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具实时频域分析功能的听觉诱发电位微机处理分析系统
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作者 郭梦和 王锦玲 《中国生物医学工程学报》 CAS CSCD 北大核心 1993年第3期232-234,共3页
自1971年Jewett等首次从头皮记录到听性脑干反应以来。
关键词 微机 听觉 诱发电位 谱估计
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鼻内窥镜手术对泡状中鼻甲的处理方法及疗效的探讨 被引量:8
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作者 宋文光 李永贺 +2 位作者 龙孝斌 郭梦和 黄以乐 《中国内镜杂志》 CSCD 2001年第3期29-30,共2页
目的 :探讨鼻内窥镜手术处理泡状中鼻甲的方法及其同预后的关系。方法 :10例 16侧慢性鼻窦炎鼻息肉伴泡状中鼻甲患者在鼻内窥镜手术时 ,6例双侧病变者单侧行泡状中鼻甲外侧半切除术。对侧行泡状中鼻甲成形术 ,另外 4例单侧泡状中鼻甲者... 目的 :探讨鼻内窥镜手术处理泡状中鼻甲的方法及其同预后的关系。方法 :10例 16侧慢性鼻窦炎鼻息肉伴泡状中鼻甲患者在鼻内窥镜手术时 ,6例双侧病变者单侧行泡状中鼻甲外侧半切除术。对侧行泡状中鼻甲成形术 ,另外 4例单侧泡状中鼻甲者均行中鼻甲成形术。观察两种处理方法术后创面上皮化完成时间及粘连情况。结果 :术后创面上皮化完成时间 :中鼻甲成形处理侧为 6~ 16周 ,平均 12周 ,单纯中鼻甲外侧半切除侧为 16~ 2 8周 ,平均 2 1周 ,两组间上皮化时间差异显著 (P <0 .0 1) ;术腔粘连情况 :中鼻甲成形处理侧无 1例发生粘连 ,未成形侧有 1例发生粘连。结论 :鼻内窥镜手术中泡状中鼻甲行成形处理 ,可以防止术腔粘连 。 展开更多
关键词 鼻内窥镜手术 泡状中鼻甲 成形术 疗效
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实习生临床思维能力的培养 被引量:15
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作者 江刚 郭梦和 文忠 《中国医药导报》 CAS 2006年第21期150-151,共2页
根据医生的临床思维需要,在临床实习教学中,坚持以临床实际问题为中心,注重对学生的启发和引导,加强对学生临床思维能力的培养,取得了较好的效果。
关键词 实习生 临床思维能力 培养方法
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人工耳蜗植入在Mondini畸形患者中的应用 被引量:6
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作者 万良财 郭梦和 +3 位作者 陈浩 刘双秀 陈帅君 龚剑 《中国耳鼻咽喉头颈外科》 北大核心 2010年第8期403-405,共3页
目的探讨Mondini畸形患者人工耳蜗植入术特点及术后言语康复效果。方法回顾性分析2000~2008年于我科确诊的12例Mondini畸形行人工耳蜗植入患者的临床资料,所有患者均经乳突面隐窝进路行人工耳蜗植入术,并将此12例患者植入后听力情况与... 目的探讨Mondini畸形患者人工耳蜗植入术特点及术后言语康复效果。方法回顾性分析2000~2008年于我科确诊的12例Mondini畸形行人工耳蜗植入患者的临床资料,所有患者均经乳突面隐窝进路行人工耳蜗植入术,并将此12例患者植入后听力情况与另12例耳蜗发育正常的人工耳蜗植入者进行比较。结果 12例Mondini畸形患者中10例术中出现井喷,2例术中耳蜗钻孔后见外淋巴液出现不同程度的搏动,但术中电极植入顺利,术后无面瘫及脑脊液漏现象发生,术后听阈与耳蜗结构正常植入患者无明显区别。经过1年以上的言语康复训练,所有患者的听力及言语能力均有不同程度提高。结论人工耳蜗植入可以作为伴有Mondini畸形的双侧极重度感音性聋患者恢复听觉功能的手段。 展开更多
关键词 畸形 耳蜗 耳蜗植入术 康复
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鼓室硬化镫骨固定的手术疗效分析 被引量:6
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作者 万良财 郭梦和 +4 位作者 谢南屏 刘双秀 陈帅君 陈浩 龚剑 《中国耳鼻咽喉头颈外科》 北大核心 2010年第4期198-200,共3页
目的分析不同手术方法治疗鼓室硬化镫骨固定的疗效。方法回顾性分析1992~2004年于我科手术且资料完整的鼓室硬化镫骨固定病例56例(62耳),按Wielinga分型Ⅲ型40耳;Ⅳ型22耳,其中镫骨撼动术15耳(Ⅲ型12耳、Ⅳ型3耳)、全人工听骨赝复物(ta... 目的分析不同手术方法治疗鼓室硬化镫骨固定的疗效。方法回顾性分析1992~2004年于我科手术且资料完整的鼓室硬化镫骨固定病例56例(62耳),按Wielinga分型Ⅲ型40耳;Ⅳ型22耳,其中镫骨撼动术15耳(Ⅲ型12耳、Ⅳ型3耳)、全人工听骨赝复物(tatolossicular replacement prosthesis,TORP)重建听骨链25耳(Ⅲ型16耳、Ⅳ型9耳)、自制Teflon小柱活塞型人工镫骨(Piston)重建听骨链22耳(Ⅲ型14耳、Ⅳ型8耳)。术后随访1~5年,分析患者言语频率(0.5、1、2kHz)平均纯音气导阈值及气骨导差,应用SPSS13.0软件包进行统计分析。结果鼓室硬化Ⅲ型、Ⅳ型患者术前言语频率平均纯音气导阈值及气骨导差差异无统计学意义(P>0.05);镫骨撼动组、TORP组、Piston组术前3组病例平均纯音气导阈值及气骨导差差异无统计学意义(P>0.05);术后1、3、5年3组病例平均纯音气导阈值及气骨导差差异有统计学意义(P<0.01);术后5年Piston组在纯音气导阈值及气骨导差方面疗效优于TORP组,差异有统计学意义(P<0.01)。结论鼓室硬化镫骨固定无论锤、砧骨固定与否,最好去除锤骨头及砧骨,予人工听骨重建听骨链,镫骨足板造孔术是安全的,而且疗效稳定。 展开更多
关键词 耳外科手术 镫骨 听小骨假体 治疗结果
