早期阅读和语音加工训练对听障儿童阅读能力的影响  

The Effect of Early Reading and Phonological Processing Training on Reading Ability of Hearing-Impaired Children

作　　者：杨欢 齐国荣 顾彦博 韩秋宏 YANG Huan;QI Guo-rong;GU Yan-bo;HAN Qiu-hong

机构地区：[1]秦皇岛市工人医院耳鼻咽喉科,秦皇岛066200 [2]秦皇岛市海港医院耳鼻咽喉科,秦皇岛066000

出　　处：《中国听力语言康复科学杂志》2024年第1期82-86,共5页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的探究早期阅读和语音加工训练对听障儿童阅读能力的影响。方法2021年1月~2022年6月在某校随机选择听障儿童157例,采用随机数表法分为A(52例)、B(54例)、C(51例)3组。其中A组采用早期阅读干预、B组采用语音加工训练,C组采用早期阅读、语音加工训练联合干预。持续干预6个月后,对比各组儿童的阅读能力。结果干预6个月后,3组儿童的皮博迪图片词汇测验(Peabody picture vocabulary test,PPVT)得分、图片再认/排序得分均升高,且C组显著高于A、B组(P<0.05)。儿童阅读相关技能得分对比显示,干预6个月后,3组儿童字母/数字快速命名得分均降低,拼音拼读、汉字读认标准性得分均升高,C组字母/数字快速命名得分显著低于A、B组(P<0.05),拼音拼读、汉字读认标准性得分均显著高于A、B组(P<0.05)。干预6个月后,3组听觉行为分级(CAP)、言语可懂度分级(SIR)对比,C组显著高于A、B组(P<0.05)。结论早期阅读和语音加工训练能在一定程度上改善听障儿童的阅读能力,两种方式联合使用效果更好。Objective To explore the effect of early reading and phonological processing training on the reading ability of hearing-impaired children.Methods From January 2021 to June 2022,157 children with hearing impairment were randomly selected from a school and divided into group A(52 cases),group B(54 cases)and group C(51 cases)by the random number table method.Group A received early reading intervention,group B received phonological processing training,and group C received early reading and phonological processing training combined intervention.After 6 months of continuous intervention,the reading ability of the children in each group was compared.Results After 6 months of intervention,the Peabody Picture Vocabulary Test(PPVT)scores and picture recognition/ranking scores of the three groups increased,and group C was significantly higher than group A and group B(P<0.05).The comparison of children's scores on reading related skills showed that after 6 months of intervention,the quick naming scores of letters/numbers in all 3 groups decreased.The scores of alphabetic phonics and Chinese character reading standards increased,the scores of quick naming of letters/numbers in group C were significantly lower than those in group A and group B,and the scores of phonetic phonics and Chinese character reading standards were significantly higher than those in group A and group B(P<0.05).6 months after the intervention,the three groups were compared in Categories of Auditory Performance(CAP)and Speech Intelligibility Rating(SIR),and group C was significantly higher than group A and group B(P<0.05).Conclusions Early reading and phonological processing training can improve hearing-impaired children's reading ability to some extent,and the combination of the two methods is better.

关 键 词：听障儿童 阅读能力 早期阅读 语音加工训练 

分 类 号：R767.92[医药卫生—耳鼻咽喉科] R494[医药卫生—临床医学]