The aim of this study is to study the musical ability,auditory ability and speech intelligibility and their relationship in children with artificial hearing devices,and to provide clinical evidence for the hearing and speech rehabilitation for children with hearing loss.Methods A total of 27children（14boys and 13girls）with prelingual sensorineural hearing loss from Zibo participated in this study.Their hearing levels were from moderate to profound.Their chronological ages at evaluation ranged from 9to 95 months with a mean of 42 months.Their chronological ages at intervention ranged from 1to 72 months with a mean of 26 months.Their hearing ages at evaluation ranged from 1to 60 months with a mean of 16 months.They all wore bilateral aids.Musical Ears,CAP and SIR were used to evaluate their musical ability,auditory ability and speech intelligibility,respectively.A linear and regression analysis was done in the statistic procedure.Results The means and standard deviations of the scores of musical ability,auditory ability,and speech intelligibility were 27.1±16.7,4.4±1.9,2.8±1.4,respectively.The scores of musical ability and auditory ability were significantly correlated（r=0.856,P〈0.001）.The scores of musical ability and speech intelligibility were also significantly related（r=0.827,P〈0.001）.ConclusionThe musical ability is closely related to auditory ability in children with bilateral aided hearing.The musicalability is also closely related to speech ability for this group of children.

关 键 词：儿童 听觉 言语 音乐 耳聋 助听器 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]