The Accuracy and Substitution Error Types of the Mandarin Consonants Production in Children with Cochlear Implants

GUO Qian-qian; MENG Chao; LV Jing; LI Yu-ling CHEN Xue-qing; WANG Shuo

doi:10.3969/j.issn.1672-4933.2025.03.002

您当前的位置：

首页 >

文章列表页 >

The Accuracy and Substitution Error Types of the Mandarin Consonants Production in Children with Cochlear Implants

Questionnaire Evaluation of the Developmental Patterns of Auditory and Verbal Abilities in Children with Hearing Impairment | 更新时间：2026-07-11

- The Accuracy and Substitution Error Types of the Mandarin Consonants Production in Children with Cochlear Implants
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 3, Pages: 228-231(2025)
- 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：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.03.002
  CLC： G762
- Received：26 February 2025，
  
  Published：15 May 2025
- 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

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

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

①CI组儿童塞音、擦音和塞擦音正确率均显著低于NH组儿童（

＜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（

＜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

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

To analyze the accuracy of consonants production and the substitution error in Mandarin-speaking prelingually deaf children with cochlear implants.

Methods

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

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 (

＜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 (

＜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

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

Leigh J , Dettman S , Dowell R , et al . Communication development in children who receive a cochlear implant by 12 months of age [J ] . Otol Neurotol , 2013 , 34 ( 3 ): 443 - 450 .

Boone N , Kloots H , Gillis S . Is the spontaneous speech of 7-year-old cochlear implanted children as intelligible as that of their normally hearing peers? [J ] . Int J Pediatr Otorhinolaryngol , 2020 , 133 : 109956 .

Grandon B , Martinez MJ , Samson A , et al . Long-term effects of cochlear implantation on the intelligibility of speech in French-speaking children [J ] . J Child Lang , 2020 , 47 ( 4 ): 881 - 892 .

Hua Z , Dodd B . The phonological acquisition of Putonghua (Modern Standard Chinese) [J ] . J Child Lang , 2000 , 27 ( 1 ): 3 - 42 .

Chen XQ , You YY , Yang J , et al . Effects of nonlinear frequency compression on Mandarin speech and sound-quality perception in hearing-aid users [J ] . Int J Audiol , 2020 , 59 ( 7 ): 524 - 533 .

Qi S , Chen XX , Yang J , et al . Effects of adaptive non-linear frequency compression in hearing aids on Mandarin speech and sound-quality perception [J ] . Front Neurosci , 2021 , 15 : 722970 .

高军 . 1.5至6岁普通话儿童发音测试(北京地区)使用手册 [M ] . 北京 : 中国社会科学出版社 , 2024 . 149 - 151 .

潘慧 , 陈雪清 , 李炀 , 等 . 婴幼儿期植入人工耳蜗的语前聋儿童单字声调产出特点 [J ] . 听力学及言语疾病杂志 , 2021 , 29 ( 3 ): 276 - 281 .

Lee CY , Zhang Y , Li X . Acoustic characteristics of voiceless fricatives in Mandarin Chinese [J ] . J Chin Ling , 2014 , 42 ( 1 ): 150 - 171 .

Smit AB , Hand L , Freilinger JJ , et al . The Iowa Articulation Norms Project and its Nebraska replication [J ] . J Speech Hear Disord , 1990 , 55 ( 4 ): 779 - 798 .

Peng SC , Weiss AL , Cheung H , et al . Consonant production and language skills in Mandarin-speaking children with cochlear implants [J ] . Arch Otolaryngol Head Neck Surg , 2004 , 130 ( 5 ): 592 - 597 .

Warner-Czyz A , Davis B . The emergence of segmental accuracy in young cochlear implant recipients [J ] . Cochlear Implants Int , 2008 , 9 ( 3 ): 143 - 166 .

张国军 , 史新 . 人工耳蜗植入儿童汉语声母发音错误规律探究 [J ] . 听力学及言语疾病杂志 , 2017 , 25 ( 1 ): 66 - 69 .

钟一鸣 , 张国军 , 诸瑶 . 人工耳蜗植入儿童易混淆语音发音状况研究 [J ] . 中国听力语言康复科学杂志 , 2020 , 18 ( 3 ): 198 - 202 .

史泱 , 张芳 , 晁欣 , 等 . 3～5岁听障儿童与健听儿童声母发音清晰度比较研究 [J ] . 中国听力语言康复科学杂志 , 2016 , 14 ( 4 ): 262 - 265 .

Yang J , Wang XH , Yu J , et al . Intelligibility of Word-Initial Obstruent Consonants in Mandarin-Speaking Prelingually Deafened Children with Cochlear Implants [J ] . J Speech Lang Hear Res , 2023 , 66 ( 6 ): 2155 - 2176 .

Yang J , Vadlamudi J , Yin Z , et al . Production of word-initial fricatives of Mandarin Chinese in prelingually deafened children with cochlear implants [J ] . Int J Speech Lang Pathol , 2017 , 19 ( 2 ): 153 - 164 .

Grandon B , Vilain A . Development of fricative production in French-speaking school-aged children using cochlear implants and children with normal hearing [J ] . J Commun Disord , 2020 , 86 : 105996 .

Casserly ED , Pisoni DB . Speech perception and production [J ] . WIREs Cognitive Science , 2010 , 1 ( 5 ): 629 - 647 .

Yang J , Xu L . Acoustic characteristics of sibilant fricatives and affricates in Mandarin-speaking children with cochlear implants [J ] . J Acoust Soc Am , 2023 , 153 ( 6 ): 3501 - 3512 .

McLeod S , Crowe K . Children's consonant acquisition in 27 languages: A cross-linguistic review [J ] . Am J Speech Lang Pathol , 2018 , 27 ( 4 ): 1546 - 1571 .

Views

204

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Clinical Issues in Cochlear Implantation for Elderly Patients With Hearing Loss (Part I): Preoperative Decision-Making and Key Perioperative Considerations

Intracochlear Electrocochleogram Monitoring Technology in Cochlear Implant Surgery

Application and Research Progress of Auditory Attention Electrophysiological Technology in Cochlear Implantation Detection and Assessment

The Importance and Key Elements of Person-Centered Preoperative Counseling for Adult Cochlear Implant Candidates

Advances in the Study of Mismatch Negativity Event-Related Potential Components in Audiology

Related Author

LIN Yi-peng

GAO Shan-xian

ZHANG Li-na

LIU Tian-yi

LIANG Shuang

LIANG Wei

YIN Li

LIU Jia-hao

Related Institution

杭州未来科技城医院

中国听力语言康复研究中心

杭州市余杭区启航公益服务中心

全省智能康复与神经电子转化重点实验室

浙江诺尔康神经电子科技股份有限公司

⁰