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低于临界水平噪声暴露后的暂时性畸变产物耳声发射水平变化、听性脑干反应阈值变化及组织病理学损伤。

Temporary DPOAE level shifts, ABR threshold shifts and histopathological damage following below-critical-level noise exposures.

作者信息

Harding Gary W, Bohne Barbara A

机构信息

Department of Otolaryngology, Washington University School of Medicine, P.O. Box 8115, 660 South Euclid, St. Louis, MO 63110, USA.

出版信息

Hear Res. 2004 Oct;196(1-2):94-108. doi: 10.1016/j.heares.2004.03.011.

Abstract

DPOAE temporary level shift (TLS) at 2f(1)-f(2) and f(2)-f(1), ABR temporary threshold shift (TTS), and detailed histopathological findings were compared in three groups of chinchillas that were exposed for 24 h to an octave band of noise (OBN) centered at 4 kHz with a sound pressure level (SPL) of 80, 86 or 92 dB (n=3,4,6). DPOAE levels at 39 frequencies from f(1)=0.3 to 16 kHz (f(2)/f(1)=1.23; L(2) and L(1)=55, 65 and 75 dB, equal and differing by 10 dB) and ABR thresholds at 13 frequencies from 0.5 to 20 kHz were collected pre- and immediately post-exposure. The functional data were converted to pre- minus post-exposure shift and overlaid upon the cytocochleogram of cochlear damage using the frequency-place map for the chinchilla. The magnitude and frequency place of components in the 2f(1)-f(2) TLS patterns were determined and group averages for each OBN SPL and L(1), L(2) combination were calculated. The f(2)-f(1) TLS was also examined in ears with focal lesions equal to or greater than 0.4 mm. The 2f(1)-f(2) TLS (plotted at f(1)) and TTS aligned with the extent and location of damaged supporting cells. The TLS patterns over frequency had two features which were unexpected: (1) a peak at about a half octave above the center of the OBN with a valley just above and below it and (2) a peak (often showing enhancement) at the apical boundary of the supporting-cell damage. The magnitudes of the TLS and TTS generally increased with increasing SPL of the exposure. The peaks of the TLS and TTS, as well as the peaks and valleys of the TLS pattern moved apically as the SPL of the OBN was increased. However, there was little consistency in the pattern relations with differing L(1), L(2) combinations. In addition, neither the 2f(1)-f(2) nor f(2)-f(1) TLS for any L(1), L(2) combination reliably detected focal lesions (100% OHC loss) from 0.4 to 1.2 mm in size. Often, the TLS went in the opposite direction from what would be expected at focal lesions. Recovery from TLS and TTS was also examined in seven animals. Both TLS and TTS recovered partially or completely, the magnitude depending upon exposure SPL.

摘要

比较了三组龙猫的畸变产物耳声发射(DPOAE)在2f(1)-f(2)和f(2)-f(1)处的临时电平偏移(TLS)、听性脑干反应(ABR)的临时阈值偏移(TTS)以及详细的组织病理学发现。这三组龙猫分别暴露于以4 kHz为中心的倍频程噪声(OBN)24小时,声压级(SPL)分别为80、86或92 dB(n = 3、4、6)。在暴露前和暴露后立即收集了39个频率(f(1)=0.3至16 kHz,f(2)/f(1)=1.23;L(2)和L(1)=55、65和75 dB,相等且相差10 dB)的DPOAE水平以及13个频率(0.5至20 kHz)的ABR阈值。将功能数据转换为暴露前减去暴露后的偏移,并使用龙猫的频率-位置图叠加在耳蜗损伤的细胞耳蜗图上。确定了2f(1)-f(2) TLS模式中各成分的大小和频率位置,并计算了每种OBN SPL和L(1)、L(2)组合的组平均值。还对病灶等于或大于0.4 mm的耳朵检查了f(2)-f(1) TLS。2f(1)-f(2) TLS(绘制在f(1)处)和TTS与受损支持细胞的范围和位置一致。TLS模式在频率上有两个意外特征:(1)在OBN中心上方约半个倍频程处有一个峰值,其上方和下方各有一个谷值;(2)在支持细胞损伤的顶端边界有一个峰值(常表现为增强)。TLS和TTS的大小通常随着暴露声压级的增加而增加。随着OBN声压级的增加,TLS和TTS的峰值以及TLS模式的峰值和谷值向顶端移动。然而,不同L(1)、L(2)组合的模式关系几乎没有一致性。此外,对于任何L(1)、L(2)组合,2f(1)-f(2)和f(2)-f(1) TLS都不能可靠地检测出大小在0.4至1.2 mm之间的局灶性病变(100%外毛细胞损失)。通常,TLS的方向与局灶性病变处预期的方向相反。还对7只动物的TLS和TTS恢复情况进行了检查。TLS和TTS均部分或完全恢复,恢复程度取决于暴露声压级。

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