Correlation between Mandarin acceptable noise level and cortical auditory evoked potential in young normal-hearing listeners
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摘要: 目的 研究普通话可接受噪声级(M-ANL)与皮层听觉诱发电位(CAEP)的相关性，探讨导致M-ANL值个体化差异的可能机制。方法 选取30例22~33岁听力正常青年人作为研究对象，分别进行M-ANL测试和CAEP测试，记录每位受试者的最舒适阈(MCL)值、最大背景噪声级(BNL)值、M-ANL值及CAEP中P1、N1、P2、N2、P300各波的潜伏期及P1-N1、P2-N2、P300的幅值。采用SPSS 25.0软件进行统计分析，探讨MCL值、BNL值及M-ANL值与CAEP各波潜伏期及P1-N1、P2-N2、P300幅值之间的相关性。结果 ① MCL值和M-ANL值与CAEP的P2潜伏期均呈正相关，相关系数分别为0.404和0.400，差异均有统计学意义(P < 0.05)；与CAEP的P1、N1、N2、P300潜伏期均无相关性(P>0.05)。② MCL、BNL及M-ANL值与CAEP的P1-N1、P2-N2及P300幅值均无相关性(P>0.05)。结论 听力正常青年人M-ANL与CAEP存在一定的相关性，提示中枢听觉皮层在听力正常个体背景噪声耐受能力方面可能发挥一定的调节作用。背景噪声接受能力更强的个体或许存在更强的中枢传出机制和/或更不活跃的中枢传入机制。Abstract: Objective To investigate the correlation between Mandarin acceptable noise level (M-ANL) and cortical auditory evoked potential (CAEP), and to explore the possible mechanism leading to individual differences in M-ANL values.Methods Thirty listeners aged 22-33 years with normal hearing were selected as the study subjects, and the M-ANL test and CAEP test were performed respectively. The most comfortable level (MCL), maximum background noise level (BNL), M-ANL and CAEP values of each subject were recorded. The latency of each wave of P1, N1, P2, N2, P300 and the amplitude of P1-N1, P2-N2, P300 in CAEP were recorded for each subject. SPSS 25.0 was used for statistical analysis to explore the correlation between the MCL value, BNL value and M-ANL values and the latency of P1, N1, P2, N2, P300 and P1-N1, P2-N2, P300 amplitudes of CAEP.Results ① The MCL value and M-ANL value were positively correlated with the P2 latency of CAEP, and the correlation coefficients were 0.404 and 0.400, respectively, and the differences were statistically significant (P < 0.05). There was no correlation with P1, N1, N2, and P300 latencies of CAEP (P>0.05). ②The MCL value, BNL value and M-ANL value had no significant difference with the CAEP wave amplitudes of P1-N1, P2-N2, and P300 (P>0.05).Conclusion There was a certain correlation between M-ANL and CAEP in young adults with normal hearing, suggesting that the central auditory cortex might play a potential regulatory role in the background noise tolerance. Individuals with a greater background noise acceptance might have stronger central efferent mechanisms and/or less active central afferent mechanisms.
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表 1 听力正常青年人MCL值、BNL值及M-ANL值与CAEP各波潜伏期的相关性分析
MCL BNL M-ANL P1 N1 P2 N2 P300 MCL 1.000 BNL 0.853b) 1.000 M-ANL 0.176 -0.300 1.000 P1 0.016 0.080 -0.062 1.000 N1 -0.056 -0.137 0.201 0.635b) 1.000 P2 0.404a) 0.246 0.400a) -0.095 0.228 1.000 N2 -0.007 -0.102 0.312 0.039 0.386a) 0.255 1.000 P300 0.086 -0.059 0.309 0.045 0.290 0.122 0.810b) 1.000 注：a)在0.05级别(双尾)，相关性显著；b)在0.01级别(双尾)，相关性显著。 
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表 2 听力正常青年人MCL值、BNL值及M-ANL值与CAEP各波幅值的相关性分析
MCL BNL M-ANL P1-N1 P2-N2 P300 MCL 1 BNL 0.879b) 1 M-ANL 0.172 -0.315 1 P1-N1 0.226 0.217 0.005 1 P2-N2 0.170 0.235 -0.165 0.370a) 1 P300 -0.283 -0.265 -0.050 -0.099 0.227 1 注：a)在0.05级别(双尾)，相关性显著；b)在0.01级别(双尾)，相关性显著。
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