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鼓室硬化患者的临床听力学分析 被引量:1
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作者 舒繁 谢南屏 +2 位作者 郭梦和 万良财 张宏征 《山东医药》 CAS 2013年第19期21-24,共4页
目的探讨鼓室硬化患者临床听力学特点。方法回顾性分析102例(102耳)鼓室硬化病例的临床资料,其中Ⅰ型24耳,Ⅱ型30耳,Ⅲ型23耳,Ⅳ型25耳。分析各型患者术前纯音听阈测定言语频率平均气骨导差(ABG)及各频率(250、500、1 000、2 000 Hz)平... 目的探讨鼓室硬化患者临床听力学特点。方法回顾性分析102例(102耳)鼓室硬化病例的临床资料,其中Ⅰ型24耳,Ⅱ型30耳,Ⅲ型23耳,Ⅳ型25耳。分析各型患者术前纯音听阈测定言语频率平均气骨导差(ABG)及各频率(250、500、1 000、2 000 Hz)平均听阈,比较各型听力学特点。结果鼓室硬化Ⅰ型、Ⅱ型、Ⅲ型、Ⅳ型术前气骨导差分别为(25.97±4.42)、(37.83±6.95)、(39.64±5.43)、(39.2±7.42)dB,其中Ⅰ型与其他三型气骨导差比较,P均<0.05;各型气导曲线大致呈平坦型,Ⅱ型、Ⅲ型和Ⅳ型骨导曲线部分频率下降。所有病例中,74例为传导性耳聋,28例为混合性耳聋,39例听力图出现类似Carchart切迹改变,除Ⅰ型之外的几乎所有病例ABG>30 dB。结论鼓室硬化患者多呈传导性耳聋,ABG>30 dB可预示着听骨链病变;鼓室硬化Ⅱ型、Ⅲ型、Ⅳ型的听力下降程度与硬化灶的范围和程度无明显关系。 展开更多
关键词 鼓室硬化 纯音听阈 听骨链 气骨导差
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食管癌切除颈部吻合并发症临床分析(附563例报告)
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作者 刘勇 张雷 +9 位作者 高怀仁 李玉臣 郭梦和 严承常 郭钦佩 黄永珍 史桂珍 张富伟 张承厚 孙忠泉 《山东医药》 CAS 北大核心 1995年第2期25-26,共2页
颈段、胸上段、胸中段食管癌切除行颈部食管胃吻合易发生吻合口瘘等并发症。1986~1993年我们施行上述手术563例,现报告如下。1 临床资料 本组男422例,女141例;癌肿位于颈段4例,胸上段48例,胸中段508例,复合癌3例。其中经右胸后外侧、腹。
关键词 食管肿瘤 切除术 颈部食管胃 吻合 吻合瘘
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智能型聋哑人语言训练机的研制
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作者 李志纯 王锦玲 +2 位作者 郭梦和 张泾周 雷勇 《中国医疗器械杂志》 CAS 1995年第2期72-75,84,共5页
智能型聋哑人语言训练机采用61系列单片机对语音处理器SR360进行控制,通过对一组短语的录音、随机放音、语音图对比、正误判断以及得分提示等功能实现一种新的语言训练方法。
关键词 聋哑人 语言训练机 单片机 语音处理器
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异位甲状腺肿瘤——2例报告附文献复习 被引量:1
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作者 徐宏胜 郭梦和 《耳鼻咽喉(头颈外科)》 2001年第6期364-365,共2页
关键词 异位甲状腺肿瘤 CT 诊断 治疗
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颈侧切开清除食管异物致椎前间隙巨大脓肿
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作者 王萍 江刚 郭梦和 《耳鼻咽喉(头颈外科)》 2001年第3期163-164,共2页
关键词 颈侧切开清除术 食管异物 椎前间隙巨大脓肿
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布—加氏征32例手术方式及疗效的评价 被引量:1
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作者 成骏如 孙金星 +3 位作者 任斯庚 许阿武 郭梦和 雷新生 《山东医药》 CAS 北大核心 1989年第10期25-26,共2页
我院自1984年2月~1988年5月收治布—加氏征32例,均行手术治疗。布—加氏征包括3种基本病理类型:①Ⅰ型:单纯肝静脉阻塞;②Ⅱ型:单纯肝段下腔静脉阻塞;③Ⅲ型:混合型。我们针对其不同病理类型,采用了四类术式。现对术式的选择、近期效... 我院自1984年2月~1988年5月收治布—加氏征32例,均行手术治疗。布—加氏征包括3种基本病理类型:①Ⅰ型:单纯肝静脉阻塞;②Ⅱ型:单纯肝段下腔静脉阻塞;③Ⅲ型:混合型。我们针对其不同病理类型,采用了四类术式。现对术式的选择、近期效果及其评价总结如下。 展开更多
关键词 布-加氏征 手术治疗 疗效
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核素显像对肺部疾患的诊断价值
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作者 孙金星 郭梦和 +3 位作者 陈登华 高东来 李广文 彭勇 《山东医药》 CAS 北大核心 1993年第11期12-13,共2页
用单光子发射计算机体层扫描术、核素^(99m)TC-GH检查肺部疾患64例,并与胸片、气管镜、CT检查进行对比。结果提示,肺部恶性病灶浓聚^(99m)TC-GH量与肿瘤分化程度呈反比,即肿瘤细胞分化越低,核素浓聚像越强,据此可拟订治疗方案。认为该... 用单光子发射计算机体层扫描术、核素^(99m)TC-GH检查肺部疾患64例,并与胸片、气管镜、CT检查进行对比。结果提示,肺部恶性病灶浓聚^(99m)TC-GH量与肿瘤分化程度呈反比,即肿瘤细胞分化越低,核素浓聚像越强,据此可拟订治疗方案。认为该项检查是安全、简便的无创性方法,可弥补X线胸片、气管镜、CT检查之不足,以减少漏、误诊。 展开更多
关键词 肺肿瘤 放射性核素 诊断
