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[正常中国青年人群中不同类型刺激诱发的眼前庭诱发肌源性电位]

[Ocular vestibular evoked myogenic potential elicited by different types of stimulus among normal young Chinese people].

作者信息

Yang Yintong, Xu Min, Zhang Qing, Zhang Rui, Chen Yanfei

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Jul;28(13):948-52.

Abstract

OBJECTIVE

To observe waveform differences among ocular vestibular evoked myogenic potentials (ACS-oVEMP) elicited by different types of air conducted sound in normal young Chinese subjects.

METHOD

Twenty-two adult volunteers (44 ears) were recruited as research subjects including 12 males and 10 females aged between 18 and 35. Five hundred Hz tone burst, 125 Hz tone burst and click were employed as stimulus for conventional ACS-oVEMP examinations in bilateral ears of each subject. The response rate, threshold, n I latency, p I latency, n I-p I latency interval, amplitude and inter-aural asymmetry were recorded and compared among groups.

RESULT

The response rate was 100% (44/44) in 500 Hz tone burst group, 40.9% (18/44) in 125 Hz tone burst group and 29.6% (12/44) in click group There were statistical significant differences between the 500 Hz tone burst group and the other groups (P < 0.05). Waveform amplitude was the largest in the 500 Hz tone burst group (7.3 +/- 5.5) muV than that in the 125 Hz tone burst group (3.8 +/- 1.5) muV and that in the click group (5.8 +/- 1.3) muV, which had statistically significant differences between the former and the later two groups (P < 0.05). Other waveform parameters presented similar differeces.

CONCLUSION

ACS-oVEMP waveforms could be largely affected by different stimulus. 500 Hz tone burst was the best stimulus with highest response rate, biggest amplitude and therefore most easily recognizable waveform in ACS-oVEMP examination.

摘要

目的

观察正常中国青年受试者中不同类型气导声音诱发的眼性前庭诱发肌源性电位(ACS-oVEMP)的波形差异。

方法

招募22名成年志愿者(44耳)作为研究对象,其中男性12名,女性10名,年龄在18至35岁之间。采用500Hz短纯音、125Hz短纯音和短声作为刺激,对每位受试者的双耳进行常规ACS-oVEMP检查。记录并比较各组的反应率、阈值、nI潜伏期、pI潜伏期、nI-pI潜伏期间期、波幅和双耳不对称性。

结果

500Hz短纯音组的反应率为100%(44/44),125Hz短纯音组为40.9%(18/44),短声组为29.6%(12/44)。500Hz短纯音组与其他组之间存在统计学显著差异(P<0.05)。500Hz短纯音组的波形波幅最大(7.3±5.5)μV,高于125Hz短纯音组(3.8±1.5)μV和短声组(5.8±1.3)μV,前两者之间存在统计学显著差异(P<0.05)。其他波形参数也呈现类似差异。

结论

ACS-oVEMP波形受不同刺激的影响较大。在ACS-oVEMP检查中,500Hz短纯音是最佳刺激,反应率最高、波幅最大,因此波形最易识别。

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