Guo Y C, Harner S G
Union Hospital, Fujian Medical College, Fuzhou.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1990;25(1):9-11, 62.
Auditory brainstem response(ABR) was studied in 63 old healthy individuals (mean age = 66.42 +/- 9.88 years). They presented some degree of hearing loss (pure tone hearing threshold for 4 frequencies less than or equal to 30dB HL). Meanwhile 24 younger subjects (half for each sex, mean age = 17.61 +/- 2.63 years) with normal hearing were chosen as the control group. It was found that (a) the older group had greater mean values for both absolute peak latencies and inter-peak latencies than the younger group. The results indicate that age-related hearing loss is due to cochlear pathology but do not exclude the possibility of central auditory involvement. (b) the main parameters of ABR in both ears for each individual were quite symmetric. This fact implicates the diagnostic significance in differentiating presbycusis and space occupying lesion in the brainstem. (c) sex also affected the ABR in both age groups. Males were easier to be affected than females.
对63名健康老年人(平均年龄 = 66.42 ± 9.88岁)进行了听觉脑干反应(ABR)研究。他们存在一定程度的听力损失(4个频率的纯音听力阈值小于或等于30dB HL)。同时,选择24名听力正常的年轻受试者(男女各半,平均年龄 = 17.61 ± 2.63岁)作为对照组。研究发现:(a)老年组的绝对峰潜伏期和峰间潜伏期的平均值均高于年轻组。结果表明,与年龄相关的听力损失是由耳蜗病变引起的,但不排除中枢听觉受累的可能性。(b)每个个体双耳ABR的主要参数相当对称。这一事实暗示了在鉴别老年性耳聋和脑干占位性病变方面的诊断意义。(c)性别也影响两个年龄组的ABR。男性比女性更容易受到影响。