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说普通话的小儿人工耳蜗使用者的音乐感知及其与听觉言语感知的相关性。

Music perception and its correlation with auditory speech perception in pediatric Mandarin-speaking cochlear implant users.

作者信息

Lu Yunyi, Wu Yutong, Zeng Dong, Chen Chi, Bian Panpan, Xu Baicheng

机构信息

Department of Otorhinolaryngology, Lanzhou University Second Hospital, Lanzhou, China.

出版信息

Acta Otolaryngol. 2025 Jan;145(1):51-58. doi: 10.1080/00016489.2024.2437553. Epub 2024 Dec 13.

DOI:10.1080/00016489.2024.2437553
PMID:39668767
Abstract

BACKGROUND

Cochlear implants (CI) help regain perception of sound for patients with sensorineural hearing loss. The ability to recognize music pitch may be crucial for recognizing and producing speech for Mandarin.

AIMS/OBJECTIVES: This study aims to search for possible influencing factors of music perception and correlations between music perception and auditory speech abilities among prelingually deaf pediatric Mandarin-speaking CI users.

MATERIAL AND METHODS

Music perception of 24 pediatric CI users and 12 normal hearing children was measured using the MuSIC test. Auditory speech perception of the 24 CI users was also measured and analyzed with their music perception results.

RESULTS

Pediatric CI users performed worse than normal hearing children in pitch, rhythm and melody discrimination tests ( < .05). Significant difference in pitch and melody discrimination tests between age at implantation <5 and >5 groups was found. There were significant correlations between perception of consonants, tones, and speech in a noisy environment and perception of music pitch and melody.

CONCLUSION AND SIGNIFICANCE

Prelingually deaf pediatric CI users who received implantation before the age of five perform better in music perception tests. Pediatric CI users with better music perception show better auditory speech perception of Mandarin.

摘要

背景

人工耳蜗(CI)有助于感音神经性听力损失患者恢复声音感知。对于普通话而言,识别音高的能力对于识别和产生语音可能至关重要。

目的

本研究旨在寻找语前聋的讲普通话的小儿人工耳蜗使用者音乐感知的可能影响因素,以及音乐感知与听觉言语能力之间的相关性。

材料与方法

使用音乐感知量表(MuSIC)测试测量24名小儿人工耳蜗使用者和12名听力正常儿童的音乐感知。还对24名人工耳蜗使用者的听觉言语感知进行了测量,并与他们的音乐感知结果进行了分析。

结果

在音高、节奏和旋律辨别测试中,小儿人工耳蜗使用者的表现比听力正常的儿童差(<0.05)。发现植入年龄<5岁和>5岁组在音高和旋律辨别测试中有显著差异。在嘈杂环境中辅音、声调及言语的感知与音乐音高和旋律的感知之间存在显著相关性。

结论与意义

5岁前接受植入的语前聋小儿人工耳蜗使用者在音乐感知测试中表现更好。音乐感知较好的小儿人工耳蜗使用者对普通话的听觉言语感知也更好。

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Acta Otolaryngol. 2025 Jan;145(1):51-58. doi: 10.1080/00016489.2024.2437553. Epub 2024 Dec 13.
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