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[听性脑干反应中I波的识别、外耳道电极与耳蜗电图]

[The identification of wave I in ABR, ear-canal electrode and electrocochleography].

作者信息

Martínez Ibargüen A

机构信息

Cátedra de Otorrinolaringología de la UPV.

出版信息

Acta Otorrinolaringol Esp. 1992 Mar-Apr;43(2):132-7.

PMID:1605961
Abstract

The diagnosis value of auditory brainstem response (ABR) lies in the fact that they make possible to measure the times conduction of the pathway from the cochlea to the topo part of the brainstem, enabling the diagnosis in an objective way of hearing deficits and their classifying as well. The analysis of the times of conduction are based on the measuring of the latency of waves and the interwave intervals, being fundamental the latency of waves I and V and the interval between them (I-V). But sometimes the registrations of ABR, obtained at intensities nearing hearing threshold or in many patients with significant hearing loss obtained through the traditional method from the scalp, do not permit as the identification of wave I, which causes a reduction in the value of ABR diagnosis. Our work tries to analyze the different techniques which could solve that reduction. To achieve it we have to compare the registrations of ABR obtained from the scalp to those obtained using a EAR canal electrode and to Auditory Nerve Action Potential obtained through Transtympanic Electrocochleography, analyzing the latency, the amplitudes and the intervals of the different waves and specially the growth in the amplitude of wave I, and the subsequent improvement given back to ABR all their diagnosis value.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

听性脑干反应(ABR)的诊断价值在于,它能够测量从耳蜗到脑干顶部通路的传导时间,从而客观地诊断听力缺陷并进行分类。传导时间的分析基于对波潜伏期和波间期的测量,其中波Ⅰ和波Ⅴ的潜伏期以及它们之间的间期(Ⅰ-Ⅴ)至关重要。但有时,在接近听力阈值的强度下获得的ABR记录,或者在许多通过传统头皮方法获得的重度听力损失患者中,无法识别出波Ⅰ,这导致ABR诊断价值降低。我们的研究试图分析能够解决这一降低问题的不同技术。为实现这一目标,我们必须将从头皮获得的ABR记录与使用耳道电极获得的记录以及通过经鼓膜电耳蜗图获得的听神经动作电位进行比较,分析不同波的潜伏期、振幅和间期,特别是波Ⅰ振幅的增加情况,以及随后赋予ABR的所有诊断价值的改善情况。(摘要截断于250字)

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