精细听觉能力评估平台的建立和应用研究

杨璐; 文雯; 单佳琳; 张钦杰; 李蕴; 贾欢

doi:10.3969/j.issn.1672-4933.2023.05.004

您当前的位置：

首页 >

文章列表页 >

精细听觉能力评估平台的建立和应用研究

人工耳蜗术前评估和术后疗效评估 | 更新时间：2023-11-03

- 精细听觉能力评估平台的建立和应用研究
- Establishment and Application of the Tuneup Platform of Hearing Ability Evaluation
- 中国听力语言康复科学杂志 2023年21卷第5期页码：466-470
- 作者机构：
  
  1.上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科/上海市耳鼻疾病转化医学重点实验室/上海交通大学医学院耳科学研究所上海 200011
  2.上海交通大学医学院上海 200025
- 作者简介：
  
  杨璐本科听力师；研究方向：临床听力学
  贾欢，E-mail：huan.jia.orl@shsmu.edu.cn
- 基金信息：
  
  申康三年行动计划：机器人辅助人工耳蜗电极植入对全鼓阶植入成功率及听觉重建效果影响的前瞻性自身随机对照研究(SHDC2020CR3010A);上海市大学生创新训练计划项目(S202210248317);上海市耳鼻疾病转化医学重点实验室(14DZ2260300)
- DOI：10.3969/j.issn.1672-4933.2023.05.004
  中图分类号：
- 纸质出版日期：2023-09-15，
  
  收稿日期：2023-06-19，
- 稿件说明：
移动端阅览
杨璐,文雯,单佳琳等.精细听觉能力评估平台的建立和应用研究[J].中国听力语言康复科学杂志,2023,21(05):466-470.

YANG Lu,WEN Wen,SHAN Jia-lin,et al.Establishment and Application of the Tuneup Platform of Hearing Ability Evaluation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):466-470.
杨璐,文雯,单佳琳等.精细听觉能力评估平台的建立和应用研究[J].中国听力语言康复科学杂志,2023,21(05):466-470. DOI： 10.3969/j.issn.1672-4933.2023.05.004.

YANG Lu,WEN Wen,SHAN Jia-lin,et al.Establishment and Application of the Tuneup Platform of Hearing Ability Evaluation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):466-470. DOI： 10.3969/j.issn.1672-4933.2023.05.004.

摘要

目的

探讨精细听觉能力评估平台在临床运用的可行性与优势，了解听力正常、轻度-中度、中重度-重度听力损失和人工耳蜗植入者普通话元音、辅音、声调和音乐旋律的表现。

方法

基于临床中对精细听觉能力的测试方法，如言语测试和旋律辨别测试等，完成精细听觉能力评估平台的搭建，本平台测试内容包括元音、辅音、声调、音乐旋律4个板块。2023年1月～6月，招募不同听力水平受试者进行测试，根据0.5、1、2、4 kHz气导平均听阈（PTA）将受试者分为听力正常组（12耳）、轻度-中度听力损失组（11耳）、中重度-重度听力损失组（11耳），以及人工耳蜗植入组（21耳），使用自主建立的精细听觉能力评估软件在安静环境下测试，对测试数据进行统计学分析。

结果

（1）精细听觉能力评估平台在55耳测试中均良好运行，检测结果可当即显示，在便捷程度和用户体验感上优势突出。（2）平台测得的精细听觉能力结果与纯音听阈测试结果趋势相符，即纯音听阈下降越多，精细听觉能力越差。不同模块对精细听觉能力评估敏感度不同，可以测得受试者处理复杂听觉信息的能力，弥补纯音测听的不足。证明软件具有良好的评估效能。（3）人工耳蜗植入儿童经过听觉训练后，元音、辅音的精细听觉水平能达到较好程度，但对于声调、音乐旋律等复杂的精细听觉仍表现较差。人工耳蜗植入者助听听阈与轻度-中度听力损失类似，但整体精细听觉能力仍差于这类患者。

结论

研究证实了精细听觉能力评估平台的实用性，有望进一步推广到听力损失患者诊疗及听觉干预康复效果评估中。

Abstract

Objective

To establish a fine hearing ability assessment platform independently

explore the feasibility and the advantage of this platform

and preliminarily understand the Mandarin vowels

consonants

tones and musical melody performance of people with normal hearing

mild to moderate loss

moderate to severe loss and cochlear implant.

Methods

Based on the clinical test methods of fine hearing ability

such as speech test and melody discrimination test

the evaluation platform of fine hearing ability is built. The test content of this platform includes 4 parts: vowel

consonant

tone and music melody. From January to early June 2023

subjects with different hearing levels were recruited for testing. According to the PTA of 0.5

2 and 4 kHz

subjects were divided into normal hearing group (12 ears)

mild to moderate hearing loss group (11 ears)

moderate to severe hearing loss group (11 ears)

and cochlear implant group (21 ears). The self-established fine hearing ability assessment software was used to test in a quiet environment. The test data were statistically analyzed.

