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噪声、体温过低及巴比妥酸盐对耳蜗电活动的影响。

Effects of noise, hypothermia and barbiturate on cochlear electrical activity.

作者信息

Henry K R

出版信息

Audiology. 1980;19(1):44-56. doi: 10.3109/00206098009072648.

Abstract

Pentobarbital has been reported as both increasing and decreasing the effects of noise trauma on the inner ear. In the C57BL/6 laboratory mouse, the effects depend upon which electrical events are measured and whether or not the hypothermic effects of pentobarbital are counteracted. Pentobarbital-induced hypothermia per se increased the latency of both the high-intensity-threshold, short-latency (H) and low-intensity-threshold, long-latency (L) waves by approximately 60 mus per degrees C decrease, had no significant effect on H-wave amplitude, but caused a severe reduction of the L-wave amplitude. As little as 1 min of 120 dB SPL high-frequency noise can temporarily reduce the cochlear microphonic (CM) amplitude, abolish the H and reduce the amplitude of the L waves of the click-evoked, volume-conducted gross auditory nerve action potential (AP). 1 week later, CMs were more depressed in subjects which had been anesthetized during 5 min noise exposure, regardless of body temperature during the exposure. The long-term decrement of the L-wave amplitude did not consistently differ as a function of anesthetic state or body temperature at exposure. However, hypothermia protected from, while barbiturate increased the effects of noise stress on the H wave. It was hypothesized that metabolic factors differentially affect the various electrical generators in the inner ear.

摘要

据报道,戊巴比妥对噪声性内耳损伤的影响既有增强作用,也有减弱作用。在C57BL/6实验小鼠中,其影响取决于所测量的电活动以及戊巴比妥的低温效应是否被抵消。戊巴比妥诱导的低温本身会使高强度阈值短潜伏期(H)波和低强度阈值长潜伏期(L)波的潜伏期每降低1摄氏度增加约60微秒,对H波振幅无显著影响,但会导致L波振幅严重降低。仅1分钟的120分贝声压级高频噪声就可暂时降低耳蜗微音电位(CM)的振幅,消除H波并降低点击诱发的、经容积传导的总听神经动作电位(AP)的L波振幅。1周后,在噪声暴露5分钟期间接受麻醉的受试者中,CMs的抑制作用更强,无论暴露期间的体温如何。L波振幅的长期降低并不因麻醉状态或暴露时的体温而始终存在差异。然而,低温可起到保护作用,而巴比妥类药物会增加噪声应激对H波的影响。据推测,代谢因素对内耳中各种电发生器有不同的影响。

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