听觉诱发电位在法医学上的应用价值  

Application Values of Auditory Evoked Potentials in Forensic Medicine

作　　者：罗方亮 程龙龙 贾富全 刘技辉[4] Luo Fangliang;Cheng Longlong;Jia Fuquan;Liu Jihui

机构地区：[1]辽宁大学司法鉴定研究院 [2]大连大学附属中山医院 [3]内蒙古医科大学基础医学院 [4]中国医科大学法医学院

出　　处：《医学与法学》2020年第2期74-78,共5页Medicine and Jurisprudence

基　　金：辽宁省教育厅课题“正常人不同类型听觉诱发电位特征及其应用价值”(项目编号:L2015578)的阶段性成果。

摘　　要：本文主要介绍了听觉诱发电位的特性、研究进展及其在法医学上的应用价值。听觉脑干诱发反应不受被试者精神状态影响,是目前法医学鉴定中应用最广的客观评估听力的方法,但其受限低中频的听力评估受到限制,而听觉中潜伏期诱发反应可用于低频听力的评估;听觉稳态诱发反应与颅顶慢反应具有很好的频率特异性,但其应用价值仍需进一步研究;听觉事件相关电位是评估听觉认知功能的电生理指标,在法医学上具有广阔的应用前景。由于不同的听觉诱发电位具有不同的电生理学特征,如何通过优化、组合不同的测试方法进行听觉功能的客观评定,是法医学研究的重要课题。This paper mainly introduces the characteristics, research progress and application value of auditory evoked potential in forensic medicine. Auditory brainstem induced response(ABR) is not affected by the mental state of the subjects, and is the most widely used method for objective evaluation of hearing in forensic medicine currently, but it is limited for low-intermediate frequency hearing assessment.AMLR can be used to evaluate low frequency hearing.ASSR and SVR have good frequency specificity,while,their application values still need further study.AERPs is an electrophysiological index to evaluate auditory cognitive function, which has a broad application prospect in forensic medicine.Different auditory evoked potentials have different electrophysiological characteristics,therefore, how to objectively evaluate auditory function by optimizing and combining different testing methods is an important project in forensic medicine research.

关 键 词：听觉脑干诱发反应 听觉中潜伏期诱发反应 听觉长潜伏期诱发反应 听觉事件相关电位 听觉稳态诱发反应 

分 类 号：D919[医药卫生—法医学]