The auditory steady state response （ASSR） may reflect activity from different regions of the brain, depending on the modulation frequency used. In general, responses induced by low rates （_〈40 Hz） emanate mostly ...The auditory steady state response （ASSR） may reflect activity from different regions of the brain, depending on the modulation frequency used. In general, responses induced by low rates （_〈40 Hz） emanate mostly from central structures of the brain, and responses from high rates （〉80 Hz） emanate mostly from the peripheral auditory nerve or brainstem structures. Besides, it was reported that the gamma band ASSR （30-90 Hz） played an important role in working memory, speech understanding and recognition. This paper investigated the 40 Hz ASSR evoked by modulated speech and reversed speech. The speech was Chinese phrase voice, and the noise-like reversed speech was obtained by temporally reversing the speech. Both auditory stimuli were modulated with a frequency of 40 Hz. Ten healthy subjects and 5 patients with hallucination symptom participated in the experiment. Results showed re- duction in left auditory cortex response when healthy subjects listened to the reversed speech compared with the speech. In contrast, when the patients who experienced auditory hallucinations listened to the reversed speech, the auditory cortex of left hemispheric responded more actively. The ASSR results were consistent with the behavior results of patients. Therefore, the gamma band ASSR is expected to be helpful for rapid and objective diagnosis of hallucination in clinic.展开更多
目的探讨多种听力学检测方法在听性脑干反应(ABR)最大输出未引出患儿的听力学诊断中的应用价值。方法回顾性分析69例(138耳)ABR最大强度未引出患儿的临床资料,年龄42天到5岁,平均1岁6个月,鼓室导抗图均为A型或正向单峰,声反射均未引出,...目的探讨多种听力学检测方法在听性脑干反应(ABR)最大输出未引出患儿的听力学诊断中的应用价值。方法回顾性分析69例(138耳)ABR最大强度未引出患儿的临床资料,年龄42天到5岁,平均1岁6个月,鼓室导抗图均为A型或正向单峰,声反射均未引出,影像学检查内耳无畸形。69例患儿均进行ABR、耳蜗微音电位(CM)、畸变产物耳声发射(DPOAE)和听性稳态反应(ASSR)测试。结果69例138耳中,8例16耳(11.59%)记录到CM,其中10耳(7.25%)记录到DPOAE,0.5、1、2、4 kHz ASSR反应阈值分别为83.2±13.1、82.9±13.0、75.3±12.4、63.1±9.1 dB nHL,结合其他检查结果诊断为听神经病。余61例(122耳)CM和DPOAE均未引出,0.5、1、2、4 kHz的ASSR引出率分别为82.3%、81.9%、76.9%、60.2%,其中20耳ASSR各频率均未引出,102耳至少一个频率引出,0.5、1、2、4 kHz ASSR反应阈分别为93.2±6.1、99.8±7.0、105.4±5.4、108.2±9.8 dB nHL,诊断为极重度感音神经性聋。结论对于ABR最大输出强度未引出的患儿,CM和/或DPOAE引出且ASSR各频率反应阈低于感音神经性聋患儿,有助于听神经病的诊断;CM和DPOAE均未引出有助于极重度感音神经性聋的诊断,ASSR测试有助于评估其残余听力。展开更多
目的:分析婴幼儿的Tb-ABR和chirp-ASSR反应阈的相关性和在听力评估中的应用。方法:对听力正常婴幼儿8例和不正常婴幼儿8例进行Tb-ABR和chirp-ASSR反应阈值测试。分别记录0.5、1、2、4 k Hz的反应阈,比较这两种不同测试方法所得反应阈的...目的:分析婴幼儿的Tb-ABR和chirp-ASSR反应阈的相关性和在听力评估中的应用。方法:对听力正常婴幼儿8例和不正常婴幼儿8例进行Tb-ABR和chirp-ASSR反应阈值测试。分别记录0.5、1、2、4 k Hz的反应阈,比较这两种不同测试方法所得反应阈的相关性及chirp-ASSR的优点。结果:短纯音ABR与chirp-ASSR反应阈比较差异无统计学意义(P>0.05)。结论:短纯音ABR与chirp-ASSR有较好的相关性,可以有效地用于临床评估。展开更多
目的:明确21例(42耳)听性脑干反应(auditory brainstem response,ABR)未引出的低月龄儿的听觉稳态诱发电位(auditory steady state response,ASSR)、40Hz听觉相关电位(40Hz auditory event related potential,40Hz-AERP)的引出率。方法...目的:明确21例(42耳)听性脑干反应(auditory brainstem response,ABR)未引出的低月龄儿的听觉稳态诱发电位(auditory steady state response,ASSR)、40Hz听觉相关电位(40Hz auditory event related potential,40Hz-AERP)的引出率。方法:选取听力复筛未通过、诊断型中耳分析仪1000Hz鼓室声导抗正常、ABR未引出的低月龄婴儿21例(42耳),进一步检测ASSR及40Hz-AERP。结果:ASSR在500、1000、2000、4000 Hz引出率分别为45.29%、61.90%、66.67%、80.95%。40Hz-AERP(500Hz)的引出率为52.38%。结论:ASSR及40Hz-AERP检查可以弥补ABR未引出的低月龄听力损失儿听力评估的不足。展开更多
