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中文核心期刊

人鼓膜声顺图的正常值

NORMAL VALUES OF HUMAN TYMPANOGRAMS

  • 摘要: 用国产中耳功能测定仪在171个正常耳描记了300赫的鼓膜声顺图并计算了各种声顺值。耳的声顺最大值在外耳道压力为0时其平均值为1.16毫升,在外耳道与中耳腔压力平衡时平均值为1.29毫升。鼓膜声顺的相对值平均为0.65毫升。96.1%的受试者中耳腔压力在±50毫米水柱以内。文中提出了声顺比CR(=ΔCΔPC200)的概念,以定量地表达声顺图中声顺变化的梯度。在ΔP为±50毫米水柱时,正常耳的声顺比值平均为0.5。

     

    Abstract: Acoustic compliance was measured and calculated on tympanograms taken from 160-171 otologically normal human ears with the Middle-ear-function-measuring Apparatus, the test frequency being 300 Hz. The averaged maxium compliance was found to be 1.16 ml at zero ear-canal pressure (C0), and 1.29 ml at the point where pressure in the ear canal equaled that in the tympanic cavity (C0). The relative compliance of the tympanometry (amplitude of the tympanogram) was 0.65ml in average, but the individual difference is quite large, varying from the smallest 0.25 ml to the largest 1.61 ml. For the majority (96.1%) of the tested ears, pressure in the tympanic cavity, as shown by the, position of the peak of individual tympanograms, did not exceed 50mm H2O.
    A new term of compliance ratio (CR) is introduced as a measurable parameter to express the gradient of compliance change which is of considerable importance in elinieal tympanogram interpretation. CR is defined as ΔCΔP/C200 where ΔC200 is the over-all amplitude of a tympanogram and ΔCΔP is the compliance shift from the peak to a certain point corresponding to a ΔP pressure change. It is proposed to take 50 and 100 mm H2O for ΔP in routine compliance ratio measurement and comparison. CR is approximately 0.5 when P is 50 mm H2O.

     

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