Chen Fang, Yang Xiao-Ping, Fan Li-Hua
Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China.
Fa Yi Xue Za Zhi. 2011 Jun;27(3):211-5.
Auditory evoked potential (AEP) is the electric activities originating from auditory systems evoked by sound stimulus. AEP include cortical electric response audiometry (CERA), auditory brainstem evoked response (ABR), 40 Hz auditory event related potentials (40 Hz AERP), auditory steady-state response (ASSR), etc. For the subjects who cannot provide reliable or accurate behavioral hearing threshold, those techniques have been explored to evaluate the behavioral hearing threshold objectively. These techniques are reviewed in this article and are found that they could reflect the behavioral hearing threshold very well. CERA is difficult to operate because it is affected by the subject's wakefulness. ABR is the most widely used method currently and is not affected by the subject's consciousness, but it only reflects high frequencies. 40 Hz AERP has good sensitivity, while its results highly depend on the subject's consciousness. ASSR can be operated by using multiple frequency stimuli simultaneously to both ears and the test time is short. It is still a very difficult task to combine different techniques according to their characteristics in forensic audiology.
听觉诱发电位(AEP)是由声音刺激诱发的源自听觉系统的电活动。AEP包括皮层电反应测听(CERA)、听觉脑干诱发电位(ABR)、40赫兹听觉事件相关电位(40Hz AERP)、听觉稳态反应(ASSR)等。对于那些无法提供可靠或准确行为听阈的受试者,已探索这些技术来客观评估行为听阈。本文对这些技术进行了综述,发现它们能很好地反映行为听阈。CERA受受试者觉醒状态影响,操作困难。ABR是目前应用最广泛的方法,不受受试者意识影响,但仅反映高频。40Hz AERP具有良好的敏感性,但其结果高度依赖受试者意识。ASSR可双耳同时使用多个频率刺激进行操作,测试时间短。在法医听力学中,根据不同技术的特点进行组合仍然是一项非常艰巨的任务。