Somers M N
House Ear Institute, Los Angeles, CA 90057.
Am J Otol. 1991;12 Suppl:174-8.
This investigation evaluates the effect of communication method on auditory perceptual development; specifically, speech perception skills in children with little or no residual hearing utilizing cochlear implants, compared to children with some residual hearing who utilize hearing aids. Five speech perception measures assessing pattern perception, spondee and monosyllable word identification, and closed- and open-set speech recognition were administered to 68 prelingual profoundly hearing-impaired children with either hearing aids or cochlear implants. The data suggest that significant differences in performance on some of the speech perception measures are present for children educated in oral programs compared to those educated in total communication settings. This effect was greatest for hearing aid users. Additionally, performance trends suggest that oral multichannel implant users score higher on selected tests than do children using a single-channel implant or a hearing aid. These results have important implications for accelerating speech perception development and maximizing rehabilitation effects in children with cochlear implants or hearing aids.
本研究评估了沟通方式对听觉感知发展的影响；具体而言，将使用人工耳蜗的几乎没有残余听力或无残余听力的儿童的言语感知技能，与使用助听器的有一定残余听力的儿童进行比较。对68名佩戴助听器或人工耳蜗的语前极重度听力受损儿童进行了五项言语感知测量，评估模式感知、重读单音节词和单音节词识别以及封闭式和开放式言语识别。数据表明，与在全交流环境中接受教育的儿童相比，在口语项目中接受教育的儿童在一些言语感知测量中的表现存在显著差异。这种影响在助听器使用者中最为明显。此外，表现趋势表明，使用多通道人工耳蜗的口语使用者在选定测试中的得分高于使用单通道人工耳蜗或助听器的儿童。这些结果对于加速人工耳蜗或助听器儿童的言语感知发展以及最大化康复效果具有重要意义。
