人工耳蜗植入术后听觉言语训练方法.ppt

人工耳蜗植入术后听觉言语训练方法研究Study for Auditory and Speech Therapy Postoperation of CI 卢晓月 提要Summary 从康复效果评估及语言学理论知识两方面探讨科学的听觉言语康复方法.对目前国内使用较为广泛的三种康复方法（听觉口语训练法、综合感官训练法、音素辨听训练法）效果进行了比较分析 Determine the appropriate approach for CI children on analysis the effect of three therapy model used in China: AV therapy, multiple sensory therapy and phonematic recognizing and production therapy. 听觉口语训练法（方法一）AV Therapy (method one) 强调听觉、言语和认知依照自然发展之程序结合起来，在有意义的情境中透过会话式的互动学习说话。注重残余听力的运用和口语表达能力的培养。强调在训练中应先将听觉加以发展，否则听觉或视听并用的技巧不会建立起来。（在日常交流中不刻意回避视觉线索） Focus on the combination of hearing, speech and cognization according the natural developmental process. Learning speech through communication in significative context. Emphasizing hearing remained 听觉口语法认为“听”是发展说话能力的最佳途径，通过“听”对言语清晰度进行自我监控和自我调整是最有效的。 Listening is the best way to self-monitor and self-adjust on articulation. 应以语音作为主要的听觉刺激。 Speech sounds is the most important resource of auditory stimulation. 要采用“整体语言”的原则。 Applying the rule of “whole language” 遵循语言发展的自然过程 Follow the natural process of language development. 语言是整体发展的一部分，语言的使用离不开语境。在语言交际过程中语言信息和非语言信息都同样重要 Language can’t be separated from context. 要用完整的句子讲话。只听单个词语不利于感受超音段音位和完整语言的理解。连续性语音的听辨是一个合成和分析的主动的心理过程。 Talk to CI with whole sentences. It will make against on perceiving suprasegmental and understanding whole language. 综合感官学习法（方法二）Multiple Sensory Therapy (method two) 强调从初始阶段，在整个训练期及各个环节中都应将视觉、听觉、触觉等多种感官相结合，来帮助聋儿感受声音、学习语言。 Advocate integrating visual, auditory and tactile to help CI recognizing phonetics and learning language from beginning and through whole therapy. 音素辨听训练法（方法三）Phonematic Recognizing Therapy (method three) 注重术后听觉功能的培建和汉语拼音的学习，以拼音音素为核心，组织相应的词汇、儿歌和故事等作为主要的辨听学习内容。从训练初期即强调语音清晰度的矫正。 Focus on phoneticize discrimination and learning, select vocabularies, nursery rhymes and stories around them. Stress on articulation intervention from beginning. 材料和方法Materials and Methods 观察对象(Sample): 124人（2-