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正常人认知诱发电位可靠性的评估。

The assessment of reliability of cognitive evoked potential in normal person.

作者信息

Hong Ji Seong, Lee Ji Hoon, Yoon Yeo Hoon, Choi Jung Hwa, Shin Jae Eun, Kim Sun Mi, Park Yoon Ghil

机构信息

Department of Rehabilitation Medicine and Rehabilitation, Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Ann Rehabil Med. 2013 Apr;37(2):263-8. doi: 10.5535/arm.2013.37.2.263. Epub 2013 Apr 30.

Abstract

OBJECTIVE

To evaluate intra-tester reliability of P300 more precisely, this study was designed. Event-related potential (ERP) is the result of endogenous brain response following cognitive stimulus. The P300 component of the human ERP is a positive wave with a latency of 300 ms or greater. Our purpose of this study was to estimate reliability of P300 latency and amplitude with 30 normal persons without head injury, as well as to set up them as the reference values in the event that they would be found to be highly reliable.

METHODS

ERP was performed at three separate times on 30 normal adults in their 20s and 30s. We measured P300 latency and amplitude among ERP.

RESULTS

P300 latency show excellent reliability with intraclass correlation coefficient (ICC) of 0.81. As to P300 amplitude, reliability was good to fair with ICC of 0.53. Average value of P300 latency was 311.3±37.0 ms, shorter than reference value of previous study in Korea.

CONCLUSION

P300 latency revealed higher reliability than P300 amplitude, although reliability of P300 was confirmed in both component. After further study including precise mechanism, influence factor on measurement and method standardization, it is expected to be an objective indicator to assess the cognitive state and predict prognosis.

摘要

目的

为了更精确地评估测试者内P300的可靠性,设计了本研究。事件相关电位(ERP)是认知刺激后内源性脑反应的结果。人类ERP的P300成分是一个潜伏期为300毫秒或更长的正波。本研究的目的是评估30名无头部损伤的正常人P300潜伏期和波幅的可靠性,并在发现其可靠性高时将其作为参考值。

方法

对30名20多岁和30多岁的正常成年人进行了三次单独的ERP检查。我们在ERP中测量了P300潜伏期和波幅。

结果

P300潜伏期显示出极好的可靠性,组内相关系数(ICC)为0.81。至于P300波幅,可靠性为中等至良好,ICC为0.53。P300潜伏期的平均值为311.3±37.0毫秒,短于韩国先前研究的参考值。

结论

虽然P300的两个成分的可靠性都得到了证实,但P300潜伏期显示出比P300波幅更高的可靠性。在进一步研究包括精确机制、测量影响因素和方法标准化之后,有望成为评估认知状态和预测预后的客观指标。

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