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研究限制與建議

Dalam dokumen 研究生:葉怡廷 撰 (Halaman 56-71)

第六章 結論與建議

第二節 研究限制與建議

第六章 結論與建議

三、雙側植入時間差是影響語音聽辨結果的因素之一,其他影響因素如聽力 師調頻適當等性、聽能復健及訓練之成效、家庭支持功能,皆可能影響 語音聽辨結果。

四、雙側電子耳在MHINT-Q及MHINT-N與植入時間差之關係表現相差不 多,因本研究之信噪比僅5dB,未來研究可以信噪比0dB進行測驗,或 使用兩種信噪比作為研究方法。

五、未來研究可參考Galvin, 2014,製作中文版主觀成效評估問卷。

參考文獻

中文部分

區建國、金昊、許由、韋霖(2001)。雙側人工耳蝸植入者在噪聲環境下的言語 識別能力。中華耳鼻咽喉科雜誌,366),433-435。

崔丹默、王順成、石穎、 劉婷、楊宜林、劉莎、…李永新(2013)。雙側人工 耳蝸植入術後言語識別效果的評估。中華耳科學雜誌,112),181-184。

陳小娟(2011)。第十屆亞太聾教育會議紀要。特殊教育季刊,118,53-61。

黃國原(2008)。模擬人工電子耳頻道數刺激速率與雙耳聽對噪音環境下中文語 音辨識率之影響。國立中央大學電機工程研究所碩士論文,未出版,桃園。

英文部分

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Au, D. K., Hui, Y., & Wei, W. I. (2003). Superiority of bilateral cochlear implantation over unilateral cochlear implantation in tone discrimination in chinese patients.

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Chadha, N. K., Papsin, B. C., Jiwani, S., & Gordon, K. A. (2011). Speech detection in noise and spatial unmasking in children with simultaneous versus sequential bilateral cochlear implants. Otology & Neurotology, 32(7), 1057-1064.

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Chen, F., Wong, L. L., Qiu, J., Liu, Y., Azimi, B., & Hu, Y. (2013). The contribution of matched envelope dynamic range to the binaural benefits in simulated bilateral electric hearing. J Speech Lang Hear Res, 56(4), 1166-1174.

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Galvin, K. L., Mok, M., Dowell, R. C., & Briggs, R. J. (2007). 12-month post-operative results for older children using sequential bilateral implants.

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Geers, A. E. (2004). Speech, language, and reading skills after early cochlear implantation. Arch Otolaryngol Head Neck Surg, 130, 634-638.

Geers, A. E., Nicholas, J. G., & Sedey, A. L. (2003). Language skills of children with early cochlear implantation. Ear & Hearing, 24(1 Suppl), 46S-58S.

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Gordon, K. A., Jiwani, S., & Papsin, B. C. (2013). Benefits and detriments of unilateral cochlear implant use on bilateral auditory development in children who are deaf. frontiers in psychology, 4(719).

Gordon, K. A., & Papsin, B. C. (2009). Benefits of short interimplant delays in children receiving bilateral cochlear implants. Otology & Neurotology, 30(3), 319-331. doi:10.1097/MAO.0b013e31819a8f4c

Gordon, K. A., Valero, J., & Papsin, B. C. (2007). Binaural processing in children using bilateral cochlear implants. Neuroreport, 18(6), 613-617.

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Grieco-Calub, T. M., & Litovsky, R. Y. (2012). Spatial Acuity in 2-to-3-Year-Old Children With Normal Acoustic Hearing, Unilateral Cochlear Implants, and Bilateral Cochlear Implants. Ear & Hearing, 33, 561-572.

Hawley, M. L., Litovsky, R. Y., & Culling, J. F. (2004). The benefit of binaural hearing in a cocktail party: effect of location and type of interferer. J Acoust Soc Am, 115(2), 833-843.

Hayes, H., Geers, A., Treiman, R., & Moog, J. (2009). Receptive Vocabulary Development in Deaf Children with Cochlear Implants: Achievement in an Intensive Auditory-Oral Educational Setting. Ear & Hearing, 30, 128-135.

Ho, C.-Y., Li, P.-C., & Young, S.-T. (2016). Development of Minimal Pair of Mandarin Disyllabic Words for Speech Perception Test: A Preliminary Study.

Paper presented at the The 30th World Congress of the International Association of Logopedics and Phoniatrics, IALP 2016, Dublin, Ireland.

Illg, A., Giourgas, A., Kral, A., Bu¨chner, A., Lesinski-Schiedat, A., & Lenarz, T.

(2013). Speech comprehension in children and adolescents after sequential bilateral cochlear implantation with long interimplant interval. Otology &

Neurotology, 34, 682-689.

