Küttner K, Krausslach R, Baumann M
HNO-Klinik, Bezirkskrankenhauses Suhl.
HNO. 1991 Jan;39(1):32-6.
We report on the derivation of the early acoustic evoked potentials (EAEP) in 498 healthy normotrophic infants between the 32nd post-conceptional week and the end of the 3rd year of life. The changes of the wave latencies and interpeak intervals in different age periods until they reached the constant values found in adults are followed by 1528 potential derivations. The varying rate of maturation of the auditory pathway in the brain stem can be followed up well by the potential patterns. The time around the 34th post-conceptional week is characterized by a maturation episode of central and peripheral auditory pathway portions. The extrauterine matured normotrophic preterm infant shows statistically significantly longer latencies of waves III and V and a longer interpeak interval I-V in comparison with normotrophic term neonates. Gestational age, birth weight and Apgar score of the preterm infant had no influence on the behaviour of the EAEP. After the 38th post-conceptional week practically only the maturation of the central auditory pathway portion takes place: the main portion of the latency shortenings of III and V and IPI I-V is applicable to the 1st year of life. The maturation is an individually characterized progressive process of varying speed with no fixed age for its completion. Thus the adult wave V latency was reached in 8% of the 4- to 6-month-old children, and in 57% by the end of the 1st year of life. The adult IPI I-V values were reached in 42% of the 10- to 12-month-old children.(ABSTRACT TRUNCATED AT 250 WORDS)
我们报告了498名健康、营养正常的婴儿在孕龄32周后至3岁末期间早期听觉诱发电位(EAEP)的情况。通过1528次电位推导,追踪了不同年龄阶段直至达到成人恒定值时波潜伏期和峰间期的变化。脑干听觉通路成熟速度的变化可通过电位模式得到很好的追踪。孕龄34周左右的特点是中枢和外周听觉通路部分出现成熟过程。与营养正常的足月儿相比,宫外成熟的营养正常早产儿的波III和波V潜伏期在统计学上显著更长,峰间期I-V也更长。早产儿的孕龄、出生体重和阿氏评分对EAEP的表现没有影响。孕龄38周后,实际上仅发生中枢听觉通路部分的成熟:波III和波V潜伏期缩短以及峰间期I-V缩短的主要部分发生在1岁以内。成熟是一个具有个体特征、速度各异的渐进过程,没有固定的完成年龄。因此,4至6个月大的儿童中有8%达到了成人波V潜伏期,1岁末时这一比例为57%。10至12个月大的儿童中有42%达到了成人峰间期I-V值。(摘要截短为250字)