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内耳的实验性振动损伤

Experimental vibratory damage of the inner ear.

作者信息

Bochnia Marek, Morgenroth Konrad, Dziewiszek Wojciech, Kassner Jerzy

机构信息

Department of Otolaryngology, Medical University of Wroclaw, 50-368 ul. Chalubinskiego 2, Wroclaw, Poland.

出版信息

Eur Arch Otorhinolaryngol. 2005 Apr;262(4):307-13. doi: 10.1007/s00405-004-0799-8. Epub 2004 Jun 18.

Abstract

The aim of the experiment was to determine the effect of whole-body vibration on the inner ear. The investigations were carried out on 40 guinea pigs, subjected to sinusoidal vibration (10 Hz/5 mm/1.4 g rms) for 1 to 6 months in a noiseless apparatus. Cochlear microphonic measurements were done with a phase-sensitive detection technique for the levels 70, 80 and 90 dB and the frequencies of 0.26, 0.5, 1 and 2 kHz from the apex of the cochlea and for 4 and 8 kHz from the region of the round window. Analysis of 1,440 measurements suggested the possibility of damage appearing in the upper turnings of the cochlea. The subsequent morphological analysis was based on the estimation of the state of the hair cells (a three-degree scale of injury) in a Zeiss DSM 950 scanning microscope and of the structure of the fibers of the acoustic nerve in a Zeiss EM 900 transmission microscope. Vibration-induced changes were seen in all the examined inner ears of the experimental groups. Hair-cell damage was more often seen in the region of the apex, spreading gradually in the direction of the base and from the circumference (outer hair cells of the third row) to the modiolus. The most characteristic vibrational changes of the acoustic nerve fibers occurred in 100% of the examined myelin sheaths and were visible as decreases in their electrodensity. The changes in both the assessed elements of the inner ear appeared simultaneously but independently and were directly connected with the duration of the experiment. The results obtained allow an explanation of the mechanism of hearing loss in persons subjected to whole-body vibration. The damages done to the inner ear structures may cause a worsening of hearing there, especially in the low and medium frequencies.

摘要

该实验的目的是确定全身振动对内耳的影响。研究在40只豚鼠身上进行,这些豚鼠在无噪音的装置中接受正弦振动(10赫兹/5毫米/1.4克均方根值)1至6个月。使用相敏检测技术对耳蜗顶部70、80和90分贝以及0.26、0.5、1和2千赫兹频率,以及圆窗区域4和8千赫兹频率进行耳蜗微音器测量。对1440次测量的分析表明,耳蜗上部转弯处可能出现损伤。随后的形态学分析基于在蔡司DSM 950扫描显微镜中对毛细胞状态(三级损伤程度)的评估以及在蔡司EM 900透射显微镜中对听神经纤维结构的评估。在实验组所有检查的内耳中都观察到了振动引起的变化。毛细胞损伤在顶部区域更常见,从顶部逐渐向基部方向扩散,从圆周(第三排外毛细胞)向蜗轴扩散。听神经纤维最典型的振动变化出现在100%检查的髓鞘中,表现为其电子密度降低。内耳评估的两个要素的变化同时出现但相互独立,并且与实验持续时间直接相关。所得结果有助于解释全身振动人群听力损失的机制。内耳结构的损伤可能会导致该部位听力恶化,尤其是在低频和中频。

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