Transcranial electrical stimulation(tES)is a non-invasive nerve stimulation technique that modulates changes in neural activities in cerebral cortex through a weak current of specific intensity(and frequency).It has b...Transcranial electrical stimulation(tES)is a non-invasive nerve stimulation technique that modulates changes in neural activities in cerebral cortex through a weak current of specific intensity(and frequency).It has become a valuable tool for the study of human behavior and cognitive neurophysiological processes.As a brain stimulation technology with broad development prospects,it is not mature enough in the field of human auditory research.However,the research on tES has obtained preliminary results in regulating motor ability.This article mainly introduces the effects of tES and auditory steady state response on auditory,and the applications of tES in auditory diseases.By summarizing and discussing tES during auditory processing as comprehensively as possible,the potential application value of tES in the treatment of auditory diseases could be illustrated.展开更多
抑郁症已成为危害人类健康的一大公共卫生问题。目前,抑郁症的诊断主要依靠患者自述或填写专业量表,由医生进行判断。此方法存在误诊率高、一致性差等缺陷。由此,寻找一种精准、高效、便捷的抑郁症生物标志物具有极重要的价值和意义。...抑郁症已成为危害人类健康的一大公共卫生问题。目前,抑郁症的诊断主要依靠患者自述或填写专业量表,由医生进行判断。此方法存在误诊率高、一致性差等缺陷。由此,寻找一种精准、高效、便捷的抑郁症生物标志物具有极重要的价值和意义。本研究通过对比抑郁组和对照组大鼠听觉初级皮层处40 Hz听觉稳态响应(ASSR)差异,探究ASSR作为抑郁症诊断靶标的可行性。将24只大鼠随机分为抑郁模型组(n=12)和正常对照组(n=12),模型组通过持续8周的慢性不可预知温和应激刺激(CUMS)进行建模。通过采集并对比两组大鼠在建模前后的糖水偏好、强迫游泳、旷场实验等3种行为学指标,判断建模是否成功。随后进行电生理实验,采集大鼠在40 Hz-click声音刺激下,左右两侧初级听觉皮层处的局部场电位信号(LFPs),并对比试次间相位一致性(ITPC)及诱发功率两种常用指标。结果表明,与正常对照组相比,8周抑郁建模显著降低了模型组糖水偏好率(71.89±6.32 vs 87.65±3.54,P<0.05)和旷场运动距离(2219±532 vs 2930±315,P<0.05),显著提升了模型组游泳静止时间[(31.53±5.31)s vs(96.18±13.16)s,P<0.05],并且两组大鼠之间行为学的后测结果同样存在显著差异(P<0.05),即建立起有效的抑郁模型;电生理结果表明,在click声音下,模型组的两侧初级听觉皮层40 Hz-ASSR的ITPC值均低于0.6,显著低于对照组(ITPC>0.8)(P<0.05),且诱发功率也呈现降低趋势。Click声音诱发的初级听觉皮层处40 Hz-ASSR有希望作为抑郁症的潜在诊断靶标,此发现为辅助诊断和治疗抑郁症提供了一定参考。展开更多
目的通过比较听性稳态反应(auditory steady-state responses,ASSR)阈值与纯音测听(pure tone audiometry,PTA)阈值,为ASSR技术应用于听力障碍法医学鉴定提供技术数据。建立本实验室ASSR阈值与PTA阈值的校正值。方法对27例(54耳)正常听...目的通过比较听性稳态反应(auditory steady-state responses,ASSR)阈值与纯音测听(pure tone audiometry,PTA)阈值,为ASSR技术应用于听力障碍法医学鉴定提供技术数据。建立本实验室ASSR阈值与PTA阈值的校正值。方法对27例(54耳)正常听力志愿者进行PTA及500、1000、2000和4000Hz的ASSR测试,采用配对t检验法比较测试耳ASSR阈值与PTA阈值的关系;并验证SmartEP-ASSR测试系统校正后的ASSR阈值与PTA阈值的一致性。结果正常耳ASSR阈值较PTA阈值高(P<0.05),各频率差值:500Hz为(22.04±5.79)dB,1000Hz为(11.02±5.44)dB,2000Hz为(12.59±5.89)dB,4000Hz为(17.78±7.25)dB;仪器校正后的ASSR阈值与PTA阈值的差值:500Hz为(-3.96±5.79)dB,1000Hz为(0.02±5.44)dB,2000Hz为(-0.41±5.89)dB,4000Hz为(-1.25±7.25)dB。结论听力正常人ASSR阈值较PTA阈值高,其差值在各频率不一致,平均为16.9dB。ASSR用于听力障碍法医学鉴定中评估行为听阈时,ASSR阈值需要进行校正。展开更多
基金supported by the National Natural Science Foundation of China(No.90820304,61105123,and 31100714)National Basic Research Program of China(No.2011CB933204)
