【推荐】正常气骨导听性脑干反应及其应用.doc

正常气骨导听性脑干反应及其应用 第20卷第1期 2006年2月 山东大学耳鼻喉眼 JOTOLARYNGOLOPHTHALSHANDONGUNIV Vo1.20No.1 Feb.2o06 文章编号:1673—3770(2006)01—0009—05 正常气骨导听性脑干反应及其应用 杨长亮,黄治物,姚行齐,诸勇,孙艺 (1.广州军区武汉总医院耳鼻咽喉科,湖北武汉430070; 2.武汉大学人民医院听力中心,湖北武汉430060) [摘要]目的:研究骨导听性脑干反应(ABR)的波形特点及正常的气,骨导ABRV波潜伏期一强度 曲线及相应的反应阈值,为I临床气导ABR(AC—ABR)和骨导ABR(BC.ABR)的联合应用提供参考依据.方 珐:利用Nicolet,spirit型诱发电位仪,EAR一3A插入式耳机和RadioearB一71骨振动器对一组听力正常年轻 人(男32耳,女24耳)进行短声气骨导ABR测试,并观察对侧给予白噪声掩蔽对Bc.ABR阈值及潜伏期 的影响.结果:气骨导ABR相应强度下波形相似波V潜伏期一强度曲线表明,随着刺激强度逐渐减低. 潜伏期逐渐延长.骨导Click的潜伏期要比气导Click潜伏期延长的程度大.Bc.ABR反应阈比气导ABR 高.对侧70dBSPL以下强度宽带噪声的使用对BC.ABR阈值及阈上10dB强度下波V潜伏期均无显着影 响(P>0.05).结论:(1)BC—ABR波形特点与相应刺激强度的AC.ABR极为相似.BCABR与AC.ABR潜 伏期一强度函数曲线可望联合用于传导障碍及其程度的评估:(2)骨导行为的听阈水平超过40dBHL时. BC.ABR难以引出,对其结果的解释应持慎重态度;(3)骨导ABR测试时常规加对侧噪声掩蔽,但掩蔽声 强度不应超过60dB. [关键词]听性脑干诱发反应;知觉掩蔽;骨振器 [中图分类号]R339.16[文献标识码]A Studyonauditorybrainstemresponse YANGChang-liang,HUANGZhi-WU,YAOHang—qi,ZHUYong,SNUYi (1.DepartmentofOtolaryngology,WuhanGeneralHospitalofPL～,Wuhan430070,Hubei,China; 2.AuditoryCenter,RenminHospitalofWuhanUniversity,Wuhan430060,Hubei,China) [ABSTRACT]Objective:Toobservenormativeauditorybrainstemresponse(ABR)latency—intensityfunc- tionsandthethresholdandprovidereferenceforcombinedclinicaluseofair—andbone.conductedABR.Methods: ABRabsolutethresholdsandlatencies(Vwaves)wereobtainedfrom56earsof28youngpersonswithnormalhearing usingboththeEARTONEinsertearphoneandtheRadioearB-71boneviboratory.Results:Theair-andbone—con- ductedwaveVlatency—intensityfunctionsexhibitedincreasedlatenciesasintensitydecreased.Thebone.conducted clicksyieldedsomewhatlongerlatenciesthantheair—conductedones.Conclusions:(1)Thewavesofair.andbone— conductedABRaresimilar,andmoreinformationonascertainingthepresenceandmagnitudeofaconductivehearing losscanbeobtainedwhenbothair-andbone—conductedABRwaveVlatency—intensityfunctionsareadministered. (2)Whenthethresholdofbone.conductedhearingexceedsapproximatelyto40dBHL,noBC.ABRresponsescanbe observed.(3)Maskingisoftennecessarywhenadministeringbone-conductedABRtest,butinten