CAJ | 학술논문

目的：研究不同性别间骨导听性脑干反应（ABR）结果间的差异性。方法选择听力正常成年人60名（120耳），男性及女性各30名（60耳），将骨导 ABR的振荡器分别放置乳突、耳后、额部，进行骨、气导ABR检测，对检测结果进行性别间比较分析。结果气导及各部位骨导ABR阈值性别间比较，差异无统计学意义（ P＞0.05）。在阈上30 dBnHL刺激强度下，各部位骨导与气导ABRⅠ、Ⅲ波峰潜伏期（PL）性别间比较，差异均无统计学意义（ P ＞0.05）。各部位骨导与气导ABRⅤ波PL性别间比较，差异均有统计学意义（ P ＜0．05）。气导与各部位骨导Ⅰ～Ⅲ波峰间期（IPL ）性别间比较，差异均无统计学意义（ P ＞0．05）。气导与各部位骨导Ⅰ～ⅤIPL性别间比较，差异均有统计学意义（ P ＜0．05）。结论不同性别间骨、气导ABRⅤ波PL及Ⅰ ～ⅤIPL存在差异性，检测时应充分考虑到性别间的差异，并应建立不同性别的正常参考值范围。
목적：연구불동성별간골도은성뇌간반응（ABR）결과간적차이성。방법선택은력정상성년인60명（120이），남성급녀성각30명（60이），장골도 ABR적진탕기분별방치유돌、이후、액부，진행골、기도ABR검측，대검측결과진행성별간비교분석。결과기도급각부위골도ABR역치성별간비교，차이무통계학의의（ P＞0.05）。재역상30 dBnHL자격강도하，각부위골도여기도ABRⅠ、Ⅲ파봉잠복기（PL）성별간비교，차이균무통계학의의（ P ＞0.05）。각부위골도여기도ABRⅤ파PL성별간비교，차이균유통계학의의（ P ＜0．05）。기도여각부위골도Ⅰ～Ⅲ파봉간기（IPL ）성별간비교，차이균무통계학의의（ P ＞0．05）。기도여각부위골도Ⅰ～ⅤIPL성별간비교，차이균유통계학의의（ P ＜0．05）。결론불동성별간골、기도ABRⅤ파PL급Ⅰ ～ⅤIPL존재차이성，검측시응충분고필도성별간적차이，병응건립불동성별적정상삼고치범위。
Objective To study the difference of bone‐conduct auditory brain stem response (ABR) results between different genders and to provide reference for clinical practice .Methods Bone‐oscillatory is placed on the mastoid portion ,back of the ear and the frontal placement in a group of normal hearing adults .The results of air and bone‐conduct ABR were recorded and analyzed .Results There were no differences for the threshold of air‐conduct and bone‐conduct ABR testing in different placements ( P>0 .05) .Under 30 dBnHL above the threshold , there were no differences forⅠ ,Ⅲ peak latency (PL) of air‐conduct and bone‐conduct ABR between gender( P>0 .05) .There were differences forⅤPL ( P<0 .05) .There were no differences forⅠ‐Ⅲ interpeak latency(IPL)of air‐conduct and bone‐conduct ABR between gender( P>0 .05) .There were differences forⅠ‐ⅤIPL( P<0 .05) . Conclusion There were differences forⅤPL ,Ⅰ‐ⅤIPL of air‐conduct and bone‐conduct ABR between genders .So we should consider the difference of the gender and have normal reference value of different genders.