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“伴随负变化”(CNV)在听力测定中的重要性(作者译)

[The importance of the "contingent negative variation" (CNV) for audiometry (author's transl)].

作者信息

Brix R

出版信息

Arch Otorhinolaryngol. 1977 Aug 26;217(3):273-87. doi: 10.1007/BF00465545.

Abstract

Previous proofs of "central processes" in hearing were based on the determination of the late "auditory evoked potentials" (AEP's: 50--300 ms) in EEG. The appearance of AEP's in different sleep stages raises the question, if the AEP actually conscious hearing. Since the discovery of the "Contingent Negative Variation" (CNV), as a potential depending on conscious and cognitive factors, an appropriate "instrument" is available to solve this problem. Using the CNV-technique three proofs of central auditory perception are described and discussed: a) "The objective proof of the perception of pure-tones", useful for threshold determination, test in the case of simulation and central hearing disorders. b) "The objective proof of the perception of stimulus-changes", useful for exact determination of differential thresholds for frequencies or intensities. c) "The objective speech audiometry", proof of speech comprehension, useful in case of aphasia and simulation.

摘要

以往关于听觉中“中枢过程”的证据是基于脑电图中晚期“听觉诱发电位”(AEP:50 - 300毫秒)的测定。不同睡眠阶段出现AEP引发了一个问题,即AEP是否真的代表有意识的听觉。自从发现“关联性负变”(CNV)这一依赖于意识和认知因素的电位后,就有了一个合适的“工具”来解决这个问题。利用CNV技术,描述并讨论了中枢听觉感知的三个证据:a)“纯音感知的客观证据”,可用于阈值测定、模拟情况测试和中枢听觉障碍测试。b)“刺激变化感知的客观证据”,有助于精确测定频率或强度的差别阈限。c)“客观言语测听法”,即言语理解的证据,在失语症和模拟情况下有用。

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