幼儿人工耳蜗的语言感知能力能否客观测量

Bhimte Sl, R. Rangasayee
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摘要

言语知觉在失聪儿童言语和语言能力的发展中起着重要的作用。有不同的语言感知测试,有特定的方案来管理和评分。听觉诱发电位是评价幼儿听力灵敏度的客观指标。高皮层诱发电位测试是听觉皮层生理状态的有效指标。使用辅助装置的幼儿可以获得CEAP。本研究旨在探讨辅助皮质诱发电位的潜伏期和振幅是否可以预测人工耳蜗使用者的语音感知评分。对52名人工耳蜗使用者和102名典型儿童进行了测试。使用人工耳蜗儿童的平均年龄为8.05岁,标准差为1.4。听力正常组平均年龄8.12岁,标准差1.46。人工耳蜗使用者至少有15个有效电极。使用持续时间为100 ms、上升/下降时间为20 ms、平台音时间为20 ms的语音刺激。刺激间隔保持在1125 ms。在数据统计分析中,发现CEAP P1潜伏期与语音感知得分相关。得到进一步的回归方程。本研究揭示言语刺激可以引起听觉皮层不同的神经反应模式。本研究也有助于理解人工耳蜗对听力障碍患者言语的神经加工过程。统计分析数据CEAP P1潜伏期和语音感知评分回归方程。结果表明,言语刺激可以引起听觉皮层不同的神经反应模式。CEAP的支持性言语感知能力和听觉诱发电位的发现有助于研究人工耳蜗个体的言语神经加工。诱发电位与言语感知能力之间存在显著的相关关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Can we Measure Speech Perception Ability Objectively in Young Children usingCochlear Implant
Speech perception plays a significant role in the development of speech and language ability in children with hearing loss. There are various speech perception tests with the specific protocol to administer and score. Auditory evoked potential is an objective measure used for assessing hearing acuity in young children. Higher cortical evoked potential test provides an effective indication of the physiological status of auditory cortex. CEAP can be obtained in young children with assistive devices. The present research study aims to investigate whether latency and amplitude of aided cortical evoked potential can predict Speech perception score in cochlear implant users. 52 cochlear implant users and 102 typical children were tested. The mean age for children using cochlear implant was 8.05 years, standard deviation 1.4. The normal hearing group had a mean age of 8.12 years and standard deviation 1.46. Cochlear implant users were having at least 15 active electrodes. Speech stimulus was used with 100 ms duration, 20 ms rise/fall, 20 ms plateau tones. The inter-stimulus interval was kept at 1125 ms. During statistical analysis of data, CEAP P1 latencies and speech perception scores were found to be related. A further regression equation was obtained. The present study reveals speech stimuli can evoke distinct neural response patterns from auditory cortex. The present research study also helps in understanding the neural processing of speech in individuals with hearing impairment using Cochlear implant. Statistical analysis of data CEAP P1 latency and speech perception score regression equation were obtained. The result reveals that speech stimuli can evoke distinct neural response patterns from auditory cortex. CEAP finding support speech perception ability and auditory evoked potential help to the study of neural processing of speech in individuals with the cochlear implant. The evoked potential and speech perception ability has a significant relation between them.
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