Bilaterally Combined Electric and Acoustic Hearing in Mandarin-Speaking Listeners: The Population With Poor Residual Hearing.

Bilaterally Combined Electric and Acoustic Hearing in Mandarin-Speaking Listeners: The Population With Poor Residual Hearing.
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普通话听众的双侧组合电声听力:残余听力较差的人群

DOI:
10.1177/2331216518757892
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发表时间:
2018-01
期刊:
影响因子:
2.7
通讯作者:
Zhou N
Zhou N
中科院分区:
医学1区
文献类型:
--
作者:
Tao DD;Liu JS;Yang ZD;Wilson BS;Zhou N

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中国大陆人工耳蜗候选者的听力损失标准极其严格(双侧重度至极重度听力损失),导致极少数患者非植入耳有大量残余听力。本研究的主要目的是检查双模听力对于典型的说普通话的植入用户的好处,与英语研究中使用的用户相比,他们的非植入耳朵的残余听力较差。 17 名讲普通话的双峰用户参与了这项研究,其纯音平均值为 ∼80dB HL。在单耳和双边条件下测量安静和噪声下的句子识别以及安静下的语气和单词识别。安静时单词和句子识别没有显着的双峰效应。在噪声中的句子识别(6%)和声调识别(4%)中观察到较小的双峰效应。两种效应的强度均与接近语音基频 (F0s) 的频率处的无辅助阈值相关。确定了单词识别的双峰效应与频率高于 F0 的无辅助阈值之间的弱相关性。这些结果与之前的研究结果一致,即对于需要比安静状态下的语音识别更高的频谱分辨率的语音识别任务来说,双模态优势更强大。与 F0 相关的显着但较小的双模态益处也与当前受试者样本的非植入耳中有限的声学听力相一致,这些受试者代表了中国大陆的双模态用户。这些结果主张在中国大陆采用更宽松的种植体候选标准。
The hearing loss criterion for cochlear implant candidacy in mainland China is extremely stringent (bilateral severe to profound hearing loss), resulting in few patients with substantial residual hearing in the nonimplanted ear. The main objective of the current study was to examine the benefit of bimodal hearing in typical Mandarin-speaking implant users who have poorer residual hearing in the nonimplanted ear relative to those used in the English-speaking studies. Seventeen Mandarin-speaking bimodal users with pure-tone averages of ∼80 dB HL participated in the study. Sentence recognition in quiet and in noise as well as tone and word recognition in quiet were measured in monaural and bilateral conditions. There was no significant bimodal effect for word and sentence recognition in quiet. Small bimodal effects were observed for sentence recognition in noise (6%) and tone recognition (4%). The magnitude of both effects was correlated with unaided thresholds at frequencies near voice fundamental frequencies (F0s). A weak correlation between the bimodal effect for word recognition and unaided thresholds at frequencies higher than F0s was identified. These results were consistent with previous findings that showed more robust bimodal benefits for speech recognition tasks that require higher spectral resolution than speech recognition in quiet. The significant but small F0-related bimodal benefit was also consistent with the limited acoustic hearing in the nonimplanted ear of the current subject sample, who are representative of the bimodal users in mainland China. These results advocate for a more relaxed implant candidacy criterion to be used in mainland China.
DOI: 10.1097/aud.0b013e31828e86e8
发表时间: 2013-09
期刊: Ear and hearing
影响因子: 3.7
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发表时间: 2009-06-01
影响因子: 2.4
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影响因子: 0.9
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通讯作者: XU, Y
DOI: 10.1121/1.1487843
发表时间: 2002-07-01
影响因子: 2.4
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