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心脏术后早期感染的诊断和治疗
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作者 孙金星 郭梦和 《山东医药》 CAS 北大核心 1992年第2期42-43,共2页
体外循环下心内直视手术的感染发生率各家报道不一,最低为0.8%~1.5%,高者达8%~11%。常见的严重感染有以下几种: 一、呼吸道感染患者术前有上呼吸道感染而未彻底控制,术后因机体免疫功能减低而致感染进一步发展;
关键词 心脏手术 感染 诊断
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The Auditory Brainstem and Middle Latency Responses in Healthy Mice
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作者 郭梦和 林顺涨 +1 位作者 王锦玲 朱德生 《Journal of Medical Colleges of PLA(China)》 CAS 1990年第3期278-281,共4页
The auditory brainstern responses(ABR)and middle latency responses(MLR)were recorded in 24 normal mice with a 7S11A processor,and the normalparameters of ABR and MLR obtained.The results showed that the ABR of mice we... The auditory brainstern responses(ABR)and middle latency responses(MLR)were recorded in 24 normal mice with a 7S11A processor,and the normalparameters of ABR and MLR obtained.The results showed that the ABR of mice werecomposed of 6 waves,waves Ⅰ to Ⅵ.The mean threshold was 35.12±8.03 dB ,whichwas significantly different from the 22.63 dB of ABR found in guinea pigs.Thelatency of ABR waves Ⅰ to Ⅵizn the mice was found to be 1.30±8.03 ms ;2.02±0.24ms ;2.90±0.27 ms ;3.80±0.24 ms ;4.87±0.42 ms and 5.83±0.40 ms respectively.Nosex or strain differences were found.The MLR waveform of the mice were similar tothose of human and the latency was found to be P0 3.94±1.76 ms;P8.38±1.57ms;Na 14.98±2.54 ms;Pa 24.56±3.15 ms rcspectively.It is suggested that mice can beused for hearing research.Since the Na and Pa waves of MLR were unstable under anes-thesia,testing conditions for determining MLR in mice need further study. 展开更多
关键词 MICE AUDITORY BRAINSTEM RESPONSE (ABR) middle latency RESPONSE (MLR)
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Analysis of Time and Frequency Domain of Auditory Brainstem Response in Normal Guinea Pigs
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作者 郭梦和 王锦玲 吴进根 《Journal of Medical Colleges of PLA(China)》 CAS 1990年第2期146-150,共5页
The auditory brainstem response (ABR) was measured for 90 cars of norml gui-nea pigs,from which the mean latency,amplitude and recognition of waves were obtain-ded.The waves were classified into six types,with wave Ⅲ... The auditory brainstem response (ABR) was measured for 90 cars of norml gui-nea pigs,from which the mean latency,amplitude and recognition of waves were obtain-ded.The waves were classified into six types,with wave Ⅲ as the main wave which ac-counted for 77.1% of all the waves.The frequency domain of each type was analysed bymeans of digital filtering and auto-regressive (AR)estimation.The main frequency com-position of ABR in the guinea pigs was restricted within 1600 Hz,in which there werethree peaks at AR spectrum,the mean value of the peaks being 107.33 Hz,566.67 Hzand 1076 Hz respectively.The AR spectrograms of all types waves were very similar toeach other. 展开更多
