健听成人竞争句测试的影响因素研究

The Influencing Factors of Competing Sentences Test in the Normal-hearing Adults

目的探讨健听成人竞争句测试的影响因素,为儿童竞争句测试表的编制及中枢听处理障碍诊断工具的研发提供参考。方法应用语义竞争、句子成分竞争、语音竞争三种类型竞争句测试表,采用2×2×3三因素混合实验设计,对48例健听成人(46例右利手和2例左利手)进行竞争句测试,获得其正确率并分析影响因素。结果(1)46例右利手受试者竞争句测试正确率的平均值为94.98%,2例左利手受试者竞争句测试正确率的平均值为96.12%;(2)右利手受试者右耳正确率显著高于左耳(P<0.01),左利手受试者左耳正确率明显高于右耳;(3)性别对右利手健听成人竞争句测试结果的影响不显著(P>0.05);(4)右利手受试者三种句表类型竞争句测试结果中,语义竞争类句表的正确率最高,其次是句子成分竞争句表,语音竞争类句表的正确率最低。结论性别对成人竞争句测试结果无影响,右利手健听成人竞争句测试存在"右耳优势",在测试时需关注测试耳别问题;不同竞争类型的句子会对竞争句测试的难度产生较大影响,在编制竞争句测试句表时需重点考量。

Objective To study the influencing factors of the competing sentences test in normal-hearing adults,in order to provide references for the preparation of the competing sentences test with children and the development of the diagnostic tools of the central auditory processing disorders.Methods According to the three kinds of test tables of semantic competition,sentence constituent competition and phonetic competition for the competing sentences test,the 2×3×3factors mixed experimental design were used to test the 48normal-hearing adults（forty-six right-handed adults and two left-handed adults）with the competing sentences test.The correct rate was obtained and the influencing factors were analyzed.Results（1）The average correct rate of the Competing Sentences Test for the forty-six right-handed normal-hearing adults was 94.98%,and for the two left-handed normalhearing adults was 96.12%.（2）The right-handed subjects＇ right ear accuracy rate was significantly higher than that of the left ear（P〈0.01）,while the accuracy rate of the left ear was obviously higher than the right ear with lefthanded subjects.（3）The effects of genders on the results of the competing sentences test was not significant（P〈0.05）with the right-handed subjects.（4）For the results of three types sentences,the correct rate of semantic competition was the highest,the second was the sentence constituent competition and phonetic competition was the lowest with the right-handed subjects.Conclusion No gender factors were found to affect the results of the competing sentences test among adults.The normal-hearing right-handed adults have ＂the right ear advantage＂ in the competing sentences test,prompting us to become concerned about the choice of the ear sides.Different competition types of sentences will have a greater impact on the difficulty of the competing sentences test,so we should pay more attention to this in the preparation of competitive sentences test tables.