Feldhusen F, Möhring L, Brunner M, Troost J, Spielberger C, Braun-Frank L, Schoenfelder D, Pröschel U
Abt. f. Stimm- und Sprachstörungen sowie Pädaudiologie, Universitäts-HNO-Klinik, INF 400, 69120 Heidelberg.
HNO. 2004 Feb;52(2):156-61. doi: 10.1007/s00106-003-0891-1.
The aim of our study was to establish bench-mark values for speech intelligibility in noise for children. We also considered which of the two dichotic discrimination tests, Feldmann's or Uttenweiler's, would be most suitable for use within this age group. We examined 102 children aged between 7 and 10 years (second year, primary school), with an average age of 8 years. After confirming normal hearing acuity (examination of the ear, tympanometry and audiogram), speech perception was tested. This was performed with and without noise using the Göttingen Audiometric Speech Test for Children II and the monosyllables of the Freiburger Speech Intelligibility Test. The percentage of word intelligibility was recorded. Furthermore, dichotic hearing was tested using a combination of Feldmann and Uttenweiler dichotic discrimination tests. We rated the percentage of correct word pair repetitions with the correct article. The results showed that the best method for testing speech perception in noise for this age group was the Göttingen Test II for Children. Speech perception below 70% for word intelligibility should be considered as pathologic. For testing dichotic hearing, Uttenweiler's dichotic discrimination test for children was most suitable. In this test values below 80% should be considered as pathologic.
我们研究的目的是确定儿童在噪声环境下言语清晰度的基准值。我们还考虑了两种双耳辨别测试（费尔德曼测试或乌滕魏勒测试）中哪一种最适合在这个年龄组中使用。我们检查了102名年龄在7至10岁（小学二年级）之间的儿童，平均年龄为8岁。在确认听力正常（耳部检查、鼓室图和声图）后，对言语感知进行了测试。这是使用哥廷根儿童听力计言语测试II和弗赖堡言语清晰度测试的单音节词，分别在有噪声和无噪声的情况下进行的。记录单词清晰度的百分比。此外，使用费尔德曼和乌滕魏勒双耳辨别测试的组合对双耳听力进行了测试。我们对正确冠词的正确单词对重复百分比进行了评分。结果表明，对于这个年龄组，测试噪声环境下言语感知的最佳方法是哥廷根儿童测试II。单词清晰度低于70%的言语感知应被视为病理性的。对于测试双耳听力，乌滕魏勒儿童双耳辨别测试最为合适。在该测试中，低于80%的值应被视为病理性的。
