查詢結果分析
來源資料
相關文獻
- Child Transitional Object Attachment: Nature, Development, and Related Factors
- Development of auditory brainstem evoked trsponses in normal Chinese children
- 散布性交易訊息刑罰化合憲否
- 兒童知覺動作發展
- 聯合國與盧安達人權:滅絕種族及其他罪行之懲治
- 學齡前兒童之聽力篩檢
- Effects of Acute Brainstem Compression on Auditory Brainstem Response in the Guinea Pig
- Strokes in Children: A Medical Center-Based Study
- 兒童癲癇重積狀態
- The Effectiveness of Dietary Instruction in Obese School Children of Southern Taiwan
頁籤選單縮合
題 名 | Development of auditory brainstem evoked trsponses in normal Chinese children=正常中國兒童聽性腦幹反應之發展 |
---|---|
作 者 | 洪焜隆; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 30:1 民78.01-02 |
頁 次 | 頁23-29 |
分類號 | 417.5 |
關鍵詞 | 兒童; 聽性腦幹反應; |
語 文 | 英文(English) |
中文摘要 | 近年來,聽性腦幹反應(auditory brainstem response簡稱ABR)已廣泛應用於臨床醫學的診斷。由於具有客觀性及穩定性,兒童方面研究也愈來愈多。本文試就正常中國孩童提出報告,並研究出生後服幹反應之發展,以了解其成熟過程。著者選取正常新生兒30位,幼兒55位及較大孩童59位,依其年齡分成新生兒、6週、3個月、1歲、2歲、3至5歲、5至10歲及10至15歲等組別。於安靜或睡覺時施予聽覺誘發反應之檢查。其方法是以每秒10次的連續得得聲(click),做單耳之聽覺刺激,總共刺激2000次。同時記錄顱頂與同側耳垂之電位差以電腦加以平均,記取10毫秒內之反應,如此完成一次試驗。使用聲音強度均爲60dBHL。由此可得六個正極波的圖形,分別將其標示爲第一波至第六波(Ⅰ-Ⅵ)。每一波峯(peak)出現的時間作爲該波的潛值(peak latency),並可計算波峯間隔時距(interpeak latency)。 第一波的潛值常用以表示週圍神經傳導(peripheral transmission簡稱PT),第一波至第五波之間隔時距,常代表爲中樞腦幹傳導(central transmission簡稱CT)。依據不同年齡組別的波形演變趨勢,可以得到以下幾點結論:(一)新生兒的聽性腦幹反應每一波峯均較緩慢,波峯間隔時距較長,振幅較小,尤以第五波特別明顯。隨著年齡增加,波峯潛值及間隔時距均漸縮短,第五波的振幅也越來越大。(二)87%的新生兒在第二波之後出現一負極波,隨著年齡則漸消失,至6個月時已不易辨認。(三)PT大約在三個月時已接近大人的階段,但CT則在一歲後才近於成人的範圍;顯示週圍神經傳導之發育較早完成。吾人認爲出生後三個月及一歲內是聽性腦幹反應發育的關鍵時期(分別反應週邊及中樞神經傳導)。而第五波則是評量腦幹反應成熟的最重要依據。 |
英文摘要 | The average brainstem evoked potentials elicited by auditory click stimuli were recorded from 144 normal Chinese children including the age groups of newborns, 6 weeks, 3 months, 6 months, 1 year; 2 years, 3 to 5 years, 5 to 10 years and 10 to 15 years. The auditory brainstem responses (ABRs) were analyzed for peak latencies, interpeak latencies and wave configuration in each group. The latencies of the wave components decreased with age. The auditory function related to periphral transmission (PT) and central (brainstem) transmission (CT) was shown to mature at different rates. PT reached the adult pattern around the age of 3 months; whereas CT matched that of adult until or soon after 1 year of age. In addition, the waveforms of ABR display an independent course for development. By 6 months of age, the adult configuration replaces the infantile response. Longitudinal follow-ups on several subjects paralleled the transverse data. It is estimated that the first one year of life is the critical period for the development of auditory function postnatally, both peripheral and central pathways. ABR is a very reliable test to show the maturational changes of auditory and brainstem function. |
本系統中英文摘要資訊取自各篇刊載內容。