Matas Carla Gentile, Filha Valdete Alves Valentins dos Santos, Okada Melissa Mitsue Cunha Pires, Resque Juliana Reis
Univeisidade Federal de São Paulo, Escola Paulista de Medicina.
Pro Fono. 2006 Sep-Dec;18(3):277-84. doi: 10.1590/s0104-56872006000300007.
auditory evoked potentials.
to describe the results of brainstem auditory evoked potentials (PEATE), middle latency auditory evoked potentials (PEAML) and cognitive potential (P300) in individuals over 50 years.
this study was developed at the Speech and Hearing Investigation Laboratory in Auditory Evoked Potentials of the Speech-Language and Hearing Course of the Department of Physiotherapy, Speech-language and Hearing Sciences and Occupational Therapy of FMUSP. Twenty four subjects (45 ears) were evaluated through PEATE and P300, and only 18 of these subjects (36 ears) were evaluated through PEAML. All subjects had ages between 51 and 74 years and were divided in three groups: GI (50-59 years), GII (60-69 years) and GIII (70-79 years). All subjects presented either normal hearing or neurossensorial hearing loss of a moderate-severe level in the PEATE, and of a moderate level in the PEAML and in the P300. The frequency range evaluated in the PEATE and in the PEAML varied from 3000 to 6000Hz, while in the P300 it varied from 1000 to 1500Hz. For the statistical analyses of the data, the Kruskal-Wallis test, the Mann-Whitney test and the two proportion equality test were used.
significant statistical differences were simultaneously observed between the groups for the interpeak I-V in the PEATE and for the Na wave latency in the PEAML - in the PEATE the difference was caused by GIII and in the PEAML it was caused by GI. A statistically significant difference between the groups was observed for the latency of the P300 component. Considerable alterations were also found regarding the quality of the responses of the auditory evoked potentials, indicating a strong correlation between the deterioration of the responses and the increase in age.
the aging process of the auditory system progressively affects the auditory pathways throughout the brainstem and temporal lobe.
听觉诱发电位。
描述50岁以上个体的脑干听觉诱发电位(PEATE)、中潜伏期听觉诱发电位(PEAML)和认知电位(P300)的结果。
本研究在圣保罗大学医学院物理治疗、言语治疗、听力科学与职业治疗系言语与听力课程听觉诱发电位言语与听力研究实验室开展。通过PEATE和P300对24名受试者(45只耳朵)进行评估,其中只有18名受试者(36只耳朵)通过PEAML进行评估。所有受试者年龄在51至74岁之间,分为三组:GI组(50 - 59岁)、GII组(60 - 69岁)和GIII组(70 - 79岁)。所有受试者在PEATE中呈现正常听力或中度至重度水平的神经感觉性听力损失,在PEAML和P300中呈现中度水平的听力损失。PEATE和PEAML评估的频率范围为3000至6000Hz,而P300评估的频率范围为1000至1500Hz。对于数据的统计分析,使用了Kruskal - Wallis检验、Mann - Whitney检验和两比例相等性检验。
在PEATE的峰间I - V以及PEAML的Na波潜伏期方面,同时观察到组间存在显著的统计学差异——在PEATE中差异由GIII组导致,在PEAML中差异由GI组导致。在P300成分的潜伏期方面,观察到组间存在统计学显著差异。在听觉诱发电位反应质量方面也发现了相当大的改变,表明反应的恶化与年龄增长之间存在很强的相关性。
听觉系统的衰老过程逐渐影响整个脑干和颞叶的听觉通路。