Lin Y, Gao L X, Han L P, Qiu J H, Zha D J
Department of Otolaryngology-Head and Neck Surgery,Xijing Hospital,Xi'an,710032,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Jul 5;30(13):1063-1065. doi: 10.13201/j.issn.1001-1781.2016.13.014.
To study the parameters of video head impulse test (vHIT) for horizontal semicircular canal and explore its application when evaluating angular vestibular-ocular reflex (VOR) in adults.vHIT were applied to 80 adults without prior vertigo or dizziness history.Parameters provided by the software included instantaneous gain(40 ms,60 ms,80 ms),regression gain,asymmetry value,corrective saccades(latency,peak velocity,occurrence rate).The mean horizontal VOR velocity gain of normal subjects was 0.877±0.171,0.944±0.133,0.967±0.130 at 40 ms,60 ms,80 ms respectively.Regression gain of horizontal VOR is 0.944±0.090.The lower limit of normal horizontal VOR velocity gain was 0.73 at 60 ms and 0.80 as regression gain.All velocity gains declined by age,although there were no statistically significant difference(>0.05).Asymmetry value was 5.60±3.46.Corrective saccades occurred in 28±15 of normal subjects,while latency and peak velocity was (200.87±0.34)ms and (97.7±40.1)°/s.The study found that horizontal VOR instantaneous gain value and regression gain value decreases slightly with age,which should be considered in clinical application.
研究水平半规管视频头脉冲试验(vHIT)的参数,并探讨其在评估成人角前庭眼反射(VOR)时的应用。对80名既往无眩晕或头晕病史的成年人进行vHIT检查。软件提供的参数包括瞬时增益(40毫秒、60毫秒、80毫秒)、回归增益、不对称值、矫正性扫视(潜伏期、峰值速度、发生率)。正常受试者在40毫秒、60毫秒、80毫秒时水平VOR速度增益的平均值分别为0.877±0.171、0.944±0.133、0.967±0.130。水平VOR的回归增益为0.944±0.090。正常水平VOR速度增益在60毫秒时的下限为0.73,回归增益为0.80。所有速度增益均随年龄下降,尽管差异无统计学意义(>0.05)。不对称值为5.60±3.46。28±15名正常受试者出现矫正性扫视,潜伏期和峰值速度分别为(200.87±0.34)毫秒和(97.7±40.1)°/秒。研究发现,水平VOR瞬时增益值和回归增益值随年龄略有下降,临床应用时应予以考虑。