Bares K, Sonka K, Navara M, Taudy M, Hahn A
ORL klinika FN I, Praha.
Cesk Otolaryngol. 1990 Jun;39(3):141-5.
The purpose of the presented work was to investigate the relationship between the length of I-III and I-V intervals during BERA examinations on the intensity of the stimulus in healthy subjects. Furthermore to assess the normal range of the maximum length of I-III and I-V intervals. Twenty-seven subjects aged 15-57 years, incl. 10 men, were examined. The stimuli were 100 us clicks, the repeating rate was 30/s, the stimulation intensity 0-85 dB nHL. The examination was made after administration of diazepam or rohypnol. TDH 49 earphones were used. Into the external auditory meatus on the examined side an electrode of the authors' own design in the shape of an open tube was introduced. The length of I-III and I-V intervals depended on the intensity of stimulation. The differences of mean values of the length intervals at stimulation intensities of 65 dB nHL and 45 dB nHL were statistically significant: p less than 0.02 for interval I-III and p less than 0.0001 for interval I-V. We take as the upper borderline of the normal length of intervals I-III approximately 2.8 ms and of intervals I-V 4.7 ms, if the latency of wave I is smaller than 2.5 ms. When the latency of wave I is greater, even longer I-III and I-V intervals may be still normal.
本研究的目的是调查在健康受试者的脑干听觉诱发电位(BERA)检查中,I-III和I-V间期的长度与刺激强度之间的关系。此外,评估I-III和I-V间期最大长度的正常范围。对27名年龄在15至57岁之间的受试者进行了检查,其中包括10名男性。刺激为100微秒的点击声,重复率为30次/秒,刺激强度为0至85分贝听力级(dB nHL)。检查在给予地西泮或氟硝西泮后进行。使用TDH 49耳机。在被检查侧的外耳道中插入了作者自行设计的开口管状电极。I-III和I-V间期的长度取决于刺激强度。在65 dB nHL和45 dB nHL刺激强度下,间期长度平均值的差异具有统计学意义:I-III间期p小于0.02,I-V间期p小于0.0001。如果I波潜伏期小于2.5毫秒,我们将I-III间期正常长度的上限设定为约2.8毫秒,I-V间期为4.7毫秒。当I波潜伏期更长时,更长的I-III和I-V间期仍可能是正常的。