关键词 AUDITORY brainstern response time DOMAIN frequency DOMAIN GUINEA PIG
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Investigation on residual hearing of 229 deaf-mute children and their audio-speech recovery
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作者 郭梦和 王锦玲 +5 位作者 李志纯 邱建华 毛蔚英 刘顺利 乔莉 邓瑶珠 《Journal of Medical Colleges of PLA(China)》 CAS 1992年第2期197-199,共3页
An mvestigation and analysis of 229 deal-mute children revealed that 54.2% of ac-quired deafness were mused by ototoxic aminoglycoside drugs.There is an upward trend of the oc-cunence of the disease in the recent yea... An mvestigation and analysis of 229 deal-mute children revealed that 54.2% of ac-quired deafness were mused by ototoxic aminoglycoside drugs.There is an upward trend of the oc-cunence of the disease in the recent years and more attention should be paid to it.The result ofpure tone audiometry showed that more than 90.4% of deaf-mute children had some residualhearing.Twenty-six deal-mute children whose average hearing thresholds of speech frequency werebetter them 90dB(HL)had serviceable speech for daily use 3 after 3 to 18 months’ speech Warn-ing,and 4 of them were transferred to ordinary primary schools.The authors are of the opinionthat the deaf-mute children should use heating-aids as early as possible so as to promote theirspeech. 展开更多
关键词 DEAFNESS MUTISM RESIDUAL HEARING audo-speech RECOVER human
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Enhancement of vibration velocity of basilar membrane elicited with electric stimuli by nitric oxide synthase blockade
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作者 郭梦和 黄以乐 任田英 《Journal of Medical Colleges of PLA(China)》 CAS 1999年第2期127-131,共5页
Objectics: To demonstrate the effects of NO synthase (NOS ) blockade on the OHCs. Methods: The Nnitro L-arginine (L-NNA) was used and the vibration velocity of basilar membrane (BMV ) was observed. Pigmented guinea pi... Objectics: To demonstrate the effects of NO synthase (NOS ) blockade on the OHCs. Methods: The Nnitro L-arginine (L-NNA) was used and the vibration velocity of basilar membrane (BMV ) was observed. Pigmented guinea pigs were anesthetized and surgically prepared to permit infusion of L- NNA into the scala tympani of basal turn of cochlea . The basilar membrane (BM ) vibration and compound action potential (cAP ), endocochlear potential (EP ) and cochlear mierophonic (CM ) were monitored. Eight μ1 of 1. 