Geal-Dor M, Freeman S, Li G, Sohmer H
Department of Physiology, Hebrew University-Hadassah Medical School, Jerusalem, Israel.
Hear Res. 1993 Sep;69(1-2):236-42. doi: 10.1016/0378-5955(93)90113-f.
While the human full-term neonate can hear at birth, in the rat the onset of auditory function as monitored by recording auditory nerve-brainstem evoked responses (ABR) has been reported to begin on post-natal day (PND) 12-14 and reaches adult thresholds at about 22 days. In order to determine the factors involved in this late onset and then rapid threshold improvement in rats, the ABR to both air conducted (AC) and bone-conducted (BC) auditory stimulation was determined in neonatal rats. ABR to maximal intensity BC stimuli (55 dB above adult rat ABR threshold--55 dB HL*) could be recorded from PND 7-8 while AC responses to 80 dB HL* stimuli, only from PND 11. The air-bone gap (a measure of conductive immaturities only) disappeared on PND 15. This shows that there are both conductive (external and middle ear--Air-bone gap) and sensori-neural (inner ear--BC threshold) immaturities in the neonatal rat; the conductive factors are resolved by PND 15 while the sensori-neural continue after that. With respect to conductive factors, it seems that the state of the ear canal is not important while the chief conductive factors involved probably include mesenchyme resorption and/or ossicular ossification. The chief sensori-neural factor may be the development of the endocochlear potential. It is likely that the human fetus in-utero undergoes similar stages of development.
虽然人类足月新生儿在出生时就能听见声音,但据报道,通过记录听神经 - 脑干诱发反应(ABR)监测到的大鼠听觉功能起始于出生后第12 - 14天,并在约22天时达到成年阈值。为了确定大鼠听觉功能延迟起始以及随后阈值快速改善所涉及的因素,对新生大鼠进行了气导(AC)和骨导(BC)听觉刺激的ABR测定。从出生后第7 - 8天开始就能记录到对最大强度骨导刺激(比成年大鼠ABR阈值高55 dB - 55 dB HL*)的ABR,而对80 dB HL*刺激的气导反应直到出生后第11天才出现。气骨间隙(仅用于衡量传导性不成熟的指标)在出生后第15天消失。这表明新生大鼠存在传导性(外耳和中耳 - 气骨间隙)和感觉神经性(内耳 - 骨导阈值)不成熟;传导性因素在出生后第15天得到解决,而感觉神经性因素在此之后仍持续存在。关于传导性因素,耳道状态似乎并不重要,而主要的传导性因素可能包括间充质吸收和/或听小骨骨化。主要的感觉神经性因素可能是内淋巴电位的发育。子宫内的人类胎儿可能也经历类似的发育阶段。