文摘The auditory steady state response （ASSR） may reflect activity from different regions of the brain, depending on the modulation frequency used. In general, responses induced by low rates （_〈40 Hz） emanate mostly from central structures of the brain, and responses from high rates （〉80 Hz） emanate mostly from the peripheral auditory nerve or brainstem structures. Besides, it was reported that the gamma band ASSR （30-90 Hz） played an important role in working memory, speech understanding and recognition. This paper investigated the 40 Hz ASSR evoked by modulated speech and reversed speech. The speech was Chinese phrase voice, and the noise-like reversed speech was obtained by temporally reversing the speech. Both auditory stimuli were modulated with a frequency of 40 Hz. Ten healthy subjects and 5 patients with hallucination symptom participated in the experiment. Results showed re- duction in left auditory cortex response when healthy subjects listened to the reversed speech compared with the speech. In contrast, when the patients who experienced auditory hallucinations listened to the reversed speech, the auditory cortex of left hemispheric responded more actively. The ASSR results were consistent with the behavior results of patients. Therefore, the gamma band ASSR is expected to be helpful for rapid and objective diagnosis of hallucination in clinic.
文摘目的探讨多种听力学检测方法在听性脑干反应(ABR)最大输出未引出患儿的听力学诊断中的应用价值。方法回顾性分析69例(138耳)ABR最大强度未引出患儿的临床资料,年龄42天到5岁,平均1岁6个月,鼓室导抗图均为A型或正向单峰,声反射均未引出,影像学检查内耳无畸形。69例患儿均进行ABR、耳蜗微音电位(CM)、畸变产物耳声发射(DPOAE)和听性稳态反应(ASSR)测试。结果69例138耳中,8例16耳(11.59%)记录到CM,其中10耳(7.25%)记录到DPOAE,0.5、1、2、4 kHz ASSR反应阈值分别为83.2±13.1、82.9±13.0、75.3±12.4、63.1±9.1 dB nHL,结合其他检查结果诊断为听神经病。余61例(122耳)CM和DPOAE均未引出,0.5、1、2、4 kHz的ASSR引出率分别为82.3%、81.9%、76.9%、60.2%,其中20耳ASSR各频率均未引出,102耳至少一个频率引出,0.5、1、2、4 kHz ASSR反应阈分别为93.2±6.1、99.8±7.0、105.4±5.4、108.2±9.8 dB nHL,诊断为极重度感音神经性聋。结论对于ABR最大输出强度未引出的患儿,CM和/或DPOAE引出且ASSR各频率反应阈低于感音神经性聋患儿,有助于听神经病的诊断;CM和DPOAE均未引出有助于极重度感音神经性聋的诊断,ASSR测试有助于评估其残余听力。
文摘目的:分析婴幼儿的Tb-ABR和chirp-ASSR反应阈的相关性和在听力评估中的应用。方法:对听力正常婴幼儿8例和不正常婴幼儿8例进行Tb-ABR和chirp-ASSR反应阈值测试。分别记录0.5、1、2、4 k Hz的反应阈,比较这两种不同测试方法所得反应阈的相关性及chirp-ASSR的优点。结果:短纯音ABR与chirp-ASSR反应阈比较差异无统计学意义(P>0.05)。结论:短纯音ABR与chirp-ASSR有较好的相关性,可以有效地用于临床评估。
文摘Transcranial electrical stimulation(tES)is a non-invasive nerve stimulation technique that modulates changes in neural activities in cerebral cortex through a weak current of specific intensity(and frequency).It has become a valuable tool for the study of human behavior and cognitive neurophysiological processes.As a brain stimulation technology with broad development prospects,it is not mature enough in the field of human auditory research.However,the research on tES has obtained preliminary results in regulating motor ability.This article mainly introduces the effects of tES and auditory steady state response on auditory,and the applications of tES in auditory diseases.By summarizing and discussing tES during auditory processing as comprehensively as possible,the potential application value of tES in the treatment of auditory diseases could be illustrated.
