骨导听性脑干反应影响因素的研究  

Study on auditory brainstem response to bone conducted clicks

作　　者：王国新[1] 倪道凤[2] 李奉荣[2] 张志勇[2] 

机构地区：[1]沈阳市第四人民医院耳鼻咽喉科,沈阳110031 [2]北京协和医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉科杂志》2002年第4期150-152,共3页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :观察不同位置放置骨振荡器 ,不同的刺激速率等对骨导听性脑干反应的影响。方法 :对 2 0例听力正常青年人以不同的骨振荡器放置位置、不同的刺激速率行骨导ABR测试 ,并与气导ABR进行对比。结果 :2 0例受试者在较高强度刺激下 (4 0dBnHL以上 )均可记录到清晰、稳定的骨导ABR各波 ,且气、骨导ABR反应阈相似 ,均在其主观阈上 5～ 10dB ;前额和乳突放置骨振荡器相比较 ,其ABR波Ⅴ潜伏期差异有显著性 ;气导和乳突骨导ABR波V潜伏期差异不显著 ;骨导短声刺激速率从 2 0次 /s增到 5 2次 /s时 ,ABR波Ⅴ潜伏期明显延长。结论 :骨导ABR测试受骨振荡器的位置、刺激速率等的影响 ;但其仍不失为一可行而有效的听力检测手段 ,对婴幼儿听力筛选、耳蜗残余功能的判定及各种听力损失的鉴别诊断有着重要作用。Objective:To observe how different viborator placement and different stimulate rates affect the results of bone conduction ABRs.Method:Bone conduction ABRs with different viboratory placement and different stimulate rates were recorded in 20 normal hearing young adults and compared with their air conduction ABRs. Result:The results show that all subjects were recorded reproducible and reliable air and bone conduction ABR waveforms under higher intensities(above 40 dBnHL).The ABR thresholds from air and bone conduction were similar,they are both about 5～10dB higher above their behavioral thresholds to clicks.The frontal placement produces significantly longer ABR wave Ⅴ latencies.Bone conduction ABR wave Ⅴ latencies from different stimulate rates were also observed.The results show that temporal placement ABR wave Ⅴ latencies became longer significantly when the stimulate rate increased from 20/s to 52/s.Conclusion:Although it is affected by different vibrorator placement and different stimulate rate,bone conduction ABR is a valuable and effective method to detect hearing ,it plays an important role in newborn auditory screening, assessment of conchlear reserve, and identification of hearing loss.

关 键 词：骨导 听觉脑干诱发反应 听觉刺激 影响因素 

分 类 号：R764[医药卫生—耳鼻咽喉科]