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不同预后的全聋型突发性聋患者治疗前失匹配负波的探讨

A Study of Mismatch Negativity in Patients with Total Deafness of Sudden Hearing Loss with Different Prognosis

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目的 探讨不同预后单侧全聋型突发性聋(简称突聋)患者失匹配负波(mismatch negativity,MMN)的特点,评估MMN与其预后的关系.方法 对51例单侧全聋型突发性聋患者在治疗前进行纯音测听(PTA)以及MMN检查,治疗10 d后再复查PTA,根据预后分为无效组、有效组,观察两组间MMN潜伏期及波幅的特点,并比较其与正常对照组(26例)的差异.结果 51例突聋患者和26例正常组均引出MMN波形,其中有效组(29例)、无效组(22例)MMN潜伏期均较正常组明显缩短,均有统计学差异(P<0.05),但无效组与有效组间MMN潜伏期无明显统计学差异(P>0.05);三组间波幅均无统计学差异(P>0.05).结论 突聋患者MMN潜伏期明显缩短,无效组、有效组间MMN潜伏期、波幅没有差异.
Objective To investigate the characteristics of mismatch negativity(MMN)in patients with total deafness of sudden hearing loss with different prognosis,and to assess whether MMN is associated with the progno-sis of sudden hearing loss patients.Methods Fifty-one cases of sudden hearing loss with unilateral total deafness were selected for pure tone audiometry(PTA)and auditory MMN examination before treatment,and 26 subjects with mornal hearing were included as the normal group.After routine treatment for 10 days according to the guide-lines for sudden hearing loss,PT A examination was performed to determine their recovery status,and they were di-vided into ineffective group and effective group according to prognosis.The characteristics of MMN latency and am-plitude in the effective group and the ineffective group were observed and compared with the normal control group.Results The MMN waveform was elicited normally in 51 patients with sudden hearing loss and 26 cases in the nor-mal group,of which 29 were in effective group and 22 were in ineffective group.There were significant statistical differences in MMN latency between the patients group and the normal group(P<0.05).Anova showed no signifi-cant difference in MMN latency between the invalid group and the effective group(P>0.05),and there was no sig-nificant difference in amplitude among the three groups(P>0.05).Conclusion The MMN latency of sudden hear-ing loss patients was signifanty shortened.There were no differences in MMN latency and amplitude between the in-effective group and the effective group.

Sudden hearing lossMismatch negativityAuditory cortex

朱斌、陈晨、张柳燕、关兵、徐丽

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苏北人民医院耳鼻咽喉头颈外科(扬州 225001)

突发性聋 失匹配负波 听觉皮层

苏北人民医院科研基金资助项目

yzucms202026

2024

听力学及言语疾病杂志
武汉大学人民医院

听力学及言语疾病杂志

CSTPCD北大核心
影响因子:1.16
ISSN:1006-7299
年,卷(期):2024.32(5)
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