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声刺激与镫骨肌声发射比较。

Comparison of tone burst versus logon stimulation for vestibular evoked myogenic potentials.

机构信息

Department of Otolaryngology, Head and Neck Surgery, Ministry of Health Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2012 May;269(5):1425-9. doi: 10.1007/s00405-011-1783-8. Epub 2011 Oct 5.

Abstract

The following study has been carried out to compare the effectiveness of logon and tone burst acoustic stimulation to elicit vestibular evoked myogenic potential (VEMP) responses. The methods and the subjects include 31 healthy adult volunteers (62 ears) who were enrolled in this study. Two different acoustic stimuli, logon (L-VEMP) and tone burst (T-VEMP), were used to elicit VEMP responses in each subject. Bilateral recordings with simultaneous binaural acoustic stimulations were used during VEMP recordings. During the recording period, the subjects were in supine position with their head elevated. The results observed were that the response rate of p1n1 wave was 91.9% for L-VEMP and 88.7% for T-VEMP. The response rate of n2p2 wave was 80.6% for L-VEMP, and 75.8% for T-VEMP. There were no significant differences between the two groups with respect to the latencies of p1, n1, n2 and p2, p1n1 and n2p2 interval, and p1n1 and n2p2 amplitude. The conclusion was that there was no difference between logon and tone burst stimulation with respect to VEMP response rates and VEMP parameters. Therefore, they are not superior to each other.

摘要

本研究旨在比较声导抗测试和纯音测试对诱发前庭诱发肌源性电位(VEMP)反应的效果。方法和对象包括 31 名健康成年志愿者(62 耳)。在每个受试者中使用两种不同的声学刺激,声导抗测试(L-VEMP)和纯音测试(T-VEMP)来诱发 VEMP 反应。在 VEMP 记录期间,使用双侧记录和双耳同时声学刺激。记录期间,受试者取仰卧位,头部抬高。观察到的结果是,p1n1 波的反应率为 L-VEMP 的 91.9%,T-VEMP 的 88.7%。L-VEMP 的 n2p2 波反应率为 80.6%,T-VEMP 的为 75.8%。两组间 p1、n1、n2 和 p2 的潜伏期、p1n1 和 n2p2 间隔以及 p1n1 和 n2p2 幅度无显著差异。结论是,声导抗测试和纯音测试在 VEMP 反应率和 VEMP 参数方面没有差异。因此,它们没有优劣之分。

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