首页|期刊导航|中华耳科学杂志|爆震对小型猪皮质听觉诱发电位P1-N1-P2波形特征影响的分析

爆震对小型猪皮质听觉诱发电位P1-N1-P2波形特征影响的分析OA

Effects of blast exposure on waveform characteristics of cortical auditory evoked potentials P1-N1-P2 in miniature pigs

中文摘要英文摘要

目的 探讨爆震后小型猪皮质听觉诱发电位(cortical auditory evoked potential,CAEP)中P1-N1-P2波的时程变化特征.方法 选取14只听力正常小型猪,随机分为爆震组10只,对照组4只.爆震组建立爆震性聋模型,对照组不施加爆震暴露,两组于爆震前及爆震后1、2、4、8周检测听性脑干反应(auditory brainstem response,ABR)阈值和P1-N1-P2波潜伏期与振幅.结果 爆震组8只造模成功,对照组4只均完成全程检测,两组爆震前ABR阈值及P1-N1-P2波参数比较,差异均无统计学意义(P>0.05).爆震组爆震后即刻ABR阈值升高≥40 dB SPL,至爆震后第8周仍显著高于爆震前及同期对照组(P<0.05);对照组各时间点ABR阈值比较,差异均无统计学意义(P>0.05).爆震组爆震后即刻P1-N1-P2波未引出,爆震后第1周引出率100%,且潜伏期呈进行性延长、振幅减小;对照组各时间点P1-N1-P2波参数比较,差异均无统计学意义(P>0.05),组间×时间交互效应显著(P<0.05).结论 爆震可引起小型猪CAEP中P1-N1-P2波持续性异常改变,尽管部分听觉功能可在爆震后有所恢复,但中枢听觉系统的功能损害在观察期内持续存在且未出现恢复趋势.

Objective To report time-course changes of cortical auditory evoked potentials(CAEPs)P1-N1-P2 in miniature pigs after blast exposure.Methods Fourteen miniature pigs with normal hearing were randomly assigned to receive blast exposure(n=10)or serve as controls(no blast exposure,n=4).Auditory brainstem response(ABR)thresholds,as well as the latency and amplitude of CAEP P1-N1-P2,were recorded at baseline(before blast exposure)and 1,2,4,and 8 weeks after blast exposure,followed by statistical analysis.Results Hearing loss was induced in 8 pigs in the exposure group.There was no significant difference in baseline ABR thresholds and P1-N1-P2 parameters between the two groups(P>0.05).In the exposure group,ABR thresholds increased by≥40 dB SPL immediately after blast exposure,and remained significantly higher than baseline and the control group by the 8th week(P<0.05)despite partial recovery and a trend to stabilize.There was no significant change in ABR threshold at all times in the control group(P>0.05).CAEP P1-N1-P2 were not detectable immediately after blast exposure,but detectable in all animals 1 week after blast exposure,although with progressive prolongation of latency and decrease in amplitude.CAEP P1-N1-P2 parameters remained unchanged in the control group(P>0.05),significantly different from the exposure group at all time points(P<0.05).Conclusions Blast exposure can cause persistent changes CAEP P1-N1-P2 abnormality in miniature pigs.Despite signs of partial recovery,central auditory system dysfunction persists during the observation period with diminishing trend of continued recovery.

钟旻璇;杨崇灵;唐菲;郭维维;杨仕明;吕萍;刘军

川北医学院附属医院耳鼻咽喉头颈外科,南充 637000川北医学院附属医院耳鼻咽喉头颈外科,南充 637000川北医学院附属医院耳鼻咽喉头颈外科,南充 637000解放军总医院第六医学中心耳鼻咽喉头颈外科医学部 听觉与平衡觉全国重点实验室 耳鼻喉疾病国家临床医学研究中心 聋病教育部重点实验室,北京 100048解放军总医院第六医学中心耳鼻咽喉头颈外科医学部 听觉与平衡觉全国重点实验室 耳鼻喉疾病国家临床医学研究中心 聋病教育部重点实验室,北京 100048川北医学院附属医院耳鼻咽喉头颈外科,南充 637000解放军总医院第七医学中心耳鼻咽喉头颈外科,北京 100700

小型猪噪声性聋爆震性聋皮质听觉诱发电位听皮质功能

miniature pigsnoise-induced hearing lossblast-induced hearing losscortical auditory evoked potentialauditory cortexfunction

《中华耳科学杂志》 2026 (9)

894-900,7

国家自然科学基金项目(82371148)解放军总医院临床科研扶持基金课题(2012FC-TSYS-4017)解放军总医院科技创新基金项目(06ZY13)北京市科技计划首都市民健康项目培育基金(Z131100004013019)四川省重点研发计划(2023YFG0282)

10.3969/j.issn.1672-2922.2026.09.011

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