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首页> 外文期刊>Otology and neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology >Tone discrimination and speech perception benefit in Mandarin-speaking children fit with HiRes fidelity 120 sound processing.
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Tone discrimination and speech perception benefit in Mandarin-speaking children fit with HiRes fidelity 120 sound processing.

机译:具备HiRes保真度120声音处理功能的汉语普通话儿童的语气辨别和言语感知受益。

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OBJECTIVE: To compare tone discrimination, speech perception, and general listening benefit in Mandarin-speaking children using standard HiRes and after 1, 3, and 6 months of HiRes 120 use. The HiResolution Bionic Ear is an implantable prosthesis designed to provide access to sound and to improve perception of speech via electrical stimulation of the auditory nerve. The newest sound-processing strategy is HiRes with Fidelity 120 (HiRes 120). In HiRes 120, the input signal is analyzed in greater spectral detail than with original HiRes to achieve a maximum of 120 spectral bands. HiRes 120 is expected to provide more benefit than the original HiRes because of the increased spectral resolution. SETTING: Cochlear implant/tertiary referral center. SUBJECTS: Seven children, aged 5 to 12 years, who had been implanted with a CII or 90K implant with a fully inserted electrode array and at least 10 contiguous programmable electrodes. DESIGN: Tone discrimination, consonant identification, the Mandarin lexical neighborhood test (M-LNT), and the speech perception in noise (SPIN) tests were administered in 4 sessions: at a baseline visit with standard HiRes before being fit with HiRes 120 and at 1, 3, and 6 months after using HiRes 120. Each subject and his or her parents also completed a strategy preference questionnaire after using HiRes 120 for 6 months. RESULTS: Statistically significant improvements from baseline with HiRes to 6 months with HiRes 120 were found for tone discrimination (61.4 to 73.2%, p = 0.006) and for SPIN low predictability (65.7 to 74.7%, p = 0.039). Mean score changes of 47.4 to 50.4% (p = 0.499) for consonant perception, 82.9 to 86.4% for M-LNT (easy words; p = 0.322), 77.1 to 81.0% for M-LNT (hard words; p = 0.423), and 72.3 to 78.5% for SPIN high predictability (p = 0.427) showed trends for improvement but were not statistically significant. Questionnaire results indicated that all children and parents preferred HiRes 120 to HiRes. Strength of preference was 8.9 for children and 8.1 for parents on a scale of 1 to 10 (1 = weak preference, 10 = strong preference). CONCLUSION: Taken together, the improved tone discrimination and speech perception results, along with subjective improvements in speech fluency, discrimination, and music appreciation, indicate a trend toward superior listening benefit with HiRes 120 compared with standard HiRes in Mandarin-speaking children.
机译:目的:比较使用标准HiRes以及在使用HiRes 120 1、3和6个月后,普通话儿童的语气辨别,语音感知和一般听觉收益。 HiResolution仿生耳是一种植入式假体,旨在通过听神经的电刺激提供声音的访问并改善语音感知。最新的声音处理策略是HiRes with Fidelity 120(HiRes 120)。在HiRes 120中,比原始HiRes更详细地分析了输入信号的频谱,以实现最多120个频谱带。由于提高了光谱分辨率,因此HiRes 120有望比原始HiRes提供更多的好处。地点:人工耳蜗/三级转诊中心。研究对象:7名5至12岁的儿童,他们植入了CII或90K植入物,该植入物具有完全插入的电极阵列和至少10个连续的可编程电极。设计:语音识别,辅音识别,普通话词汇邻里测验(M-LNT)和语音中的语音感知(SPIN)测验共分4个阶段进行:在使用HiRes 120之前先用标准HiRes进行基线探访,在使用HiRes 120之后的1、3和6个月。每个受试者和他或她的父母在使用HiRes 120 6个月后,还填写了策略偏好问卷。结果发现,从音调辨别(61.4%到73.2%,p = 0.006)和SPIN的低可预测性(65.7到74.7%,p = 0.039)发现,从HiRes的基线到HiRes 120的6个月的统计学显着改善。辅音感知的平均得分变化为47.4%至50.4%(p = 0.499),M-LNT的平均得分变化为82.9%至86.4%(简单单词; p = 0.322),M-LNT的平均得分变化为77.1%至81.0%(硬单词; p = 0.423) ,对于SPIN的高可预测性(p = 0.427)为72.3至78.5%,显示出改善的趋势,但无统计学意义。问卷调查结果表明,所有孩子和父母都更喜欢HiRes 120。儿童的偏好强度为8.9,父母的偏好强度为1至10(1 =弱偏好,10 =强偏好)。结论:总的来说,改善的语气辨别力和语音感知结果,以及主观上语音流畅性,辨别力和音乐欣赏力的提高,表明与普通话儿童相比,HiRes 120与标准HiRes相比具有更高的聆听优势。

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