目的 针对人工耳蜗术后聋儿的音调异常个案进行科学地测量以及治疗,并对疗效进行阶段性评估。 材料 人工耳蜗术后患儿,女,9岁,因呼吸、音调音质异常于 2004年3月21日开始接受言语矫治。方法 在康复训练中,对患儿的言语障碍(高音调、音调单一)进行主客观评估,针对性地采用一些矫治的方法,之后对疗效进行评估。为期三个月,采用单一被试统计方法。结果 基线期与处理期的平均言语基频(MSF)数据有着显著性差异(p<0.01),这说明降调治疗是有效的;言语基频的标准差在治疗前后的增加未达显著性水平(p>0.05)。结论 呼吸训练、放松训练、以及咀嚼法、哈欠-叹气法、对症性降调训练等综合疗法对音调偏高的患者有着较好的疗效,而重读训练以及音调匹配训练对音调单一的疗效较好。 Objective To conduct scientific measurement and treatment of the abnormal tone of deaf children after cochlear implantation, and to evaluate the efficacy stage by stage. Materials Cochlear implantation in children, female, 9 years old, due to breathing, tone abnormal sound quality in March 21, 2004 began speech correction. Methods In rehabilitation training, children with speech disorders (high pitch, single pitch) were evaluated objectively and subjectively, some orthodontic methods were used, and then the curative effect was evaluated. For a period of three months, using a single test statistical method. Results There was a significant difference (p <0.01) between the average speech base frequency (MSF) data at the baseline and treatment stages, indicating that down-regulation was effective and that the standard deviation of speech base frequency did not reach significant level before and after treatment (p> 0.05). Conclusion Respiratory training, relaxation training, and chewing, yawn-sigh, and symptomatic lowering training have better curative effect on patients with high-pitched tone, while re-reading training and pitch-matching training have a better curative effect on single tone .