6 mmol/L- L- NNA was infused into the perilymph of scala tympani . The BM velocity responses elicited with direct current (DC ) pulses were recorded. Results: The BMV was increased by approximately 3 folds following infusion of L-NNA. The CM de creased by a small amount and there was no significant change in CP. This phenomenon occurs only in the cochlearsensitivity has been lost less than 40 dB . No improvement in BM velocity if the cochlear sensitivity was ’normal’ or was damaged too severely. Conclusion: The results imply that NO bas the excitotoxicity on OHCs, it can promote the injury of cochlea when noise is exposed. L-NNA may act as a guardian when facts of trauma act on cochlea. 展开更多
关键词 BASILAR membrane velocity : ELECTRIC STIMULATION NITRIC oxide
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Direct current pulse elicits basilar membrane vibration in guinea pigs
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作者 郭梦和 任田英 Alfred L Nuttall 《Journal of Medical Colleges of PLA(China)》 CAS 2000年第3期231-235,共5页
Objective:To study the electromotility of the basilar membrane (BM) of guinea pigs in vivo. Methods :A pair of platinum-iridium wire electrodes were deposited into the holes drilled into the scala vestibuli and scala ... Objective:To study the electromotility of the basilar membrane (BM) of guinea pigs in vivo. Methods :A pair of platinum-iridium wire electrodes were deposited into the holes drilled into the scala vestibuli and scala tympani on the basal turn of cochlea. The organ of Corti was stimulated with rectangular, constant current pulses . The displacement and velocity of BM were measured with laser doppler velocimeter. Results: The electrically elicited displacement of BM moved toward the scala where the electrode was positively charged. The waveform of BM displacement generally corresponded to the shape of the rectangular pulse of electric current. Ringing responses could be seen at the onset and offset of current pulse reflecting transient responses of the organ of Corti. In the cochlea of hearing-impaired or dead animal, direct current (DC) could still elicit a BM displacement but the ringing response was attenuated or disappeared. This phenomenon was probably due to metabolic disturbance in the damaged outer hair cells. In the sensitive cochlea, the BM vibration induced with direct current was similar to that induced by acoustic stimulation, and the BM moves in a traveling wave pattern. Conclusion: The findings of this experiment implicated that the DC stimulation of the cochlea conduces the contraction or elongation of OHCs. The electromotility of OHCs provides sufficient force to displace the BM. In the electrically stimulated normal cochlea,transient response of OHCs can induce resonant vibration at the same frequency as that Of the characteristic frequency (CF) of a partition in the BM. The vibration should be an active process of energy depletion associated with the cochlear amplifier.The vibration of BM can propagate to other partition of BM according to the traveling wave theory. This characteristic has laid the foundation for the electromotile hearing and electrically evoked otoacoustic emission. 展开更多
