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论文摘要

腭裂患儿中枢听觉神经系统功能障碍的电生理研究

Electrophysiological study on the central auditory nervous system dysfunction in children with cleft palates

作者:杨峰 束煌 肖宇寒

Author:Yang Feng, Shu Huang, Xiao Yuhan.

收稿日期:          年卷(期)页码:2014,32(6):578-578-580

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:腭裂,听觉诱发电位,事件相关电位,中枢听觉神经系统,

Key words:cleft palate,auditory evoked potential,event related potential,central auditory nervous system,

基金项目:

中文摘要

目的 采用测试听觉诱发电位和事件相关电位(ERP)的方法,了解腭裂患儿的中枢听觉神经系统功能。方法 以34名非综合征型腭裂患者为研究对象,记录儿童的听觉脑干诱发电位(ABR)、中潜伏期诱发电位(MLR)和ERP中的负失配电位成分(MMN),并与正常同龄儿童相比较。结果 与正常儿童相比,腭裂儿童的MMN反应明显较弱(F=227.69,PP>0.05)。结论 腭裂儿童的中枢听觉神经系统存在功能障碍,主要表现为大脑听觉皮层水平的听觉处理功能障碍,而脑干和皮层下水平的听觉感知功能基本正常。

英文摘要

ObjectiveWe aim to explore the central auditory nervous system (CANS) functioning in children with nonsyndromic cleft palates by analyzing the auditory evoked potentials and event-related potentials (ERP).MethodsA total of 34 children with nonsyndromic cleft palates were recruited as subjects, and 27 normally developed children were selected as the normal controls. Auditory brainstem response (ABR), middle latency response (MLR), and mismatch negativity (MMN) of ERP were selected as indices to observe the function of CANS in children in both groups.ResultsAstatistically significant difference between the groups was obtainedin the MMN recording (F=227.69,PP>0.05). Children with nonsyndromic cleft palates showed diminished MMN responses compared with the normal controls, whereas ABR and MLR were within the normal range.ConclusionChildren with nonsyndromic cleft palates are at risk of central auditory discrimination dysfunction. The significant abnormal eventrelated potentials recorded in children with cleft palates suggest that the dysfunction of CANS maybe located at the cortical level and normal function of CANS was located at the brain stem and sub-cortical level.

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