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单侧无线系统对听力受损成年人言语可懂度的益处。

The speech intelligibility benefit of a unilateral wireless system for hearing-impaired adults.

机构信息

MRC Institute of Hearing Research (Scottish Section), Glasgow, UK.

出版信息

Int J Audiol. 2011 Dec;50(12):905-11. doi: 10.3109/14992027.2011.606285. Epub 2011 Sep 20.

DOI:10.3109/14992027.2011.606285
PMID:21929375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3513830/
Abstract

OBJECTIVE

This study measured the effects of two previously untested practical considerations-venting and transmission delays-on speech intelligibility in a simulated unilateral wireless system, where a target signal in background noise was transmitted wirelessly to the hearing-impaired (HI) listener.

DESIGN

Speech reception thresholds (SRTs) relative to the signal-to-noise ratio (SNR) were measured by varying the surrounding babble noise level. The target signal was presented at 0° azimuth in the soundfield and unilaterally via an insert earphone, using open and closed fittings with simulated-wireless delays ranging between 0-160 ms. SRTs were also measured unaided and with participants' current hearing aid(s).

STUDY SAMPLE

Thirty-three mild-to-moderate sensorineural HI adults participated in the experiment.

RESULTS

For an open fitting, the results showed a 5-dB SNR benefit in SRT compared to unaided performance at shorter delays. For a closed fitting, the majority of participants could accurately recognize speech below - 20 dBSNR across delays.

CONCLUSIONS

These results highlight the efficacy of wireless systems with HI adults. Speech-intelligibility benefits are affected by transmission delays only when the delay is greater than 40 ms and the coupling is vented.

摘要

目的

本研究测量了两个以前未经测试的实际因素——通风和传输延迟对模拟单侧无线系统中言语可懂度的影响,在该系统中,目标信号在背景噪声中被无线传输到听力受损(HI)听众。

设计

通过改变周围环境噪声水平,测量相对于信噪比(SNR)的言语接收阈值(SRT)。目标信号在声场中以 0°方位角呈现,并通过插入式耳机单侧呈现,使用开式和闭式配件,模拟无线延迟在 0-160ms 之间。还在无辅助和参与者当前助听器的情况下测量了 SRT。

研究样本

33 名轻度至中度感音神经性 HI 成人参加了实验。

结果

对于开放式配件,与无辅助表现相比,在较短的延迟下,SRT 中的 SNR 受益为 5dB。对于封闭式配件,大多数参与者可以在延迟下准确识别低于-20dB SNR 的语音。

结论

这些结果突出了无线系统对 HI 成人的有效性。只有当延迟大于 40ms 且耦合通风时,传输延迟才会影响言语可懂度。

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Successful and unsuccessful users of bilateral amplification: differences and similarities in binaural performance.双侧放大的成功和不成功使用者:双耳表现的差异和相似性。
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Evaluating the benefit of hearing aids in solving the cocktail party problem.评估助听器在解决鸡尾酒会效应问题方面的益处。
Trends Amplif. 2008 Dec;12(4):300-15. doi: 10.1177/1084713808325880.
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Unaided and aided performance with a directional open-fit hearing aid.使用定向开放式助听器时的 unaided 和 aided 性能。 (注:这里“unaided”和“aided”在医学听力领域可能有特定专业含义,暂无法准确翻译出更贴合专业语境的词汇,保留英文供进一步理解专业背景。)
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Ear Hear. 2008 Aug;29(4):601-17. doi: 10.1097/AUD.0b013e3181734ef2.
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An internet survey of individuals with hearing loss regarding assistive listening devices.一项针对听力损失患者关于助听设备的网络调查。
Trends Amplif. 2007 Jun;11(2):91-100. doi: 10.1177/1084713807301322.
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Speech perception in noise: directional microphones versus frequency modulation (FM) systems.噪声环境下的言语感知:定向麦克风与调频(FM)系统
J Am Acad Audiol. 2004 Jun;15(6):426-39. doi: 10.3766/jaaa.15.6.4.
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Tolerable hearing aid delays. III. Effects on speech production and perception of across-frequency variation in delay.可耐受的助听器延迟。III. 延迟的跨频率变化对言语产生和感知的影响。
Ear Hear. 2003 Apr;24(2):175-83. doi: 10.1097/01.AUD.0000058106.68049.9C.
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Comparison of benefits provided by different hearing aid technologies.不同助听器技术所提供益处的比较。
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Comparison of performance across three directional hearing aids.
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Recognition performance for four combinations of FM system and hearing aid microphone signals in adverse listening conditions.在不利聆听条件下,调频(FM)系统与助听器麦克风信号的四种组合的识别性能。
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