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人工耳蜗植入儿童常见辅音发音正确率及替代偏误分析
The Accuracy and Substitution Error Types of the Mandarin Consonants Production in Children with Cochlear Implants
- 中国听力语言康复科学杂志 2025年23卷第3期 页码：228-231
- 作者机构：
首都医科大学附属北京同仁医院神经耳科/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） 北京 100730
- 作者简介：
郭倩倩 硕士 主管技师；研究方向：临床听力学
王硕，E-mail：shannorwsh@aliyun.com
- 基金信息：首都卫生发展科研专项项目(首发2022-4-1093;首发2022-1-2023)
DOI：10.3969/j.issn.1672-4933.2025.03.002
中图分类号： G762收稿日期：2025-02-26，
纸质出版日期：2025-05-15
- 稿件说明：
移动端阅览
郭倩倩,孟超,吕静等.人工耳蜗植入儿童常见辅音发音正确率及替代偏误分析[J].中国听力语言康复科学杂志,2025,23(03):228-231.
GUO Qian-qian,MENG Chao,LV Jing,et al.The Accuracy and Substitution Error Types of the Mandarin Consonants Production in Children with Cochlear Implants[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):228-231.
郭倩倩,孟超,吕静等.人工耳蜗植入儿童常见辅音发音正确率及替代偏误分析[J].中国听力语言康复科学杂志,2025,23(03):228-231. DOI： 10.3969/j.issn.1672-4933.2025.03.002.
GUO Qian-qian,MENG Chao,LV Jing,et al.The Accuracy and Substitution Error Types of the Mandarin Consonants Production in Children with Cochlear Implants[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):228-231. DOI： 10.3969/j.issn.1672-4933.2025.03.002.
摘要
目的
2
对早期行人工耳蜗植入（CI）儿童术后辅音产出正确率及其替代偏误类型进行分析，为术后制订个性化言语康复训练方案提供理论依据。
方法
2
以3岁以内单侧植入人工耳蜗语前聋儿童（CI组）和生理年龄匹配的健听儿童（normal hearing，NH）儿童各30名为研究对象，CI组儿童生理年龄平均3.83±1.53岁；耳蜗植入年龄平均1.50±0.78岁，NH组生理年龄平均4.13±0.54岁。日常使用汉语普通话交流，具备一定的发音能力。选用中国社会科学院语言所研发的《1.5至6岁普通话儿童发音测试（北京地区）词表》，分析两组儿童产出辅音（塞音/b、d、p、t、k、g/，塞擦音/j、q、z、c、zh、ch/，擦音/sh、s、x、f、h/）的正确率及其替代偏误。
结果
2
①CI组儿童塞音、擦音和塞擦音正确率均显著低于NH组儿童（
P
＜0.001）；按发音部位的不同，CI组儿童的齿龈音（尤其是齿龈擦音和塞擦音）正确率显著低于NH组（
P
＜0.001）。②偏误类型：CI儿童发音偏误模式与NH儿童类似，都表现出齿龈音和卷舌音之的相互替代，但CI组混淆程度更高。辅音易被软腭擦音/h/替代。
结论
2
普通话CI儿童辅音发音比NH儿童差，塞音发音正确率较高，齿龈音正确率最低。CI儿童发音偏误模式与NH儿童类似，但混淆程度更高，替代错误有所差异，表明听觉障碍和发音姿势影响CI儿童的辅音产生。
Abstract
Objective
2
To analyze the accuracy of consonants production and the substitution error in Mandarin-speaking prelingually deaf children with cochlear implants.
Methods
2
30 prelingually deaf children at mean age of 3.83 years (SD=1.53) who received unilateral cochlear implantation (CI) under the age of 3 while 30 age-matched normal hearing (NH) children at mean age of 4.13 years (SD=0.54) were participated in the test. We selected word lists developed by Institute of Linguistics
Chinese Academy of Social Sciences. The accuracy of the consonants (stop b/d/p/t/k/g
affricate j/q/z/c/zh/ch
and fricative sh/s/x/f/h) and substitution error type was analyzed.
Results
2
① The accuracy of the all the test consonants in the CI group was lower than that in the NH group. The accuracy of the affricate and fricative in the two groups was significantly different (
P
＜0.001). In terms of articulation place
the accuracy of alveolar in CI group was (especially alveolar fricative and affricate) significantly lower than in the NH group (
P
＜0.001). ② Error type: The error type of CI children's pronunciation was similar to NH group. The main error was substitution error in that the both of the groups showed mutual substitution between alveolar and retroflex
but the degree of confusion in CI group was higher. Each consonant was easily replaced by fricative /h/.
Conclusion
2
The ability of consonant production in CI group was poorer than that in NH group
CI children achieved higher stop consonant scores but lower alveolar accuracy. The error type of CI children's consonant output was similar to NH group
but a little difference in substitution errors and a higher degree of confusion
which suggests that hearing impairment and pronunciation posture both affected consonant production in CI children.
关键词
Keywords
references
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