Application Of Monosyllable Lists Of Mandarin Speech Test Materials In Population Of Shanxi Dialect

Objective:Audiological test results conducted on the usual clinical subjects canonly reflect the problem of "hear"; whereas speech audiometry results can reflectsubjects the problem "understand".Speech audiometry can do diagnosis in differentparts of the auditory system lesions, compare the pros and cons of different hearingaid policies, especially in determining cochlear implantation adaptation levy, thedevelopment of new cochlear implant coding strategies and evaluate the effectivenessof hearing. Speech rehabilitation has an important role.Verbal measure of the ongoinglisten mainly in Mandarin. However, there is no native pronunciation that is not easyto identify affected parties made pronounce phonemes and grammar habits.Mandarinspeech audiometry materials on subjects dialect area audiometry results obtained areoften a discrepancy between the results obtained with the subjects in Mandarin. Withthe development of hearing aids and cochlear implant fitting work in our province.Toexplore Mandarin audiometry material effect Shanxi dialect area population issignificant.To analyze the difference between populations speaking Shanxi dialectand a mandarin speaking group in performance when tested by mandarin speech testmaterials, and the validity of this monosyllable list set when applied to populationsspeaking Shanxi dialect. To provide a theoretical basis for the future to promote theuse.Methods:Normal hearing group: According to the "Chinese Language Atlas", "Shanxi dialect research report" and geographic distribution of Shanxi Province, weselected five dialect area in Shanxi Province. Each district select "normal ear," nativedialect subjects12of60;"beloved flying" computer-aided speech audiometry systemused PLA General Hospital co-developed with Tsinghua University (2009SRBJ6657)in monosyllabic vocabulary test, a total of22test tables, each table25words, in strictaccordance with the requirements in the standard speech audiometry soundproofroom at10dB HLspeechto sound intensity, followed by testing22tables. The test wasrepeated in each participant within10-20days.Deaf Group: we selected ears owing to Meniere’s disease, aminoglycosides,trauma, presbycusis and other factors in the experiment from the High School for theDeaf in Taiyuan and Shanxi Medical University Hospital for treatment ofotolaryngology crowd degree and acquired sensorineural hearing loss in patients afterlanguage deaf, deaf native dialects before the hearing in the better ear PTA less than90dB HL, could communicate in Mandarin. Eventually we were selected12subjectsmeeting the criteria in the group with normal hearing under the same test environmentfor testing, to the PTA30dB sound intensity or the subjects feel comfortable prevail.Results:We received a total of60people with normal hearing group of2640two tests before and after the22sets of data tables, hearing-impaired group of12people of all22tables of264sets of data. After all the data rationalization arcsinetransformation after the initial test results showed overall score of65.0%±14.6%,retest score of67.2%±12.1%, score difference of2.3%±8.1%, the criticaldifference of15.9%.We measured the resulting data set of words with the People’sLiberation Army General Hospital ENT provided test data table listening tomonosyllabic Mandarin population in statistical analysis comparing.T-test showed that word recognition scores among the dialect groups and mandarin group were statistically significant(initial test: t=-13.18, P <0.01; retest t=-8.91, P <0.01). Paired T test results dialect differences between the two groupsshowed the overall test scores before and after statistically significant (t=-10.28, P<0.01). Parties made retest areas and overall scores were higher than the initial testscores, and in addition to the state-chip (t=-2.16, P=0.032) difference between thetwo test scores were statistically significant after several other dialects area (P <0.01).Dunnett-t test showed that in addition to the state-chip early and test scores andMandarin outside groups showed no significant difference (P=0.026), the initial testseveral other dialects district retest scores were there and Mandarin groups werestatistically significant (P <0.01). There was5dialect area of each critical differenceof12.9-17.8%.Deaf group test scores47.7%±10.9%, significantly lower than the monosyllabicspeech audiometry table in Mandarin hearing impaired population of test results.Conclusions:Mandarin crowd test results of this set of monosyllabic listscannot be directly applied to populations speaking Shanxi dialects. Only when dialectspeaking population test-retest results difference exceeds the critical difference，canaudiology intervention be considered effective in the application area of this setmonosyllabic test table. The learning effect can also influence the result of speechaudiometry.