山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (4): 6-9.

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正常听力耳鸣患者听尼特TM检测及高刺激率听觉脑干反应结果及分析

曹效平,王天生,顾东胜,黄爱萍   

  1. 武警浙江总队医院耳鼻咽喉头颈外科, 浙江  嘉兴 314000
  • 收稿日期:2012-03-12 出版日期:2012-08-16 发布日期:2012-08-16
  • 通讯作者: 王天生,主任医师。Email:wangts2012@sina.com
  • 作者简介:曹效平。Email:caoxiaop418@sina.com

Tinni TestTM and high stimulus rate auditory brainstem response in  patients with normal hearing

CAO Xiao-ping, WANG Tian-sheng, GU Dong-sheng, HUANG Ai-ping.   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Zhejiang General Hospital of Chinese People′s Armed Police Forces, Jiaxing 314000, Zhejiang, China
  • Received:2012-03-12 Online:2012-08-16 Published:2012-08-16

摘要:

目的   观察正常听力耳鸣患者的耳鸣音调、响度、掩蔽曲线及高刺激率听觉脑干反应(ABR)检测结果,探讨耳鸣的临床特征及发病机制。方法   选取162例正常听力耳鸣患者,对其进行耳鸣音调、响度匹配,同时选取其中140例单侧耳鸣患者,对140患耳与对侧140健耳,分别进行高、低刺激率ABR检测,比较不同刺激率下PL差值(△PL)、IPL差值(△IPL)。结果   听力正常耳鸣的耳鸣音调分布从125~8000Hz,以4000~8000Hz高频为主;耳鸣响度从0~20dB,5~10dB最多;佛德曼曲线以汇聚型为主;患耳与健侧耳高、低刺激率ABR Ⅰ~Ⅴ △IPL差值>0.28ms的耳数分别为16耳及12耳,差值无显著意义(P>0.05)。结论   总结162例听力正常耳鸣患者的临床特征,为进一步的临床诊疗提供依据;耳鸣起源于内耳微循环障碍的理论不适用于解释正常听力耳鸣患者,耳鸣产生的机制可能不能用单一的理论解释。

关键词: 耳鸣;听尼特TM;听性脑干反应;高刺激率

Abstract:

Objective   To investigate the clinical characteristics of tinnitus and the relationship between inner ear micro-circulation and tinnitus by examining tinnitus pitch-matching, loudnessin-matching, Feldmann masking curves and high stimulus rat ABR in  tinnitus patients with normal hearing.  Methods   162 patients  with normal hearing and 140 tinnitus patients were enrolled. Tinnitus measurements consisted of pitch-matching, loudnessin-matching, Feldmann masking curves, and high stimulus rat auditory brainstem response (ABR). Results   The tinnitus pitch-matched frequencies of tinnitus patients with normal hearing ranged from 125Hz to 8000Hz,in which 57.3% of them located between 3000Hz~8000Hz. The tinnitus loudness-matched frequencies ranged form 0dB to 2 0dB, in which 45.6% of them were 5~10dB. There was no difference in Ⅰ~Ⅴ interval between the tinnitus ears and normal ears.  Conclusion   The clinical characterisitics of 162 tinnitus patients with normal hearing were identified in order to facilitate the further management. The relationship between the inner ear micro-circulation and tinnitus could not be attributed to the tinnitus in  patients with normal hearing.

Key words: Tinnitus; TinniTestTM; Auditory brainstem responses; High frequency stimulus

中图分类号: 

  • R764.45
[1] 魏婷婷1,赵德安1,高兴强1,苏文玲1,朱艳双1,赵岩2. Arc/arg3.1基因在耳鸣大鼠模型听觉脑干中的表达情况[J]. 山东大学耳鼻喉眼学报, 2010, 24(01): 21-24.
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