钙通道阻滞药与噪声对豚鼠耳蜗功能的交互作用

Interaction of Calcium Channel Blocker and Noise on the Cochlear Functions in Guinea Pigs

刘军;于宁;张永强;李兴启;

1:解放军总医院耳鼻咽喉-头颈外科解放军总医院耳鼻咽喉科研究所

2:解放军总医院耳鼻咽喉-头颈外科解放军总医院耳鼻咽喉科研究所

3:吉林省延边眼耳鼻喉科医院耳鼻喉科

4:解放军总医院耳鼻咽喉-头颈外科解放军总医院耳鼻咽喉科研究所 北京100853

摘要
目的观察钙通道阻滞药尼福地平和噪声暴露对耳蜗听神经复合动作电位(compounda ction poten-tial,CAP)阈值的影响,分析两种实验因素对耳蜗功能的交互作用。方法采用析因设计,根据耳蜗灌流尼福地平的浓度和是否暴露噪声,将80只豚鼠随机分为八组,每组10只:①人工外淋巴液组;②人工外淋巴液+0.15μmol/L尼福地平组;③人工外淋巴液+0.5μmol/L尼福地平组;④人工外淋巴液+3μmol/L尼福地平组;⑤人工外淋巴液+噪声暴露组;⑥人工外淋巴液+0.15μmol/L尼福地平+噪声暴露组;⑦人工外淋巴液+0.5μmol/L尼福地平+噪声暴露组;⑧人工外淋巴液+3μmol/L尼福地平+噪声暴露组。各组在灌流前和灌流120分钟后在圆窗记录CAP阈值。分析各组CAP阈值的变化及两种实验因素对耳蜗功能CAP阈值的交互作用。结果第1~4组灌流不同浓度尼福地平后CAP阈值升高,CAP阈移分别是2.5、5.5、28和21.5dB;第5~8组灌流不同浓度尼福地平并暴露噪声后CAP阈移分别是43.5、46.5、20和21.5dB。统计学分析发现两种实验因素对耳蜗功能有抑制作用,并存在交互作用。结论在本实验条件下钙通道阻滞药和噪声对耳蜗功能均有抑制作用,且两者的抑制作用不是相互叠加而是交互作用,其交互作用与钙通道阻滞药的浓度有关。
关键词
钙通道阻滞药;噪声;耳蜗;动作电位
基金项目(Foundation):
国家自然科学基金资助项目(编号39870797)
作者
刘军;于宁;张永强;李兴启;
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