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按性别和年龄进行的诱发反应测听法:研究结果及实用性

Evoked response audiometry according to gender and age: findings and usefulness.

作者信息

Lourenço Edmir Américo, Oliveira Marcelo Henrique de, Umemura Adriana, Vargas Ana Laura, Lopes Karen de Carvalho, Pontes Júnior Alvaro Vitorino de

机构信息

UNIFESP.

出版信息

Braz J Otorhinolaryngol. 2008 Jul-Aug;74(4):545-51. doi: 10.1016/s1808-8694(15)30601-7.

DOI:10.1016/s1808-8694(15)30601-7
PMID:18852980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9442097/
Abstract

UNLABELLED

Auditory evoked brainstem responses (ABR) is a non-invasive electrical potential registration which evaluates the auditory tract from the middle ear to the auditory cortex in the first 12 milliseconds (ms). The ABR is an important otoneurological evaluation.

AIM

Confirm the test's usefulness, major incidence and topography according to are range gender considering the absolute latencies of the waves and interpeak intervals.

MATERIALS AND METHOD

We retrospectively analyzed 403 tests from a private clinic in the city of Jundiaí-São Paulo State-Brazil, from patients suspected of auditory damage or central nervous disorder, and the patients were broken down according to gender and age.

RESULTS AND CONCLUSIONS

ABR is an important test to determinate the soundness of the auditory tract, the electrophysiological thresholds and topodiagnosis. We found no differences between type of loss and gender; there was a major incidence of retrocochlear findings among male patients between 12-20 years old; children under one year with risk factors did not present higher incidences of auditory findings when compared with all the population analyzed. The absolute latencies of waves I, III and V were higher in males, but the interpeak intervals were similar in both genders, showing that interval I-III was more frequently altered.

摘要

未标注

听觉诱发电位脑干反应(ABR)是一种非侵入性的电位记录方法,可在最初12毫秒(ms)内评估从中耳到听觉皮层的听觉通路。ABR是一项重要的耳神经学评估。

目的

根据年龄范围和性别,考虑波的绝对潜伏期和峰间期,确定该测试的有用性、主要发病率和定位情况。

材料与方法

我们回顾性分析了巴西圣保罗州容迪亚伊市一家私人诊所对403名疑似听觉损伤或中枢神经紊乱患者进行的测试,并根据性别和年龄对患者进行了分类。

结果与结论

ABR是确定听觉通路完整性、电生理阈值和定位诊断的一项重要测试。我们发现听力损失类型与性别之间没有差异;12至20岁男性患者中蜗后病变的发病率较高;与所有分析人群相比,有危险因素的1岁以下儿童未表现出更高的听觉病变发病率。男性的波I、III和V的绝对潜伏期较长,但两性的峰间期相似,表明I-III间期更常发生改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/2902b5e5229c/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/074586c31805/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/04dfca010c64/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/cb22c246412d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/8754a8c5e9a0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/b14c5e74e998/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/94f25f7c44bf/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/f55e75b0cc08/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/d6b15ba2a878/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/ce3ab3404971/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/4cef09013fc8/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/344ec562c87e/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/2902b5e5229c/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/074586c31805/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/04dfca010c64/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/cb22c246412d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/8754a8c5e9a0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/b14c5e74e998/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/94f25f7c44bf/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/f55e75b0cc08/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/d6b15ba2a878/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/ce3ab3404971/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/4cef09013fc8/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/344ec562c87e/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/9442097/2902b5e5229c/gr12.jpg

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本文引用的文献

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Prediction of auditory brainstem reflex screening referrals in high-risk infants.高危婴儿听觉脑干反应筛查转诊的预测
Laryngoscope. 2006 Feb;116(2):261-7. doi: 10.1097/01.mlg.0000204312.59452.86.
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Brainstem auditory evoked potential monitoring: when is change in wave V significant?脑干听觉诱发电位监测:V波变化何时具有显著意义?
Neurology. 2005 Nov 22;65(10):1551-5. doi: 10.1212/01.wnl.0000184481.75412.2b.
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Failed newborn hearing screens as presentation for otitis media with effusion in the newborn population.新生儿听力筛查未通过作为新生儿人群中耳积液性中耳炎的表现。
Int J Pediatr Otorhinolaryngol. 2005 Mar;69(3):393-7. doi: 10.1016/j.ijporl.2004.11.006. Epub 2004 Dec 30.
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Auditory brainstem response versus magnetic resonance imaging for the evaluation of asymmetric sensorineural hearing loss.听觉脑干反应与磁共振成像在评估不对称性感音神经性听力损失中的应用比较
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