Results

(1) The fine hearing ability evaluation platform ran well in the 55-ear test

and the test results could be displayed immediately

with outstanding advantages in convenience and user experience. (2) The software test results are consistent with the trend of pure tone hearing threshold test results

that is

the more the pure tone hearing threshold declines

the worse the fine hearing ability. Different modules have different sensitivity to fine auditory ability assessment

which can measure the ability of subjects to process complex auditory information and make up for the deficiency of pure tone audiometry. That proves the developed software has good evaluation efficiency.(3) After basic hearing training

children with cochlear implant can achieve a good level of simple fine hearing such as vowels and consonants

but they still perform poorly for fine hearing with more complex tones and musical melodies. In addition

the hearing threshold of cochlear implant patients is similar to that of mild-moderate hearing loss

but it is still worse than that of such patients.

Conclusion

This study has confirmed the practicability of this platform for fine hearing ability assessment

which is expected to be further extended to the diagnosis and treatment system of hearing loss patients and the evaluation system of rehabilitation effect after auditory intervention

which has theoretical and application value.

关键词

精细听觉听力损失人工耳蜗效果评估

Keywords

Fine hearingHearing lossCochlear implantEffect evaluation

references

World Health Organization. World report on hearing[R/OL]. Geneva:WHO, https://www.who.int/publications/i/item/world-report-on-hearinghttps://www.who.int/publications/i/item/world-report-on-hearing, 2021.

何汉,龙墨,郑晓瑛,等.中国听力健康报告(2021)[M].北京:社会科学文献出版社, 2021.52-71.

代洪,陶泽璋. 噪声性损害对听觉中枢影响的研究进展[J]. 听力学及言语疾病杂志,2008,16(6):526-528.

中华人民共和国国家质量监督检验检疫总局. 声学测听方法第1部分:纯音气导和骨导测听法:GB/T 16296.1-2018[S]. 北京:中国标准出版社, 2018.

Plack CJ, Barker D, Prendergast G. Perceptual Consequences of "Hidden" Hearing Loss[J]. Trends in hearing, 2014,18:1-11.

Okada M, Parthasarathy A, Welling DB, et al. Idiopathic Sudden Sensorineural Hearing Loss: Speech Intelligibility Deficits Following Threshold Recovery[J]. Ear Hear, 2021,42(4):782-792.

Moore BCJ. Effects of hearing loss and age on the binaural processing of temporal envelope and temporal fine structure information[J]. Hear Res. 2021,402(15):1-13.

周嵌,古鑫,刘博. 时域精细结构在言语声调识别和音乐感知中的作用[J]. 中华耳鼻咽喉头颈外科杂志,2017,52(11):867-871.

Lorenzi C, Wallaert N, Gnansia D,et al. Temporal-envelope reconstruction for hearing-impaired listeners[J]. J Assoc Res Otolaryngol. 2012,13(6):853-865.

Hopkins K, Moore BC, Stone MA. Effects of moderate cochlear hearing loss on the ability to benefit from temporal fine structure information in speech [J]. J Acoust Soc Am, 2008,123(2):1140-1153.

Wang S, Liu B, Zhang H, et al. Mandarin lexical tone recognition in sensorineural hearing-impaired listeners and cochlear implant users[J]. Acta Otolaryngol, 2013,133(1):47-54.

Gandour JT, Harshman RA. Crosslanguage differences in tone perception: a multidimensional scaling investigation[J]. Lang Speech, 1978, 21(1):1-33.

Bilger RC, Wang MD. Consonant confusions in patients with sensorineural hearing loss[J]. J Speech Hear Res, 1976, 19(4):718-748.

Preminger J, Wiley TL. Frequency selectivity and consonant intelligibility in sensorineural hearing loss[J]. J Speech Hear Res, 1985,28(2): 197-206.

Hu XJ, Li FF, Lau CC. Development of the Mandarin speech banana[J]. Int J Speech Lang Pathol, 2019,21(4):404-411.

Cheng X, Liu Y, Shu Y, et al. Music Training Can Improve Music and Speech Perception in Pediatric Mandarin-Speaking Cochlear Implant Users[J]. Trends in Hearing, 2018,12:1-12.

Cai T, McPherson B, Li C, et al. Tone perception in Mandarin-speaking school age children with otitis media with effusion[J]. PLoS One, 2017,12(8):1-19.

Wang W, Zhou N, Xu L. Musical pitch and lexical tone perception with cochlear implants[J]. Int J Audiol, 2011,50(4):270-278.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

人工耳蜗植入术后认知功能的神经影像学评估方法

老年肝移植患者的人工耳蜗植入病例报告和文献复习

内听道狭窄伴脑白质异常患儿人工耳蜗植入术后康复效果

儿童语言障碍门诊中84例听力障碍病例特点分析

助听器即刻体验对听障老人自尊感和助听器评价的影响