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人工耳蝸術(shù)后構(gòu)音能力評估

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【摘要】:目的:1.評估構(gòu)音器官運動功能;2.評價構(gòu)音語音能力;3.分析構(gòu)音障礙的主要問題所在,為之后的言語矯治提供依據(jù);4.測試平均言語基頻及響度; 方法:1.客觀測量口腔輪替運動速率、下頜距和舌距,并與聽力正常組進行對比;2.用黃昭鳴-韓知娟詞表進行測試,通過分析得出言語清晰度,并填寫音位對比表,最小音位對比習(xí)得表,聲母音位習(xí)得表,并與正常對照;3.用實時言語測量儀測試言語平均基頻和響度。 結(jié)果: 1.耳蝸使用時間48月組的構(gòu)音器官的運動功能,低于聽力正常組,差異具有統(tǒng)計學(xué)意義(p 0.05),耳蝸使用時間60月組和72月組仍低于聽力正常組,但是沒有顯著性差異;2.構(gòu)音清晰度和術(shù)后人工耳蝸使用時間、術(shù)后康復(fù)時間在0.01水平上顯著相關(guān);3.在耳蝸使用時間37~72月組,植入年齡越小,清晰度越好,在1~36月組,植入年齡3~6歲者清晰度較好;4.聲母中,從發(fā)音方式看,錯誤率最高的是塞擦音,其次是擦音;從發(fā)音部位看錯誤率最高的是舌尖音和舌根音;5.55個被試者中53人的言語強度在65dB以下;6.耳蝸使用組48月組和聽力正常組具有顯著性差異(p0.05),60月組和72月組差異性不大(p0.05); 結(jié)論:1.人工耳蝸使用者構(gòu)音器官的運動功能需5~6年接近聽力正常者; 2.術(shù)后康復(fù)時間時間越長,構(gòu)音清晰越好; 3.塞擦音和擦音的錯誤率高;舌尖音和舌根音的錯誤率高; 4.受試者的響度異常;5.耳蝸使用時間48月組的平均言語基頻低于聽力正常組。
[Abstract]:Objective: 1. To evaluate the motor function of sound organs. 2. To evaluate the phonetic ability of structuring sound; 3. Analyze the main problems of dysarthria and provide the basis for speech correction. 4. The average speech frequency and loudness were measured. Oral rotation rate, mandibular distance and tongue distance were measured objectively and compared with normal hearing group. 2. By using Huang Zhaoming-Han Zhijuan word table, the speech articulation is obtained, and the phoneme contrast table, the minimum phoneme contrast acquisition table, the consonant phoneme acquisition table and the normal control are filled out. 3. The average fundamental frequency and loudness of speech were measured by real-time speech measuring instrument. Results: 1. The motor function of cochlea in 48 months group was lower than that in normal hearing group (p 0.05). The cochlear usage time of 60 months group and 72 month group was still lower than that of hearing normal group, but there was no significant difference. 2. Articulation and postoperative cochlear implantation time, postoperative rehabilitation time at 0.01 level significantly correlated; 3. In the 37 ~ 72 months cochlear implantation group, the younger the implantation age, the better the articulation, and in the 1-36 months group, the cleavage was better in the 36-year-old group. 4. Among the consonants, the highest error rate was the syllable, followed by the erasure; the highest error rate was the tip of the tongue and the root of the tongue, the intensity of the speech of 53 of the 5.55 subjects was below 65dB; 6. The cochlear use group had significant difference between 48 months group and normal hearing group (p0.05), but there was no significant difference between 60-month group and 72-month group (p0.05). Conclusion: 1. The motor function of the auditory organ of the cochlear implant needs 5 ~ 6 years to be close to the normal hearing; 2. The longer the postoperative recovery time, the better the articulation. 3. Erasure and erasure error rate is high; tongue tip sound and tongue root sound error rate is high; 4. The loudness of the subjects was abnormal; The average speech frequency of 48-month cochlear use group was lower than that of normal hearing group.
【學(xué)位授予單位】:華中科技大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2010
【分類號】:R764

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