Johnson, C., & Goswami, U. (2010). Phonological awareness, vocabulary, and reading in deaf children with cochlear implants. J Speech Lang Hear Res, 53, 237-261.

Kral, A., & O’Donoghue., G. M. (2010). Profound Deafness in Childhood. N Engl J Med, 363, 1438-1450.

Laske, R. D., Veraguth, D., Dillier, N., Binkert, A., Holzmann, D., & Huber, A. M.

(2009). Subjective and objective results after bilateral cochlear implantation in adults. Otology & Neurotology, 30(3), 313-318.

doi:10.1097/MAO.0b013e31819bd7e6

Li, P. C., Chen, W. I., Huang, C. M., Liu, C. J., Chang, H. W., & Lin, H. C. (2016).

Comparison of Newborn Hearing Screening in Well-Baby Nursery and NICU:

A Study Applied to Reduce Referral Rate in NICU. PLoS One, 11(3), e0152028. doi:10.1371/journal.pone.0152028

Litovsky, R. Y., Johnstone, P. M., & Godar, S. P. (2006). Benefits of bilateral cochlear implants and/or hearing aids in children. Int J Audiol, 45 Suppl 1, S78-91. doi:10.1080/14992020600782956

Litovsky, R. Y., Parkinson, A., Arcaroli, J., Peters, R., Lake, J., Johnstone, P., & Yu, G. (2004). Bilateral cochlear implants in adults and children. Arch Otolaryngol Head Neck Surg, 130(5), 648-655.

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McConkey Robbins, A., Koch, D. B., Osberger, M. J., Zimmerman-Phillips, S., &

Kishon-Rabin, L. (2004). Effect of Age at Cochlear Implantation on Auditory Skill Development in Infants and Toddlers. Arch Otolaryngol Head Neck Surg, 130(5), 570-574.

Neuman, A. C., Haravon, A., Sislian, N., & Waltzman, S. B. (2007). Sound-direction identification with bilateral cochlear implants. Ear & Hearing, 28(1), 73-82.

doi:10.1097/01.aud.0000249910.80803.b9

Nicholas, J. G., & Geers, A. E. (2007). Will they catch up? The role of age at cochlear implantation in the spoken language development of children with severe to profound hearing loss. J Speech Lang Hear Res, 50(4), 1048-1062.

doi:10.1044/1092-4388(2007/073

Nilsson, M., Soli, S. D., & Sullivan, J. A. (1994). Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise. J Acoust Soc Am, 95(2), 1085-1099.

Offeciers, E., Morera, C., Muller, J., Huarte, A., Shallop, J., & Cavalle, L. (2005).

International consensus on bilateral cochlear implants and bimodal stimulation.

Acta Otolaryngol, 125(9), 918-919. doi:10.1080/00016480510044412

Peters, B. R., Litovsky, R., Parkinson, A., & Lake, J. (2007). Importance of age and postimplantation experience on speech perception measures in children with sequential bilateral cochlear implants. Otology & Neurotology, 28(5), 649-657.

doi:10.1097/01.mao.0000281807.89938.60

Ramsden, J. D., Gordon, K., Aschendorff, A., Borucki, L., Bunne, M., Burdo, S., . . . Papsin, B. C. (2012). European bilateral pediatric cochlear implant forum consensus statement. Otology & Neurotology, 33, 561-565.

Ramsden, R., Greenham, P., O'Driscoll, M., Mawman, D., Proops, D., Craddock, L., . . . Pickerill, M. (2005). Evaluation of bilaterally implanted adult subjects with the nucleus 24 cochlear implant system. Otology & Neurotology, 26(5), 988-998.

Richter, B., Eißele, S., Laszig, R., & Löhle, E. (2002). Receptive and expressive language skills of 106 children with a minimum of 2 years’ experience in hearing with a cochlear implant. Int J Pediatr Otorhinolaryngol, 64, 111-125.

Scherf, F., van Deun, L., van Wieringen, A., Wouters, J., Desloovere, C., Dhooge, I., . . . Van de Heyning, P. H. (2007). Hearing benefits of second-side cochlear

implantation in two groups of children. Int J Pediatr Otorhinolaryngol, 71(12), 1855-1863. doi:10.1016/j.ijporl.2007.08.012

Schoen, F., Mueller, J., Helms, J., & Nopp, P. (2005). Sound Localization and Sensitivity to Interaural Cues in Bilateral Users of the Med-El Combi 40/40+Cochlear Implant System. Otology & Neurotology, 26, 429-437.

Steffens, T., Lesinski-Schiedat, A., Strutz, J., Aschendorff, A., Klenzner, T., Ruhl, S., . . . Lenarz, T. (2008). The benefits of sequential bilateral cochlear implantation for hearing-impaired children. Acta Otolaryngol, 128(2), 164-176.

doi:10.1080/00016480701411528

Svirsky, M., Teoh, S., & Neuburger, H. (2004). Development of language and speech perception in congenitally, profoundly deaf children as a function of age at cochlear implantation. Audiol Neurootol, 9, 224-233.

