汉语普通话双模式人工耳蜗使用者在竞争性噪声下的言语识别研究

doi:10.3969/j.issn.1006-7795.2024.06.002

首都医科大学学报 ›› 2024, Vol. 45 ›› Issue (6): 938-945.doi: 10.3969/j.issn.1006-7795.2024.06.002

• 内耳畸形人工耳蜗植入 • 上一篇下一篇

汉语普通话双模式人工耳蜗使用者在竞争性噪声下的言语识别研究

张欣怡¹, 陈婧媛¹, 陈彪¹, 邹馨悦¹, 石颖¹, 张李芳², 刘萍¹, 孔颖¹, 李永新^1*

1.首都医科大学附属北京同仁医院耳鼻咽喉头颈外科，北京 100730；2.北京社会管理职业学院（民政部培训中心）康复工程学院，北京 102600

收稿日期:2024-08-25 出版日期:2024-12-21 发布日期:2024-12-18
通讯作者: 李永新 E-mail:entlyx@sina.com
基金资助:
国家自然科学基金面上项目（81870716）,国家重点研发计划项目（2022YFC2402705），北京市医院管理中心青年人才培养“青苗”计划项目（QML20230204），首都医科大学附属北京同仁医院院内基金项目（2022-YJJ-ZZL-035），首都医科大学校培育基金（PYZ23106）。

Speech recognition for standard Chinese-speaking bimodal cochlear implant users in competitive noise

Zhang Xinyi¹, Chen Jingyuan¹, Chen Biao¹, Zou Xinyue¹, Shi Ying¹, Zhang Lifang², Liu Ping¹, Kong Ying¹, Li Yongxin^1*

1.Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China；2.Department of Rehabilitation Engineering, Beijing College of Social Administration (Training Center of Ministry of Civil Affairs), Beijing 102600, China

Received:2024-08-25 Online:2024-12-21 Published:2024-12-18
Supported by:
This study was supported by National Natural Science Foundation of China (81870716), National Key Research and Development Program of China (2022YFC2402705), Beijing Municipal Administration of Hospitals' Youth Programme (QML20230204), Fund of Beijing Tongren Hospital (2022-YJJ-ZZL-035), Fund of Capital Medical University (PYZ23106).

摘要/Abstract

摘要： 目的探究不同线索下汉语普通话双模式人工耳蜗（bimodal cochlear implant，BIM）使用者在竞争性言语噪声环境中对不同说话者性别和空间线索的利用情况。方法纳入11例汉语普通话BIM使用者，分别在双模式和单独佩戴人工耳蜗（cochlear implant，CI）时，在4种不同空间竞争性言语噪声下测试言语识别阈（speech reception threshold，SRT）。4种空间竞争性言语噪声环境根据掩蔽噪声的性别和方位的不同分别记为男声中间、女声中间、男声左右和女声左右。其中目标声为正前方向（0°）的一个男声，掩蔽声为2个男声或2个女声，来自正前方（0°）或左右两侧（±90°）。结果双模式（BIM组）及单独CI助听（CI组）组内和组间言语识别阈差异均无统计学意义（P ＞ 0.05）。BIM组在性别线索、空间线索、性别+空间线索下均获得了掩蔽释放，CI组在性别线索下获得了掩蔽释放，但在空间线索及性别+空间线索下获得了掩蔽干扰，各组在3种线索下掩蔽释放量（masking release，MR）差异均无统计学意义。BIM组与CI组MR在性别线索及空间线索下差异均无统计学意义，在性别+空间线索下，BIM组与CI组差异有统计学意义（P =0.013）。结论汉语普通话双模式使用者可利用性别线索及空间线索分离竞争性噪声，但双模式和单独CI助听条件下利用性别和空间线索的能力差异均无统计学意义，双模式助听对性别+空间线索利用能力优于单独人工耳蜗助听。

关键词: 人工耳蜗, 双模式人工耳蜗植入, 言语识别, 噪声下言语识别

Abstract: Objective To investigate the utilization of competitive speech by standard Chinese bimodal cochlear implant (BIM) users under talker sex and spatial.Methods The speech reception thresholds (SRT) of 11 standard Chinese BIM users were tested under 4 different spatial competitive speech noises. The four spatial competitive speech noise environments were recorded as middle male voice, middle female voice, two sides male voice and two sides female voice according to the gender and orientation of the masked noise. Subjects were assessed with BIM and cochlear implantation (CI) alone hearing assistance. The target sound is one male voice directly in front (0°), and the masking sound is two male or two female voices, coming from separately directly in front (0°) or from both sides (±90°).Results There was no significant difference in SRT between the two groups (P> 0.05). The BIM group obtained masking release (MR) under talker sex cues, spatial cues, and talker sex+spatial cues, while the CI group obtained MR under talker sex, but masking inhibition under spatial cues and talker sex + spatial cues. There were no significant differences in MR between the three cues. There was no significant difference in MR between BIM group and CI group under talker sex cues and spatial cues, but there was difference between BIM group and CI group under talker sex+spatial cue (P= 0.013).Conclusions Standard Chinese BIM users can use talker sex cues and spatial cues to separate competitive noise, but there is no significant difference in the ability to use talker sex and spatial cues between BIM and CI alone hearing aid, and the ability to use talker sex + spatial cues under BIM is better than that of cochlear alone hearing aid.

Key words: cochlear implantation, bimodal cochlear implantation, speech recognition, speech recognition in noise

中图分类号:

R764

张欣怡, 陈婧媛, 陈彪, 邹馨悦, 石颖, 张李芳, 刘萍, 孔颖, 李永新. 汉语普通话双模式人工耳蜗使用者在竞争性噪声下的言语识别研究[J]. 首都医科大学学报, 2024, 45(6): 938-945.

Zhang Xinyi, Chen Jingyuan, Chen Biao, Zou Xinyue, Shi Ying, Zhang Lifang, Liu Ping, Kong Ying, Li Yongxin. Speech recognition for standard Chinese-speaking bimodal cochlear implant users in competitive noise[J]. Journal of Capital Medical University, 2024, 45(6): 938-945.

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汉语普通话双模式人工耳蜗使用者在竞争性噪声下的言语识别研究

Speech recognition for standard Chinese-speaking bimodal cochlear implant users in competitive noise

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