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前庭诱发肌源性电位参数的年龄相关差异。

Age-related differences in parameters of vestibular evoked myogenic potentials.

作者信息

Lee Sun Kyu, Cha Chang Il, Jung Tae Suk, Park Dong Choon, Yeo Seung Geun

机构信息

Department of Otolaryngology and Head and Neck Surgery, College of Medicine, KyungHee University, Seoul, Korea.

出版信息

Acta Otolaryngol. 2008 Jan;128(1):66-72. doi: 10.1080/00016480701387108.

Abstract

CONCLUSIONS

The statistically significant correlations between vestibular evoked myogenic potential (VEMP) parameters and age may be due to hair cell loss of the otolith organ and/or to degenerative changes of the vestibular neural pathway. These findings indicate that age should be taken into account when interpreting VEMP results. It is also important to determine a standard method for performing VEMP and a universal index for comparison among laboratories.

OBJECTIVES

VEMP, which measures the surface electric potential from the cervical muscle evoked by sufficiently loud sounds, is a useful tool to evaluate vestibule-colic reflex function. We have assayed the effect of age on VEMP results.

SUBJECTS AND METHODS

After excluding subjects with a previous history of dizziness, middle ear pathology, or other inner ear symptoms, a total of 97 healthy volunteers (194 ears) were included. All VEMP parameters were analyzed to find differences related to side and gender, as well as the relationship between age and each VEMP parameter.

RESULTS

Age was correlated with all VEMP parameters. Latency of p13, n23 showed a negative correlation and amplitude of p13-n23 showed a positive correlation with age. Differences between the right and left sides were not significant.

摘要

结论

前庭诱发肌源性电位(VEMP)参数与年龄之间具有统计学意义的相关性,可能是由于耳石器官的毛细胞丢失和/或前庭神经通路的退行性改变所致。这些发现表明,在解释VEMP结果时应考虑年龄因素。确定执行VEMP的标准方法和实验室间通用的比较指标也很重要。

目的

VEMP通过测量足够响亮声音诱发的颈部肌肉表面电位,是评估前庭-结肠反射功能的有用工具。我们分析了年龄对VEMP结果的影响。

对象与方法

排除有头晕、中耳病变或其他内耳症状病史的受试者后,共纳入97名健康志愿者(194耳)。分析所有VEMP参数,以发现与侧别和性别的差异,以及年龄与每个VEMP参数之间的关系。

结果

年龄与所有VEMP参数相关。p13、n23的潜伏期与年龄呈负相关,p13-n23的波幅与年龄呈正相关。左右两侧差异无统计学意义。

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