Kileny P
Ear Hear. 1981 Nov-Dec;2(6):270-5. doi: 10.1097/00003446-198111000-00006.
Auditory brain stem responses were elicited by unfiltered clicks as well as 500-Hz and 1000-Hz tone-pips with and without high-pass noise masking, from normal hearing subjects and from patients with high-frequency hearing losses. The responses elicited by tone-pips were similar in configuration to the familiar click-evoked responses. When presented in quiet, the latencies of responses elicited by tone-pips (i.e. wave V latency) were identical, or close to those evoked by clicks, suggesting common origins on the basilar membrane. With the addition of high-pass filtered white noise mixed with the tone-pips, wave V latency shifted, suggesting responses originating from apical low-frequency regions. This procedure yielded a good approximation of audiograms obtained from the same subjects. The unfiltered clicks inferred hearing sensitivity in the 2000 to 4000 Hz range, the masked tone-pips closely reproduced thresholds at 500 Hz and 1000 Hz.
对听力正常的受试者和高频听力损失患者,用未滤波的短声以及500赫兹和1000赫兹的短纯音(有无高通噪声掩蔽)诱发听性脑干反应。短纯音诱发的反应在形态上与常见的短声诱发反应相似。在安静环境中呈现时,短纯音诱发反应的潜伏期(即V波潜伏期)与短声诱发反应的潜伏期相同或相近,提示在基底膜上有共同起源。在短纯音中加入高通滤波的白噪声后,V波潜伏期发生偏移,提示反应起源于顶部低频区域。该方法能很好地近似从同一受试者获得的听力图。未滤波的短声推断出2000至4000赫兹范围内的听力敏感度,掩蔽短纯音能紧密重现500赫兹和1000赫兹处的阈值。