关键词 COCHLEA VIBRATION BASILAR MEMBRANE ELECTROMOTILITY
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Clinical application of facial electroneurography:analysis in 226 cases
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作者 郭梦和 王锦玲 李志纯 《Journal of Medical Colleges of PLA(China)》 CAS 1994年第3期216-218,223,共4页
Facial electroneurographies(ENoG) of 46 normal persons and 180 patients with facial nerve diseases were analyzed. Normal persons showed a peak amplitude of ENoG of 1.65±0.63 mV,a peak latency of 5. 12±0.58 m... Facial electroneurographies(ENoG) of 46 normal persons and 180 patients with facial nerve diseases were analyzed. Normal persons showed a peak amplitude of ENoG of 1.65±0.63 mV,a peak latency of 5. 12±0.58 ms and a bilateral amplitude ratio of 0.80±0.11.In 134 cases of peripheral facial paralysis,however,the amplitude ratio was less than 0.1 in 29.1% and less than 0. 3 in 73.13%.In 46 cases of facial hemispasm,the amplitude ratio was less than 0.7 in 71.73%.among them 45.65% showed an amplitude ratio of 0.1 to 0.3,indicating that in some cases facial hemispasm might have originated from light or masked facial paralysis. The results showed that ENoG was quite effective in the quantitative analysis of, prescribing treatment to and determining prognosis of paralysis of facial nerve in its early stage. 展开更多
关键词 FACIAL NERVE ELECTRONEUROGRAPHY action POTENTIALS
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Investigation on gunner's hearing organ damage:ear drum inspection and acoustic impedance measurement
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作者 黄维国 王尔贵 +4 位作者 李志纯 毛尉英 刘顺利 郭梦和 王锦玲 《Journal of Medical Colleges of PLA(China)》 CAS 1991年第4期370-373,共4页
The ear drums of 279 long-range gunners and 156 short-range gunners who hadparticipated in a battle for 4 months were inspected and 442 ears were subjected to acousticimpedance measurement.The results showed that retr... The ear drums of 279 long-range gunners and 156 short-range gunners who hadparticipated in a battle for 4 months were inspected and 442 ears were subjected to acousticimpedance measurement.The results showed that retraction was the main change of the ear drums,then,opacity and atrophy.The average static compliance was 1.06,tympanograms were 75.6% oftype A and 21.1% of AD.No obvious difference in acoustic reflex threshold at different frequencieswas found between the 2 sorts of gunners.But the short-range cannon gunners suffered a more seri-ous high frequency hearing loss. 展开更多
关键词 acoustic impedance tests tympanic membrane BLAST INJURIES static compliance HEARING loss NOISE-INDUCED
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