Zhang Qing, Zhang Qin, Wu Qiong, Jin Yulian, Chen Xiangping, Shen Min, Chen Jianyong, Yang Jun
Department of Otorhinolaryngology-Head & Neck Surgery,Xinhua Hospital,Shanghai Jiaotong University School of Medicine;Shanghai Jiaotong University School of Medicine Ear Institute;Shanghai Key Laboratory of Translational Medicine on Ear and Nose diseases,Shanghai,200092,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Sep;36(9):659-664. doi: 10.13201/j.issn.2096-7993.2022.09.002.
To summarize gain characteristics of three pairs of semicircular canals in head impulse paradigm (HIMP) and suppression head impulse paradigm (SHIMP) in healthy young Chinese population. HIMP and SHIMP tests were performed on 40 healthy young volunteers enrolled as study group, by using EyeseeCam examiantion system (Interacoustics,Denmark). The elicitation rates and gain values of the two saccades were recorded, and the gain values were compared and analyzed. The results of 40 healthy young people were as follows: in HIMP, the instantaneous gain at 60 ms of the horizontal semicircular canals were 1.11±0.07 on the left side and 1.08±0.07 on the right side; the regression gain of the horizontal semicircular canals were 1.09±0.06 on the left side and 1.10±0.06 on the right side; the regression gain of the vertical semicircular canals were 1.08±0.12 on the right anterior, 1.07±0.11 on the left posterior, 1.41±0.16 on the right posterior and 1.42±0.16 on the left anterior. So in HIMP, no significant difference could be found between left and right side in both horizontal and vertical semicircular canal conjugate plane regarding regression gain (>0.05), except that 60 ms instantaneous gain on the left horizontal semicircular canals was slightly higher than that on the right side (<0.05).The instantaneous gain values of the horizontal semicircular canal at 60 ms in SHIMP were 1.08±0.08 on the left side and 1.06±0.07 on the right side; the regression gain in horizontal semicircular canals were 1.06±0.07 on the left side and 1.07±0.06 on the right side, respectively; the regression gains of vertical semicircular canal were 1.06±0.13, 1.08±0.16, 1.49±0.16, 1.39±0.15, on the right anterior, left posterior, right posterior, and left anterior side. So in SHIMP, no significant difference could be found in 60 ms instantaneous gain in horizontal conjugate plane, regression gain in horizontal conjugate plane and regression gain in right anterior left posterior conjugate plane (>0.05), while the regression gain of the left anterior right posterior conjugate plane in the right was found slightly higher than that of the left (<0.05).Both 60 ms instantaneous gain and regression gain in horizontal conjugate plane in HIMP were slightly higher than that of SHIMP (<0.05), while no significant difference could be found in vertical conjugate planes (>0.05). In both HIMP and SHIMP tests, gains of the left anterior right posterior conjugate plane was slightly higher than that of both horizontal plane and the right anterior left posterior conjugate plane (<0.05), while no significant difference could be found in gains between horizontal and the right anterior left posterior conjugate plane (>0.05). Gain values of HIMP and SHIMP were slightly different among different semicircular canals conjugate planes.It is suggested that each examination center should establish normal values for their own and make correction regularly.
总结健康中国年轻人群在头部脉冲试验(HIMP)和抑制性头部脉冲试验(SHIMP)中三对半规管的增益特征。使用丹麦Interacoustics公司的EyeseeCam检查系统,对纳入研究组的40名健康年轻志愿者进行HIMP和SHIMP测试。记录两次扫视的引出率和增益值,并对增益值进行比较和分析。40名健康年轻人的测试结果如下:在HIMP中,水平半规管60毫秒时的瞬时增益左侧为1.11±0.07,右侧为1.08±0.07;水平半规管的回归增益左侧为1.09±0.06,右侧为1.10±0.06;垂直半规管的回归增益右前为1.08±0.12,左后为1.07±0.11,右后为1.41±0.16,左前为1.42±0.16。所以在HIMP中,水平和垂直半规管共轭平面的回归增益左右两侧均无显著差异(>0.05),只是左侧水平半规管60毫秒瞬时增益略高于右侧(<0.05)。SHIMP中水平半规管60毫秒时的瞬时增益左侧为1.08±0.08,右侧为1.06±0.07;水平半规管的回归增益左侧为1.06±0.07,右侧为1.07±0.06;垂直半规管的回归增益右前为1.06±0.13,左后为1.08±0.16,右后为1.49±0.16,左前为1.39±0.15。所以在SHIMP中,水平共轭平面60毫秒瞬时增益、水平共轭平面回归增益以及右前左后共轭平面回归增益均无显著差异(>0.05),而右侧左前右后共轭平面的回归增益略高于左侧(<0.05)。HIMP中水平共轭平面的60毫秒瞬时增益和回归增益均略高于SHIMP(<0.05),而垂直共轭平面无显著差异(>0.05)。在HIMP和SHIMP测试中,左前右后共轭平面的增益均略高于水平平面和右前左后共轭平面(<0.05),而水平平面和右前左后共轭平面的增益无显著差异(>0.05)。HIMP和SHIMP的增益值在不同半规管共轭平面之间略有差异。建议各检查中心应建立自己的正常值并定期校正。