语音材料,可理解性和口罩类型对耳植入物使用者的瞳孔扩展反应的影响
Jessica H J de Ruijter1,2, Adriana A Zekveld1,2, H Christiaan Stronks3,4
1Department of Otorhinolaryngology, Head and Neck Surgery, Section Ear and Hearing, Amsterdam University Medical Center, Amsterdam, the Netherlands.
Ear and hearing
|December 12, 2025
概括
耳植入物 (CI) 用户的瞳孔膨胀反应并不总是反映听力努力与语音可理解性的变化. 然而,面具类型显著影响了学生的反应和感知力度,这表明它对理解CI用户听力体验的重要性.
科学领域:
- 听觉神经科学 听觉神经科学
- 语音感知 语音感知
- 人体生理学 人体生理学
背景情况:
- 瞳孔膨胀是倾听努力的生理指标.
- 之前对耳植入物 (CI) 用户的研究表明,关于可理解性对瞳孔膨胀的影响的结果不一致.
- 面膜类型对CI使用者倾听力度的影响仍未得到充分研究.
研究的目的:
- 调查语音可理解性对CI使用者的瞳孔扩张反应的影响.
- 检查不同的语音材料和口罩类型如何影响听力.
- 为了将客观的学生测量与主观的倾听力度相关联.
主要方法:
- 二十八个后语言失聪的成年CI用户参与了主体内设计.
- 使用了三种可理解性条件 (安静,50%,20%) 和三种语音材料 (数字三重,CVC单词,句子).
- 记录了瞳孔膨胀 (MPD,PPD,BPS) 和主观评分;也分析了面具类型的影响.
主要成果:
- 在大多数情况下,语音材料,而不是可理解性,显著影响瞳孔扩张 (MPD,PPD,BPS).
- 三位数的双胞胎显示出对峰值瞳孔膨胀 (PPD) 的可理解性影响.
- 主观评分表明,在较低的可理解性级别和与竞争对手的扬声器面罩时,努力和难度增加.
结论:
- 在CI使用者的瞳孔膨胀反应不能可靠地反映大多数语音材料的可理解性影响.
- 语音材料和口罩类型显著影响客观学生测量和主观倾听力度.
- 面具类型是评估CI使用者的倾听力度及其生理相关性的关键因素.
相关概念视频
Transmission-based Precautions II: Airborne and Protective Environment
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Personal Protective Equipment
Personal protective equipment (PPE) is unique clothing or equipment worn by an employee to minimize or prevent exposure to infectious agents. PPE creates a barrier between the employee and the infectious materials. PPE must be readily available in the patient care area. PPE includes gloves, gowns and aprons, masks and respirators, goggles, face shields, shoes, and headcovers:
PPE Use in Healthcare Settings I: Donning
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
PPE Use in Healthcare Settings II: Doffing
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
Respiratory Assessment: Purpose and Indications
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Anatomy of the Ear
Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...


