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在产生强烈暂时性阈移(TTS)和听觉脑干反应(ABR)波I振幅降低的噪声暴露后出现“隐性听力损失”的证据。

Evidence of "hidden hearing loss" following noise exposures that produce robust TTS and ABR wave-I amplitude reductions.

作者信息

Lobarinas Edward, Spankovich Christopher, Le Prell Colleen G

机构信息

The University of Texas at Dallas, School of Behavioral and Brain Sciences, USA.

University of Mississippi Medical Center, Department of Otolaryngology and Communicative Sciences, USA.

出版信息

Hear Res. 2017 Jun;349:155-163. doi: 10.1016/j.heares.2016.12.009. Epub 2016 Dec 19.

DOI:10.1016/j.heares.2016.12.009
PMID:28003148
Abstract

In animals, noise exposures that produce robust temporary threshold shifts (TTS) can produce immediate damage to afferent synapses and long-term degeneration of low spontaneous rate auditory nerve fibers. This synaptopathic damage has been shown to correlate with reduced auditory brainstem response (ABR) wave-I amplitudes at suprathreshold levels. The perceptual consequences of this "synaptopathy" remain unknown but have been suggested to include compromised hearing performance in competing background noise. Here, we used a modified startle inhibition paradigm to evaluate whether noise exposures that produce robust TTS and ABR wave-I reduction but not permanent threshold shift (PTS) reduced hearing-in-noise performance. Animals exposed to 109 dB SPL octave band noise showed TTS >30 dB 24-h post noise and modest but persistent ABR wave-I reduction 2 weeks post noise despite full recovery of ABR thresholds. Hearing-in-noise performance was negatively affected by the noise exposure. However, the effect was observed only at the poorest signal to noise ratio and was frequency specific. Although TTS >30 dB 24-h post noise was a predictor of functional deficits, there was no relationship between the degree of ABR wave-I reduction and degree of functional impairment.

摘要

在动物中,能产生明显暂时性阈移(TTS)的噪声暴露可对传入突触造成即刻损伤,并导致低自发放电率听觉神经纤维的长期退变。这种突触性损伤已被证明与阈上水平时听觉脑干反应(ABR)I波振幅降低相关。这种“突触病”的感知后果尚不清楚,但有人认为可能包括在竞争性背景噪声中听力表现受损。在此,我们使用一种改良的惊吓抑制范式来评估能产生明显TTS和ABR I波降低但无永久性阈移(PTS)的噪声暴露是否会降低噪声中的听力表现。暴露于109 dB SPL倍频程带噪声的动物在噪声暴露后24小时显示TTS>30 dB,且在噪声暴露后2周ABR I波出现适度但持续的降低,尽管ABR阈值已完全恢复。噪声暴露对噪声中的听力表现产生了负面影响。然而,这种影响仅在最差信噪比时观察到,且具有频率特异性。尽管噪声暴露后24小时TTS>30 dB是功能缺陷的一个预测指标,但ABR I波降低程度与功能损害程度之间并无关联。

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