Department of Pediatrics and Cheng-Hsin General Hospital, 45 Cheng-Hsin Street, Beito District, Taipei, Taiwan.
J Formos Med Assoc. 2012 May;111(5):245-52. doi: 10.1016/j.jfma.2011.01.009. Epub 2012 Mar 14.
BACKGROUND/PURPOSE: Event-related potentials (ERPs) reflect higher cortical function and the P3 (P300) wave has been associated with various sensory, cognitive, and attention processes. The aims of this study were to understand the age-related change in ERPs in children between the ages of 6 and 13 years and to establish a normal reference value for Taiwanese children for use in future study of neurocognitive dysfunction in children.
Using an auditory oddball paradigm, ERPs were recorded in 63 mentally and physically normal children ages 6 to 13 years. Parietal, central, and frontal ERP long-latency components (N1, P2, N2, P3) were measured in each test participant.
Linear regression analysis demonstrated a significant linear decrease in P3, P2, N2, and N1 latencies and a significant linear increase in P3, P2, and N1 amplitudes in children between the ages of 6 and 13 years. P3 latency was significantly longer in children ages 6-7 years than in older children. The parietal P3 latency decreases 6.7 msec per year from ages 6 to 13 years. A wide variation in P3 latency in the children ages 6-7 years and a significant increase in P3 amplitude in those ages 12-13 years were observed from our data. A significant increase in P2 amplitude was also observed in children older than 10 years.
The authors conclude that there exists an age-related change in ERP latency and amplitude during childhood. A negative correlation between ERP latencies and age and a positive correlation between ERP amplitude and age were found in this study. The authors emphasize that the auditory ERP value in children is not equal to that of adults. A normative auditory ERP value in children should be established prior to clinical application.
背景/目的:事件相关电位(ERPs)反映了更高的皮质功能,而 P3(P300)波与各种感觉、认知和注意过程有关。本研究的目的是了解 6 至 13 岁儿童 ERP 的年龄相关变化,并为台湾儿童建立正常参考值,以便在未来研究儿童神经认知功能障碍时使用。
使用听觉Oddball 范式,记录了 63 名身心正常的 6 至 13 岁儿童的 ERP。在每个受试儿童中测量了顶区、中区和额区 ERP 长潜伏期成分(N1、P2、N2、P3)。
线性回归分析表明,6 至 13 岁儿童的 P3、P2、N2 和 N1 潜伏期呈显著线性下降,P3、P2 和 N1 振幅呈显著线性增加。6-7 岁儿童的 P3 潜伏期明显长于较大儿童。从 6 岁到 13 岁,顶区 P3 潜伏期每年减少 6.7 毫秒。从我们的数据中可以看出,6-7 岁儿童的 P3 潜伏期变化较大,12-13 岁儿童的 P3 振幅显著增加。10 岁以上儿童的 P2 振幅也显著增加。
作者得出结论,儿童期 ERP 潜伏期和振幅存在年龄相关变化。本研究发现 ERP 潜伏期与年龄呈负相关,ERP 振幅与年龄呈正相关。作者强调,儿童的听觉 ERP 值与成人不同。在临床应用之前,应该建立儿童正常的听觉 ERP 值。