BACKGROUND: Auditory steady-state evoked response (ASSR) is one of the new objective electrophysiological methods to test hearing in infants. It can provide a reliable and complete audiogram with specific frequency to...BACKGROUND: Auditory steady-state evoked response (ASSR) is one of the new objective electrophysiological methods to test hearing in infants. It can provide a reliable and complete audiogram with specific frequency to help the hearing diagnosis and rehabilitation of hearing and languaging following auditory screening. OBJECTIVE: To compare the response threshold of ASSR with auditory threshold of visual reinforcement audiometry (VRA) in infants failed in the hearing screening for investigating their hearing loss. DESIGN: A comparative observation. SETTINGS: Maternal and child health care hospitals of Guangdong province, Shunde city, Nanhai city and Huadu district. PARTICIPANTS: Totally 321 infants of 0-3 years undergoing ASSR test were selected from the Hearing Center of Guangdong Maternal and Child Health Care Hospital from January 2002 to December 2004. Informed consents were obtained from their guardians. There were 193 cases (60.2%) of 0-6 months, 31 cases (9.7%) of 7-12 months, 17 cases (5.3%) of 13-18 months, 14 cases (4.4%) of 19-24 months, 33 cases of 25-30 months, and 33 cases (10.2%) of 31-36 months. METHODS: ① The 321 infants failed in the hearing screening were tested under sleeping status, the ranges of response threshold distribution in ASSR of different frequencies were analyzed in each age group. ② The infants above 2 years old were also tested with VRA, and their response thresholds were compared between VRA and ASSR. ③ Evaluative standards: The response threshold was < 30 dB for normal hearing, 31-50 dB for mild hearing loss, 51-70 dB for moderate hearing loss, 71-90 dB for severe hearing loss, and > 91 dB for extremely severe hearing loss. MAIN OUTCOME MEASURES: ① ASSR results of the infants failed in the screening; ② Proportion of cases of each response threshold in each age group; ③ Comparison of ASSR response thresholds and VRA auditory thresholds in the infants of 2-3 years old. RESULTS: ①The response threshold was < 30 dB in 47.4% of the 321 infants failed in the initial hearing screening and secondary screening after 42 days. ② Severe to extremely severe hearing loss was detected in only 16 cases (8.3%) of the 193 infants of 0-6 months, in 9 cases (27.3%) of the 33 infants of 25-30 months, and 13 cases (39.4%) of the 33 infants of 31-36 months. Of the 193 infants of 0-6 months old who failed in the initial screening and the second screening after 42 days, the ASSR auditory threshold was < 30 dB in 97 cases (50.26%), 31-50 dB in 63 cases (32.6%), 51-70 dB in 17 cases (8.8%), 71-90 dB in 7 cases (3.6%), and > 91 dB in 9 cases (4.7%). ③ Among the 321 infants failed in the screening, the auditory threshold in the 6 age groups was < 30 dB in 47.4%, 31-50 dB in 27.1%, 51-70 dB in 8.4%, 71-90 dB in 6.2%, and > 91 dB in 10.9%. ④ The difference between ASSR response threshold and VRA auditory thresholds was 6-18 dB in the normal hearing group, mild and moderate hearing loss groups, and there was high correlation between them. The difference of ASSR and VRA thresholds was less than 5 dB between extremely severe and severe hearing loss groups, 5-13 dB between extremely severe and moderate-to-severe hearing loss groups (P < 0.05), and there was no significant differences between severe and moderate-to-severe hearing loss groups (P > 0.05). CONCLUSION: ① The hearing was normal in about half of the infants, although they failed in the primary screening and secondary screening. ② The proportion of the severity of hearing loss was increased along with aging. ③ Mild and moderate hearing losses are dominant in infants. ④ ASSR is reliable to evaluate the hearing of infants.展开更多
目的通过对极重度听力损失的大前庭水管综合征婴幼儿进行听性脑干反应（ABR）和多频稳态反应（ASSR）测试，探讨其ABR检查过程中出现的声诱发短潜伏期负向波（acoustically evoked short latency negative response，ASNR）及其ASSR特...目的通过对极重度听力损失的大前庭水管综合征婴幼儿进行听性脑干反应（ABR）和多频稳态反应（ASSR）测试，探讨其ABR检查过程中出现的声诱发短潜伏期负向波（acoustically evoked short latency negative response，ASNR）及其ASSR特点。方法回顾性研究22例（42耳）极重度听力损失的大前庭水管综合征（LVAS）婴幼儿，另选择28例（56耳）极重度听力损失的非LVAS的感音神经性耳聋婴幼儿作为对照组，研究其ABR及ASSR相关性。结果①LVAS婴幼儿组ABR测试中，36耳（85．7％）记录到AsNR，在109．6 dB nHL刺激强度引出的ASNR平均潜伏期在3．04±0．22msT对照组中婴幼儿无一例记录到ASNR。②LVAS婴幼儿组ASSRNI]试在250、500和1000Hz引出率明显高于对照组，两组间差异有统计学意义（P〈0．01）。结论相比于普通的极重度感音神经性耳聋患儿，极重度听损LVAS患儿进行听力学检查时，ABR容易出现ASNR负向波，ASSR测试结果显示较高的中低频的电位反应引出率，此结果可用于临床辅助诊断大前庭水管综合征。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