Tong, M. C., Leung, E. K., Au, A., Lee, W., Yue, V., Lee, K. Y., . . . van Hasselt, C.

A. (2007). Age and outcome of cochlear implantation for patients with bilateral congenital deafness in a Cantonese-speaking population. Ear &

Hearing, 28(2 Suppl), 56s-58s. doi:10.1097/AUD.0b013e31803150b4

Tsai, K. S., Tseng, L. H., Wu, C. J., & Young, S. T. (2009). Development of a mandarin monosyllable recognition test. Ear & Hearing, 30(1), 90-99.

doi:10.1097/AUD.0b013e31818f28a6

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Tyler, R. S., Gantz, B. J., Rubinstein, J. T., Wilson, B. S., Parkinson, A. J., Wolaver, A., . . . Lowder, M. W. (2002). Three-month results with bilateral cochlear implants. Ear & Hearing, 23, 80S-89S.

Uziel, A., Sillon, M., Vieu, A., Artieres, F., Piron, J., Daures, J., & Mondain, M.

(2007). Ten-year follow-up of a consecutive series of children with multichannel cochlear implants. Otology & Neurotology, 28, 615-628.

van Hoesel, R. J., & Tyler, R. S. (2003). Speech perception, localization, and lateralization with bilateral cochlear implants. J Acoust Soc Am, 113(3), 1617-1630.

Van Wanrooij, M. M., & Van Opstal, A. J. (2004). Contribution of head shadow and pinna cues to chronic monaural sound localization. J Neurosci, 24(17), 4163-4171. doi:10.1523/jneurosci.0048-04.2004

Wackym, P. A., Runge-Samuelson, C. L., Firszt, J. B., Alkaf, F. M., & Burg, L. S.

(2007). More challenging speech-perception tasks demonstrate binaural benefit in bilateral cochlear implant users. Ear & Hearing, 28(2 Suppl), 80S-85S. doi:10.1097/AUD.0b013e3180315117

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Wolfe, J., Baker, S., Caraway, T., Kasulis, H., Mears, A., Smith, J., . . . Wood, M.

(2007). 1-year postactivation results for sequentially implanted bilateral cochlear implant users. Otology & Neurotology, 28(5), 589-596.

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Wong, L. L., Soli, S. D., Liu, S., Han, N., & Huang, M. W. (2007). Development of the Mandarin Hearing in Noise Test (MHINT). Ear & Hearing, 28(2 Suppl), 70s-74s. doi:10.1097/AUD.0b013e31803154d0

Zeitler, D. M., Kessler, M. A., Terushkin, V., Roland, T. J., Jr., Svirsky, M. A., Lalwani, A. K., & Waltzman, S. B. (2008). Speech perception benefits of sequential bilateral cochlear implantation in children and adults: a retrospective analysis. Otology & Neurotology, 29(3), 314-325.

附錄

附錄

1 MMRT

字表

※施測組別

甲組:A1, A2, A3, B1, B2, B3 乙組:A2, A3, B1, B2, B3, A1 丙組:A3, B1, B2, B3, A1, A2 丁組:B1, B2, B3, A1, A2, A3 戊組:B2, B3, A1, A2, A3, B1 己組:B3, A1, A2, A3, B1, B2

附錄

2 Taiwan MHINT-C

語句表

語句表 語句 語句表 語句

1 他今天收到一個大包裹 2 因為下大雨比賽取消了 1 這群訪客都戴著識別證 2 全家人圍在一起包水餃 1 我爸爸最喜歡喝龍井茶 2 我們喜歡看電視連續劇 1 他出們前忘了關水龍頭 2 我每天早上都要喝杯茶 1 我大年初一向爸爸拜年 2 爸爸每天晚上要看新聞 1 我昨天晚上去聽演唱會 2 他頭上的傷口縫了七針 1 爸爸每年都送禮物給他 2 一大早他就在外面掃地 1 我們今天晚上要看球賽 2 他們是多年的老朋友了 1 我經常打電話給我媽媽 2 他今天穿了一件緊身衣 1 這個火車站有很多遊客 2 媽媽一大早就去上班了

