性别对骨导听性脑干反应的影响  

The effect of gender on bone-conduct auditory brain stem response

作　　者：窦晓宁[1] 徐荣华[1] 任雪莲[1] 王爱婷[1] 杨燕燕[1] 张敏敏[1] 

机构地区：[1]山东省潍坊市妇幼保健院耳鼻咽喉科,261011

出　　处：《山西医药杂志》2014年第22期2621-2624,共4页Shanxi Medical Journal

基　　金：山东省潍坊市卫生局科研项目(2013036)

摘　　要：目的研究不同性别间骨导听性脑干反应（ABR）结果间的差异性。方法选择听力正常成年人60名（120耳）,男性及女性各30名（60耳）,将骨导ABR的振荡器分别放置乳突、耳后、额部,进行骨、气导ABR检测,对检测结果进行性别间比较分析。结果气导及各部位骨导ABR阈值性别间比较,差异无统计学意义（P〉0.05）。在阈上30dBnHL刺激强度下,各部位骨导与气导ABRⅠ、Ⅲ波峰潜伏期（PL）性别间比较,差异均无统计学意义（P〉0.05）。各部位骨导与气导ABRⅤ波PL性别间比较,差异均有统计学意义（P〈0.05）。气导与各部位骨导Ⅰ~Ⅲ波峰间期（IPL）性别间比较,差异均无统计学意义（P〉0.05）。气导与各部位骨导Ⅰ~ⅤIPL性别间比较,差异均有统计学意义（P〈0.05）。结论不同性别间骨、气导ABRⅤ波PL及Ⅰ~ⅤIPL存在差异性,检测时应充分考虑到性别间的差异,并应建立不同性别的正常参考值范围。Objective To study the difference of bone‐conduct auditory brain stem response （ABR） results between different genders and to provide reference for clinical practice .Methods Bone‐oscillatory is placed on the mastoid portion ,back of the ear and the frontal placement in a group of normal hearing adults .The results of air and bone‐conduct ABR were recorded and analyzed .Results There were no differences for the threshold of air‐conduct and bone‐conduct ABR testing in different placements （ P〉0 .05） .Under 30 dBnHL above the threshold , there were no differences forⅠ ,Ⅲ peak latency （PL） of air‐conduct and bone‐conduct ABR between gender（ P〉0 .05） .There were differences forⅤPL （ P〈0 .05） .There were no differences forⅠ‐Ⅲ interpeak latency（IPL）of air‐conduct and bone‐conduct ABR between gender（ P〉0 .05） .There were differences forⅠ‐ⅤIPL（ P〈0 .05） . Conclusion There were differences forⅤPL ,Ⅰ‐ⅤIPL of air‐conduct and bone‐conduct ABR between genders .So we should consider the difference of the gender and have normal reference value of different genders.

关 键 词：诱发电位 听觉 脑干 骨导 性别因素 

分 类 号：R764[医药卫生—耳鼻咽喉科]