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目的 探讨不同程度的噪声性听力损失(NIHL)豚鼠耳蜗毛细胞Caspase-3表达水平与永久性听阈位移(PTS)水平的关系,分析毛细胞的噪声损伤机制.方法 SPF级雄性豚鼠60只随机分为对照组和85、95、105、115 dB SPL暴露组.暴露组分别给予上述强度的高斯白噪声,每天6 h,连续28 d.暴露前1 d和暴露结束后第7天进行听性脑干反应(ABR)测量,以及耳蜗病理学检查.免疫组化法分析耳蜗毛细胞的Caspase-3表达水平.结果 各组间豚鼠平均PTS水平变化均有统计学意义(F=327.04,P<0.01),在噪声暴露强的组PTS水平增加明显.各组豚鼠毛细胞的Caspase-3吸光度(A)值差异有统计学意义(F=37.9,P<0.01),115 dB噪声暴露组明显高于其他暴露组(P0.05),但明显高于对照组(P<0.01).病理学观察发现,各噪声暴露组均出现毛细胞的损伤,大于105 dB暴露组出现毛细胞坏死现象.结论 NIHL可诱发耳蜗毛细胞的凋亡和坏死,坏死的发生早于凋亡的发生.“,”Objective To explore the relationship between the expression level of Caspase-3 in cochlea hair cells of guinea pig with different levels of noise hearing loss (NIHL)and the level of Permanent displacement of auditory threshold(PTS),and to analyze mechanisms of noise damage in hair cells.Methods 60 SPF male guinea pigs were randomly divided into control group and 4 exposed groups including 85,95, 105,115 dB SPL.Four exposed groups were exposed to Gaussian white noise for 6 h a day in 28 d.The auditory brainstem response were measured at one day before exposure and 7 days after exposure.Cochlear pathology examination and immunohistochemistry were used to analyze the expression of caspase-3 in hair cells.Results There was significant difference among the groups (F=327.04,P<0.01),increased level of PTS were observed in exposed group with higher intensity noise. The expression of Caspase-3 in guinea pig hair cells had significant difference in the groups(F=37.9,P<0.01).exposed group with 115 dB SPL had the highest level of Caspase-3(P0.05), but they were higher than the control one's.The pathological observation found hair cells damage in the exposed groups,necrosis of hair cells were found in the exposed groups with 105 and 115 dB SPL.Conclusions NIHL can induce the apoptosis and necrosis,and necrosis occurred earlier than the occurrence of apoptosis.