Effects of Cochlear Implant with Wireless Listening System on Listening Outcomes in Hearing-Impared Children in Long-Distance and Noisy Environments

ZHONG Zhi-ru; YU Ze-feng; GU Dan-juan; HUANG Shi-wei; HE yan-ling

doi:10.3969/j.issn.1672-4933.2026.05.008

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Effects of Cochlear Implant with Wireless Listening System on Listening Outcomes in Hearing-Impared Children in Long-Distance and Noisy Environments

Clinical Research | 更新时间：2026-10-08

- Effects of Cochlear Implant with Wireless Listening System on Listening Outcomes in Hearing-Impared Children in Long-Distance and Noisy Environments
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 24, Issue 5, Pages: 492-495(2026)
- 作者机构：
  
  广东省残疾人康复中心广州 510055
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2026.05.008
  CLC： R764.5
- Received：02 April 2026，
  
  Revised：2026-05-21，
  
  Accepted：29 July 2026，
  
  Published：15 September 2026
- 稿件说明：
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钟志茹,余泽锋,顾淡娟等.远距离与噪声环境下人工耳蜗适配无线调频系统对听障儿童聆听效果的影响[J].中国听力语言康复科学杂志,2026,24(05):492-495.

ZHONG Zhi-ru,YU Ze-feng,GU Dan-juan,et al.Effects of Cochlear Implant with Wireless Listening System on Listening Outcomes in Hearing-Impared Children in Long-Distance and Noisy Environments[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(05):492-495.
钟志茹,余泽锋,顾淡娟等.远距离与噪声环境下人工耳蜗适配无线调频系统对听障儿童聆听效果的影响[J].中国听力语言康复科学杂志,2026,24(05):492-495. DOI： 10.3969/j.issn.1672-4933.2026.05.008.

ZHONG Zhi-ru,YU Ze-feng,GU Dan-juan,et al.Effects of Cochlear Implant with Wireless Listening System on Listening Outcomes in Hearing-Impared Children in Long-Distance and Noisy Environments[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(05):492-495. DOI： 10.3969/j.issn.1672-4933.2026.05.008.

摘要

目的

探讨人工耳蜗适配无线调频系统（CI+FM）在远距离及噪声环境下对学龄前听障儿童聆听效果的改善作用。

方法

采用问卷调查、言语听觉反应评估及听觉语言能力评估等方法，对广东省17家基层康复机构182名3～6岁听障儿童使用CI+FM与单独使用CI两种模式进行比较分析。评估两种模式在远距离（2 m、10 m、25 m、50 m）及不同信噪比（-15 dB、0 dB、20 dB）环境下的聆听效果。

结果

①在10 m、25 m、50 m距离下，CI+FM模式Ling’s五音察知率均显著优于CI模式（

0.001），在25 m范围内效果最佳，在2 m距离时2种模式无显著差异（

=1.000）。②在-15 dB、0 dB、20 dB信噪比下，CI+FM模式声母和双音节词识别率均显著高于CI模式（

0.05），其中在-15 dB低信噪比环境下改善明显。③CI+FM模式在噪声环境和远距离场景的得分均显著高于CI模式（

0.01）。

结论

CI+FM模式能显著改善听障儿童远距离（10～50 m）及噪声环境（信噪比-15 dB～0 dB）下的聆听效果，可作为听障儿童户外教学及集体活动中改善听觉输入的有效辅助技术。

Abstract

Objective

To evaluate the efficacy of cochlear implant-compatible wireless listening systems(CI+FM) in improving listening outcomes in preschool-aged children with hearing impairment under long-distance and noisy conditions.

Methods

A comparative study was conducted involving 182 children with hearing loss (aged 3-6 years) enrolled in auditory training across 17 grassroots rehabilitation institutions in Guangdong Province. Listening performance was compared between CI+FM and CI alone conditions using questionnaires

speech detection tasks

and auditory-verbal assessments. Testing was conducted at different distances (2 m

10 m

25 m

and 50 m) and signal-to-noise ratio (SNR) environments (-15 dB

0 dB

20 dB).

Results

For Long-distance listening: at 2 m distance

no significant difference in Ling's five-sound detection rates was observed between the two modes (

=1.000). However

at distances of 10 m

25 m

and 50 m

the CI+FM mode showed significantly higher detection rates than the CI alone mode (all

0.001)

with optimal effectiveness within 25 m distance. For Listening in noisy environments: under SNR conditions of -15 dB

0 dB

and 20 dB

the CI+FM mode showed significantly higher recognition rates for both consonant and disyllabic words compared with the CI-alone mode (all

0.05). The most pronounced improvement was observed at -15 dB SNR. For Questionnaire survey: the scores for the CI+FM mode were significantly higher than the CI mode in the both noisy environment and long-distance scenarios (both

0.01).

Conclusion

The CI+FM mode significantly improves listening outcomes in children with hearing impairment across long-distance (10～50 m) and noisy environments (SNR -15 dB to 0 dB)

with optimal effectiveness within 25 m distance. These findings support the integration of FM technology as an effective assistive tool for optimizing auditory access during outdoor instruction and group activities in the pediatric population with hearing impairment.

关键词

Keywords

references

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