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体感诱发电位(SEP)的发展:特别是早期SEP成分的峰潜伏期

[Development of the somatosensory evoked potential (SEP): particularly to peak latencies of early SEP components].

作者信息

Kimura K

机构信息

Department of Pediatrics, Yokohama City University School of Medicine, Japan.

出版信息

No To Shinkei. 1989 May;41(5):503-11.

PMID:2803823
Abstract

Development of early SEP components was studied, particularly in reference to the peak latency. Two factors were evaluated in the growing children. One was the correlation between latency and height and the other was the chronological change of latency divided by height (L/H). One hundred and four normal subjects ranging in age from 2 months to 26 years were studied in the awake state except those under 4 years of age. EEG was also examined in every case. The electrical stimulation was delivered every two seconds to the median nerve at wrist. Six components [P0(14), N1(18), P1(23), N2(30), P2(43), N3(60] were recognized in the contralateral Post-Rolandic area. Results were as follows: 1) Correlation between latency and height: Every peak latency was shortened in cases with height up to around 90-100 cm. With height over 100 cm, a highly significant correlation was observed in P0(14), and N1(18), but not in the other components. 2) Chronological change of L/H: The change of L/H revealed 3 different stages; by 1 year, by 3 to 4 years of age and thereafter. By 1 year, L/H was markedly shortened in every SEP component. Another rapid decrease occurred by 3 to 4 years of age. Thereafter, changes to reach the adult level were different from each other. L/H of P0(14) and N2(30) reached the adult level by around 9 years and N1(18) by around 11 years, P1(23) by around 12 years of age. While L/H of P2(43) and N3(60), more variable, still showed a significant difference from that of the adult level.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

研究了早期体感诱发电位(SEP)成分的发育情况,尤其关注其峰潜伏期。对成长中的儿童评估了两个因素。一个是潜伏期与身高的相关性,另一个是潜伏期除以身高(L/H)的时间变化情况。对104名年龄在2个月至26岁的正常受试者进行了研究,4岁以下的受试者在清醒状态下进行,每个病例均进行了脑电图检查。每隔两秒对腕部正中神经进行电刺激。在对侧罗兰后区识别出六个成分[P0(14)、N1(18)、P1(23)、N2(30)、P2(43)、N3(60)]。结果如下:1)潜伏期与身高的相关性:身高在90 - 100厘米左右的病例中,每个峰潜伏期均缩短。身高超过100厘米时,P0(14)和N1(18)观察到高度显著的相关性,其他成分则未观察到。2)L/H的时间变化:L/H的变化显示出三个不同阶段;1岁时、3至4岁时以及之后。1岁时,每个SEP成分的L/H均明显缩短。3至4岁时出现另一次快速下降。此后,达到成人水平的变化各不相同。P0(14)和N2(30)的L/H在9岁左右达到成人水平,N1(18)在11岁左右,P1(23)在12岁左右。而P2(43)和N3(60)的L/H变化更大,与成人水平仍有显著差异。(摘要截断于250字)

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