文摘抑郁症已成为危害人类健康的一大公共卫生问题。目前,抑郁症的诊断主要依靠患者自述或填写专业量表,由医生进行判断。此方法存在误诊率高、一致性差等缺陷。由此,寻找一种精准、高效、便捷的抑郁症生物标志物具有极重要的价值和意义。本研究通过对比抑郁组和对照组大鼠听觉初级皮层处40 Hz听觉稳态响应(ASSR)差异,探究ASSR作为抑郁症诊断靶标的可行性。将24只大鼠随机分为抑郁模型组(n=12)和正常对照组(n=12),模型组通过持续8周的慢性不可预知温和应激刺激(CUMS)进行建模。通过采集并对比两组大鼠在建模前后的糖水偏好、强迫游泳、旷场实验等3种行为学指标,判断建模是否成功。随后进行电生理实验,采集大鼠在40 Hz-click声音刺激下,左右两侧初级听觉皮层处的局部场电位信号(LFPs),并对比试次间相位一致性(ITPC)及诱发功率两种常用指标。结果表明,与正常对照组相比,8周抑郁建模显著降低了模型组糖水偏好率(71.89±6.32 vs 87.65±3.54,P<0.05)和旷场运动距离(2219±532 vs 2930±315,P<0.05),显著提升了模型组游泳静止时间[(31.53±5.31)s vs(96.18±13.16)s,P<0.05],并且两组大鼠之间行为学的后测结果同样存在显著差异(P<0.05),即建立起有效的抑郁模型;电生理结果表明,在click声音下,模型组的两侧初级听觉皮层40 Hz-ASSR的ITPC值均低于0.6,显著低于对照组(ITPC>0.8)(P<0.05),且诱发功率也呈现降低趋势。Click声音诱发的初级听觉皮层处40 Hz-ASSR有希望作为抑郁症的潜在诊断靶标,此发现为辅助诊断和治疗抑郁症提供了一定参考。
文摘目的通过比较听性稳态反应(auditory steady-state responses,ASSR)阈值与纯音测听(pure tone audiometry,PTA)阈值,为ASSR技术应用于听力障碍法医学鉴定提供技术数据。建立本实验室ASSR阈值与PTA阈值的校正值。方法对27例(54耳)正常听力志愿者进行PTA及500、1000、2000和4000Hz的ASSR测试,采用配对t检验法比较测试耳ASSR阈值与PTA阈值的关系;并验证SmartEP-ASSR测试系统校正后的ASSR阈值与PTA阈值的一致性。结果正常耳ASSR阈值较PTA阈值高(P<0.05),各频率差值:500Hz为(22.04±5.79)dB,1000Hz为(11.02±5.44)dB,2000Hz为(12.59±5.89)dB,4000Hz为(17.78±7.25)dB;仪器校正后的ASSR阈值与PTA阈值的差值:500Hz为(-3.96±5.79)dB,1000Hz为(0.02±5.44)dB,2000Hz为(-0.41±5.89)dB,4000Hz为(-1.25±7.25)dB。结论听力正常人ASSR阈值较PTA阈值高,其差值在各频率不一致,平均为16.9dB。ASSR用于听力障碍法医学鉴定中评估行为听阈时,ASSR阈值需要进行校正。
