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人类听觉脑干诱发电位的三通道李萨如图形轨迹。I. 正常测量值

Three-channel Lissajous' trajectory of human auditory brain-stem evoked potentials. I. Normative measures.

作者信息

Pratt H, Bleich N, Martin W H

出版信息

Electroencephalogr Clin Neurophysiol. 1985 Dec;61(6):530-8. doi: 10.1016/0013-4694(85)90972-1.

DOI:10.1016/0013-4694(85)90972-1
PMID:2415328
Abstract

Three-channel Lissajous' trajectories (3-CLTs) of auditory brainstem evoked potentials (ABEPs) were obtained from 14 humans (28 ears) in response to 75 dB nHL, 10/sec alternating polarity clicks. A normative set of 3-CLT quantitative measures was calculated and compared with amplitudes and latencies of the simultaneously recorded, single-channel, vertex-mastoid ABEP. The comparison included average values as well as intersubject variability. The 3-CLT measures included: apex latencies; planar segment durations, orientation, size and shape; trajectory-amplitude peaks and their latencies. Apex latencies of 3-CLT were comparable to peak latencies of the vertex-mastoid records, both in absolute values and in intersubject variability. Durations of planar segments were approximately 0.7 msec and their standard deviations were about a half of their average. Individual planar segment orientations were typically within 50 degrees of the normative average. Trajectory amplitudes were, in general, somewhat larger than peak amplitudes of the vertex-mastoid records, while their intersubject variabilities were comparable. Size and shape measures of planar segments were variable across subjects, making their clinical use, in their present form, questionable. The quantitative study of the 3-CLT of auditory brain-stem evoked potentials will enable evaluation of normal, as well as pathological, evoked potentials, to further the understanding and utility of this comprehensive representation of brain-stem function.

摘要

在14名受试者(28只耳朵)中,记录了对75 dB nHL、10次/秒交替极性短声刺激的听觉脑干诱发电位(ABEP)的三通道利萨如轨迹(3-CLT)。计算了一组3-CLT定量指标的正常值,并与同时记录的单通道顶点-乳突ABEP的波幅和潜伏期进行比较。比较包括平均值以及个体间的变异性。3-CLT指标包括:顶点潜伏期;平面段持续时间、方向、大小和形状;轨迹波幅峰值及其潜伏期。3-CLT的顶点潜伏期在绝对值和个体间变异性方面均与顶点-乳突记录的峰值潜伏期相当。平面段的持续时间约为0.7毫秒,其标准差约为平均值的一半。单个平面段的方向通常在正常值平均方向的50度范围内。轨迹波幅总体上略大于顶点-乳突记录的峰值波幅,而它们的个体间变异性相当。平面段的大小和形状指标在不同受试者之间存在差异,因此以目前的形式,其临床应用存在疑问。对听觉脑干诱发电位3-CLT的定量研究将有助于评估正常和病理性诱发电位,从而进一步理解和应用这种脑干功能的综合表现形式。

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