語句表 語句 語句表 語句

3 我星期天去公園放風箏 4 我在口袋裏找出三十塊 3 那家超市的東西不便宜 4 這班列車因故被取消了 3 我明天上午九點有約會 4 庭院裏種了一些向日葵 3 大家正在商量這個計劃 4 他在家裏幫媽媽洗廁所 3 他特別留意看天氣預報 4 今天出門要記得帶雨傘 3 上個月很多人得了麻疹 4 深夜聽到有人在彈鋼琴 3 他們姐妹兩個是雙胞胎 4 老師很關心我們的生活 3 每天晚飯後我都去散步 4 他今天戴了一條金項鍊 3 他們都在抱怨物價上漲 4 他送給爸爸一隻防水錶 3 寄這幾個包裹要很多錢 4 他們家的寶寶剛過滿月

語句表 語句 語句表 語句

5 讓我們約個時間見面吧 6 他的臉上長了很多疹子 5 我剛剛把作業交給老師 6 小孩子都喜歡吃麥當勞 5 老師說下一節課取消了 6 我要預訂三個人的座位 5 這隻貓把床單給抓破了 6 我們明天要辦慶祝晚會 5 運動員在操場練習投籃 6 他倒了一杯水準備吃藥 5 他在扭傷的腳上敷冰塊 6 媽媽做好飯等爸爸回來 5 他今天下午突然肚子痛 6 醫生說他需要住院治療 5 我開會時碰到了老同學 6 那個牌子的電器非常好 5 這裏風景美得像一幅畫 6 電視上經常有時裝表演 5 今年夏天他剃了個光頭 6 今天晚上的月亮非常圓

語句表 語句 語句表 語句

7 他的工作經驗十分豐富 8 醫院南邊有一個小花園 7 他喜歡去麵包店買蛋糕 8 他穿了一件灰格子上衣 7 大家都習慣叫他的小名 8 他被邀請參加畢業典禮 7 他的腳被汽車門夾傷了 8 爺爺經常帶小妹出去玩 7 我們每天早上都要跑步 8 這件衣服冬天穿很合適 7 他的職業是圖書管理員 8 放長假好多人出去旅遊 7 這位醫生手術做得很好 8 你出門時別忘了帶鑰匙 7 爸爸以前是籃球隊隊員 8 他說昨天做了一個怪夢 7 你騎車太快小心撞到人 8 爸爸戴老花眼鏡看報紙 7 他去書店買了好幾本書 8 他買了一本厚厚的字典

語句表 語句 語句表 語句

9 我們都願意選她做班長 10 媽媽最喜歡做麻婆豆腐 9 這個房間裏的燈光很暗 10 周末我們全家去看電影 9 全家人都非常喜歡吃魚 10 媽媽明天要去超市買油 9 他每天上班都要打領帶 10 這個老師的課很受歡迎 9 奶奶會講好多恐怖故事 10 鄰居家最近在裝修房子 9 我和幾個同學要去溜冰 10 我的姐姐最喜歡逛書店 9 我們班男生喜歡踢足球 10 我發現厨房裏沒有鹽了 9 他聽到這個消息很傷心 10 他買了一束鮮花送給他 9 所有的小朋友都在吃飯 10 我早上在火車站遇到他 9 那壼水已經開了好久了 10 他特別喜歡看足球比賽

語句表 語句 語句表 語句

11 他下星期一要參加會議 12 我有事要和你們經理談 11 我們的市長是有遠見的 12 我忘了把參考書帶給你 11 爸爸今天買回一個西瓜 12 他每天都在聽英語廣播 11 爸爸不小心把茶打翻了 12 為什麼不接聽我的電話 11 爸爸去幫大家買電影票 12 爸爸的同事今天過生日 11 外面的氣溫是零下十度 12 我買了一包熱帶魚飼料 11 阿姨送給我一包水果糖 12 他們都喜歡這個新老師 11 我在星期天經常睡懶覺 12 他會在比賽中獲得第一 11 他每天都要練習彈綱琴 12 我想和您討論那個計劃 11 樓下的小貓整晚都在叫 12 我們全家都喜歡八寶粥

附錄

3 CAP & SIR

填答() Categories of Auditory Performance(CAP) 8 可以用電話和陌生人交談。

7 可以用電話和熟人交談。

6 可容易地聽懂陌生人說的話。

5 可容易地聽懂熟人說的話。

4 可以聽懂一些常用的語句。

3 可以聽懂少數簡單的辭彙。

2 可以辨別多種環境聲音。

1 可以察覺周遭的聲音。

0 不能察覺周遭的聲音。

填答() Speech Intelligibility Rating (SIR) 5 所有聽者皆可理解其連續語言。

4

即使聽者未專心聆聽或是沒有與聽損者溝通的經驗,聽者仍可理解其連 續語言。

3 在情境下,當聽者認真讀唇時,可理解其連續語言。

2 連續語言完全無法被聽懂,在情境和讀唇的提示下,單字可以被理解。

1 連續語言完全無法被聽懂,以手勢溝通。

Dalam dokumen 研究生:葉怡廷 撰 (Halaman 56-71)

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