高胆红素血症新生大鼠脑干听觉诱发电位快慢成分的变化

目的：探讨高胆红素血症新生大鼠脑干听觉诱发电位快成分（FC-BAEP）和慢成分（SC-BAEP）及脑干神经元线粒体超微结构的异常变化。方法：生后7天SD大鼠随机分为对照组（C组,17只）和两个实验组（T1和T2组,各17只）。T1和T2组大鼠生后7天和10天腹腔注射2g/L胆红素溶液,第二次腹腔注射6h后随机抽出7只断头取血用微量胆红素仪检测血清胆红素,其余大鼠生后17天和20天用诱发电位仪检测FC-BAEP和SC-BAEP,生后20天灌注固定、取耳蜗核进行透射电镜观察。结果：T1和T2组大鼠于生后10天腹腔注射6h后,血清胆红素浓度明显升高;T1和T2组大鼠生后17天三种刺激重复率（10/s,40/s,80/s）引导的FC-BAEP,除Ⅱ-Ⅳ波峰间潜伏期（IPL）外,各波波峰潜伏期（PL）和IPL显著延长,且T2组大鼠各波PL较T1组显著延长;T1和T2组大鼠生后20天三种刺激重复率引导的FC-BAEP,除刺激重复率10/s和40/s引导的Ⅱ-ⅣIPL外,各波PL和IPL显著延长;T1和T2组大鼠生后17天与20天刺激重复率10/s引导的SC-BAEP的PL显著延长,且T2组大鼠生后17天SC-BAEP的PL较T1组显著延长;T1和T2组大鼠耳蜗核电镜观察可见神经元线粒体肿胀变形、膜模糊不清和嵴断裂等。结论：高胆红素血症新生大鼠FC-BAEP和SC-BAEP及脑干神经元线粒体超微结构有显著异常变化,FC-BAEP与SC-BAEP的PL和IPL是早期监测胆红素诱发的听觉和脑损伤的客观灵敏指标。

Changes of fast and slow components of brainstem auditory evoked potentials in the rat pups with hyperbilirubinemia

Objective:To probe the changes of fast component of brainstem auditory evoked potentials (FC-BAEP),slow component of brainstem auditory evoked potentials (SC-BAEP) and the mitochondrial ultrastructures of the neurons in the brainstem in the rat pups with hyperbilirubinemia.Methods:7 days old SD rat pups were randomly divided into control group (C,17 rat pups) and two test groups (T1,17 rat pups and T2,17 rat pups).Bilirubin solutions (2 g/L) were injected into the abdominal cavity of the rat pups in the gro...