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人体点击诱发的脊髓背根电位的模拟模型及高通滤波的影响

Analog model of human click-elicited SP and effects of high-pass filtering.

作者信息

Durrant J D, Ferraro J A

机构信息

Department of Otolaryngology, University of Pittsburgh, Pennsylvania.

出版信息

Ear Hear. 1991 Apr;12(2):144-8. doi: 10.1097/00003446-199104000-00011.

Abstract

Recent advances in electrode design have helped to rekindle clinical interests in noninvasive electrocochleography--to enhance auditory brain stem response (ABR) recordings (namely, wave I) and to screen Meniere's disease. The salient feature of the response in suspected cases of endolymphatic hydrops is an unusually large summating potential (SP). Since the SP is a DC potential, conventional wisdom suggests the use of relatively low cutoff frequencies (i.e., long-time constants) for recording, but this may degrade the recording due to the presence of excessive low-frequency noise. However, the click-elicited SP also is a transient of relatively short duration, considering the characteristics of the click. This may permit more liberal high-pass filtering with acceptable wave-form distortion. This is a report of findings obtained using an analog model for SP generation and recordings from normal subjects using an electrode placed directly on the tympanic membrane. Responses were obtained using various low-frequency cutoffs. Cutoffs up to 30 Hz caused little distortion. Even in the face of considerable distortion at the highest cutoffs (100 and 300 Hz), the SP remained detectable and the SP:AP essentially unchanged. Therefore, higher filter settings may be used in recording the SP than commonly assumed, although the decreased amplitudes of the component potentials may not be tolerable under all clinical test conditions.

摘要

电极设计的最新进展有助于重新激发临床对无创耳蜗电图的兴趣,以增强听性脑干反应(ABR)记录(即波I)并筛查梅尼埃病。在疑似内淋巴积水病例中,该反应的显著特征是异常大的总和电位(SP)。由于SP是直流电位,传统观点建议使用相对较低的截止频率(即长时间常数)进行记录,但由于存在过多的低频噪声,这可能会使记录质量下降。然而,考虑到短声的特性,短声诱发的SP也是持续时间相对较短的瞬态信号。这可能允许进行更宽松的高通滤波,同时保持可接受的波形失真。本文报告了使用模拟模型生成SP以及在正常受试者中使用直接置于鼓膜上的电极进行记录所获得的结果。使用了各种低频截止频率来获取反应。高达30Hz的截止频率几乎不会引起失真。即使在最高截止频率(100Hz和300Hz)下存在相当大的失真,SP仍然可以检测到,并且SP:AP基本不变。因此,在记录SP时可以使用比通常认为的更高的滤波设置,尽管在所有临床测试条件下,成分电位幅度的降低可能无法耐受。

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