听性脑干反应临床实践——技术应用到疾病诊断  

Auditory Brainstem Response Clinical Practice-Technology Application to Disease Diagnosis

作　　者：兰兰[1] 王秋菊[1] LAN Lan;WANG Qiu-ju

机构地区：[1]中国人民解放军总医院耳鼻咽喉头颈外科医学部派驻第一医学中心/国家耳鼻咽喉疾病临床医学研究中心,北京100853

出　　处：《中国听力语言康复科学杂志》2022年第3期161-168,共8页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：国家自然科学基金重点项目(81830028);国家自然科学基金青年项目(81900951,81900950);国家自然科学基金面上项目(82171130);军队医学科技青年培育计划孵化项目(19QNP058,21QNPY100);军队后勤科研计生专项(19JSZ14);北京市自然科学基金青年项目(7204312);国家重点研发计划“主动健康和老龄化科技应对”重点专项(2020YFC2005200&2020YFC2005201);解放军总医院医疗大数据分析及应用研究(2019MBD-005)。

摘　　要：听性脑干反应(ABR)在临床实践中,属于客观听力测试中的常规检查,可以用表面电极放置在头皮、前额和乳突(或耳垂)附近,也可以用电刺激记录来自第8颅神经和脑干听觉通路神经元的电活动。ABR检查有助于诊断疑似第8对颅神经及相关的听觉通路异常,并为那些无法准确提供行为听阈的人评估听力敏感性。由于传统ABR的一些局限性,近些年ABR根据临床诊断需求,延伸了很多新技术用于多种常见疾病的诊断。ABR潜伏期和振幅的差异在不同学科和不同类别的疾病中展现出独特的应用价值。Auditory brainstem response(ABR)is routinely performed in clinical practice as part of objective hearing testing,either with surface electrodes placed near the scalp,forehead,and mastoid(or earlobe),or with electrical stimulation to record electrical activity from neurons in the eighth cranial nerve and brainstem auditory pathways.ABR testing is useful in diagnosing suspected eighth neurological pair of cranial nerves and associated auditory pathway abnormalities,and to assess hearing sensitivity for those who are unable to provide an accurate behavioral hearing threshold.Due to some limitations of traditional ABR,in recent years ABR has been extended with many new techniques for the diagnosis of a variety of common disorders based on clinical diagnostic needs.differences in ABR latency and amplitude have shown unique applications in different disciplines and different categories of disorders.

关 键 词：听性脑干反应 听觉传导通路 临床应用 

分 类 号：R764[医药卫生—耳鼻咽喉科]