基金a grant from Medical Scientific Research Foundation of G uangdong Bureau of Hygiene,No.W STJJ2001111044082219581224001
文摘BACKGROUND: Auditory steady-state evoked response (ASSR) is one of the new objective electrophysiological methods to test hearing in infants. It can provide a reliable and complete audiogram with specific frequency to help the hearing diagnosis and rehabilitation of hearing and languaging following auditory screening. OBJECTIVE: To compare the response threshold of ASSR with auditory threshold of visual reinforcement audiometry (VRA) in infants failed in the hearing screening for investigating their hearing loss. DESIGN: A comparative observation. SETTINGS: Maternal and child health care hospitals of Guangdong province, Shunde city, Nanhai city and Huadu district. PARTICIPANTS: Totally 321 infants of 0-3 years undergoing ASSR test were selected from the Hearing Center of Guangdong Maternal and Child Health Care Hospital from January 2002 to December 2004. Informed consents were obtained from their guardians. There were 193 cases (60.2%) of 0-6 months, 31 cases (9.7%) of 7-12 months, 17 cases (5.3%) of 13-18 months, 14 cases (4.4%) of 19-24 months, 33 cases of 25-30 months, and 33 cases (10.2%) of 31-36 months. METHODS: ① The 321 infants failed in the hearing screening were tested under sleeping status, the ranges of response threshold distribution in ASSR of different frequencies were analyzed in each age group. ② The infants above 2 years old were also tested with VRA, and their response thresholds were compared between VRA and ASSR. ③ Evaluative standards: The response threshold was < 30 dB for normal hearing, 31-50 dB for mild hearing loss, 51-70 dB for moderate hearing loss, 71-90 dB for severe hearing loss, and > 91 dB for extremely severe hearing loss. MAIN OUTCOME MEASURES: ① ASSR results of the infants failed in the screening; ② Proportion of cases of each response threshold in each age group; ③ Comparison of ASSR response thresholds and VRA auditory thresholds in the infants of 2-3 years old. RESULTS: ①The response threshold was < 30 dB in 47.4% of the 321 infants failed in the initial hearing screening and secondary screening after 42 days. ② Severe to extremely severe hearing loss was detected in only 16 cases (8.3%) of the 193 infants of 0-6 months, in 9 cases (27.3%) of the 33 infants of 25-30 months, and 13 cases (39.4%) of the 33 infants of 31-36 months. Of the 193 infants of 0-6 months old who failed in the initial screening and the second screening after 42 days, the ASSR auditory threshold was < 30 dB in 97 cases (50.26%), 31-50 dB in 63 cases (32.6%), 51-70 dB in 17 cases (8.8%), 71-90 dB in 7 cases (3.6%), and > 91 dB in 9 cases (4.7%). ③ Among the 321 infants failed in the screening, the auditory threshold in the 6 age groups was < 30 dB in 47.4%, 31-50 dB in 27.1%, 51-70 dB in 8.4%, 71-90 dB in 6.2%, and > 91 dB in 10.9%. ④ The difference between ASSR response threshold and VRA auditory thresholds was 6-18 dB in the normal hearing group, mild and moderate hearing loss groups, and there was high correlation between them. The difference of ASSR and VRA thresholds was less than 5 dB between extremely severe and severe hearing loss groups, 5-13 dB between extremely severe and moderate-to-severe hearing loss groups (P < 0.05), and there was no significant differences between severe and moderate-to-severe hearing loss groups (P > 0.05). CONCLUSION: ① The hearing was normal in about half of the infants, although they failed in the primary screening and secondary screening. ② The proportion of the severity of hearing loss was increased along with aging. ③ Mild and moderate hearing losses are dominant in infants. ④ ASSR is reliable to evaluate the hearing of infants.
文摘目的通过对极重度听力损失的大前庭水管综合征婴幼儿进行听性脑干反应（ABR）和多频稳态反应（ASSR）测试，探讨其ABR检查过程中出现的声诱发短潜伏期负向波（acoustically evoked short latency negative response，ASNR）及其ASSR特点。方法回顾性研究22例（42耳）极重度听力损失的大前庭水管综合征（LVAS）婴幼儿，另选择28例（56耳）极重度听力损失的非LVAS的感音神经性耳聋婴幼儿作为对照组，研究其ABR及ASSR相关性。结果①LVAS婴幼儿组ABR测试中，36耳（85．7％）记录到AsNR，在109．6 dB nHL刺激强度引出的ASNR平均潜伏期在3．04±0．22msT对照组中婴幼儿无一例记录到ASNR。②LVAS婴幼儿组ASSRNI]试在250、500和1000Hz引出率明显高于对照组，两组间差异有统计学意义（P〈0．01）。结论相比于普通的极重度感音神经性耳聋患儿，极重度听损LVAS患儿进行听力学检查时，ABR容易出现ASNR负向波，ASSR测试结果显示较高的中低频的电位反应引出率，此结果可用于临床辅助诊断大前庭水管综合征。
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。
