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听力正常儿童长潜伏期听觉诱发电位的成熟:系统评价

Maturation of long latency auditory evoked potentials in hearing children: systematic review.

作者信息

Silva Liliane Aparecida Fagundes, Magliaro Fernanda Cristina Leite, Carvalho Ana Claudia Martinho de, Matas Carla Gentile

机构信息

Faculdade de Medicina - FM, Universidade de São Paulo - USP - São Paulo (SP), Brasil.

出版信息

Codas. 2017 May 15;29(3):e20160107. doi: 10.1590/2317-1782/20172016107.

Abstract

PURPOSE

To analyze how Auditory Long Latency Evoked Potentials (LLAEP) change according to age in children population through a systematic literature review.

RESEARCH STRATEGIES

After formulation of the research question, a bibliographic survey was done in five data bases with the following descriptors: Electrophysiology (Eletrofisiologia), Auditory Evoked Potentials (Potenciais Evocados Auditivos), Child (Criança), Neuronal Plasticity (Plasticidade Neuronal) and Audiology (Audiologia).

SELECTION CRITERIA

Level 1 evidence articles, published between 1995 and 2015 in Brazilian Portuguese or English language.

DATA ANALYSIS

Aspects related to emergence, morphology and latency of P1, N1, P2 and N2 components were analyzed.

RESULTS

A total of 388 studies were found; however, only 21 studies contemplated the established criteria. P1 component is characterized as the most frequent component in young children, being observed around 100-150 ms, which tends to decrease as chronological age increases. The N2 component was shown to be the second most commonly observed component in children, being observed around 200-250 ms.. The other N1 and P2 components are less frequent and begin to be seen and recorded throughout the maturational process.

CONCLUSION

The maturation of LLAEP occurs gradually, and the emergence of P1, N1, P2 and N2 components as well as their latency values are variable in childhood. P1 and N2 components are the most observed and described in pediatric population. The diversity of protocols makes the comparison between studies difficult.

摘要

目的

通过系统的文献综述,分析儿童群体中听觉长潜伏期诱发电位(LLAEP)如何随年龄变化。

研究策略

在提出研究问题后,在五个数据库中进行了文献检索,使用了以下描述词:电生理学(Eletrofisiologia)、听觉诱发电位(Potenciais Evocados Auditivos)、儿童(Criança)、神经可塑性(Plasticidade Neuronal)和听力学(Audiologia)。

选择标准

1995年至2015年间以巴西葡萄牙语或英语发表的1级证据文章。

数据分析

分析了与P1、N1、P2和N2成分的出现、形态和潜伏期相关的方面。

结果

共找到388项研究;然而,只有21项研究符合既定标准。P1成分是幼儿中最常见的成分,在100 - 150毫秒左右观察到,随着实际年龄的增加,该成分趋于减少。N2成分是儿童中第二常见的观察到的成分,在200 - 250毫秒左右观察到。其他N1和P2成分较少见,在整个成熟过程中开始被观察和记录。

结论

LLAEP的成熟是逐渐发生的,P1、N1、P2和N2成分的出现及其潜伏期值在儿童期是可变的。P1和N2成分在儿科人群中是观察和描述最多的。方案的多样性使得研究之间的比较变得困难。

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