Zhou Dengxiang, Han Siyu, Cheng Bingfei, Chen Zichen, Zhao Huandi, Zhang Yuzhong, Zhang Rui, Yang Jun, Zhang Qing, Fan Mengyun
Department of Otolaryngology Head and Neck Surgery,the Second Affiliated Hospital of Xi'anJiaotong University,Xi'an,710004,China.
Department of Otolaryngology Head and Neck Surgery,Xi'an Children's Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Sep;36(9):706-710. doi: 10.13201/j.issn.2096-7993.2022.09.011.
To investigate the characteristics of air-conducted sound cervical vestibular evoked myogenic potential (ACS-cVEMP) and bone-conducted vibration cervical vestibular evoked myogenic potential (BCV-cVEMP) in healthy preschool children, and to provide the normal reference range of VEMP for preschool children in China. Forty-four normal-hearing children (88 ears) aged 3-7 years were recruited to undergo ACS-cVEMP and BCV-cVEMP determination. These children were divided into two groups according to age: 3-4 years old group ( 17 cases, 34 ears) and 5-7 years old group ( 27 cases, 54 ears). The response rates and waveform parameters were recorded and analyzed statistically using SPSS 18.0 software. The response rates of ACS-cVEMP, BCV-cVEMP in 44 normal-hearing children (88 ears) were 96.59%(85/88) and 97.73%(86/88) respectively, and there was no significant difference between the two groups ( > 0.05). The response rates of ACS-cVEMP in 3-4 year old group and 5-7 year old group were 94.12% (32/34) and 98.15% (53/54) respectively, and there was no significant difference between the two groups(>0.05); The response rates of BCV-cVEMP in 3-4 year old group and 5-7 year old group were 94.12% (32/34) and 100.00%(54/54) respectively, and there was no significant difference between the two groups (>0.05). Compared with the 5-7 year old group, the latency of p1 and n1 in the 3-4 year old group was shorter (<0.05) and the amplitude was higher (<0.05), and there was no significant difference in other parameters (>0.05). There was no statistical difference in threshold, n1, p1 latency, n1-p1 wave interval, n1-p1 amplitude, and amplitude asymmetry ratio of BCV-cVEMP between the two groups (>0.05). ACS-cVEMP and BCV-cVEMP can be elicited in most preschool children, and cVEMP is a feasible method to detect vestibular function in children.
为研究健康学龄前儿童气导声音诱发的颈肌前庭诱发肌源性电位(ACS-cVEMP)和骨导振动诱发的颈肌前庭诱发肌源性电位(BCV-cVEMP)的特征,并提供中国学龄前儿童VEMP的正常参考范围。招募44例3-7岁听力正常的儿童(88耳)进行ACS-cVEMP和BCV-cVEMP检测。这些儿童按年龄分为两组:3-4岁组(17例,34耳)和5-7岁组(27例,54耳)。记录反应率和波形参数,并用SPSS 18.0软件进行统计学分析。44例听力正常儿童(88耳)的ACS-cVEMP、BCV-cVEMP反应率分别为96.59%(85/88)和97.73%(86/88),两组间差异无统计学意义(>0.05)。3-4岁组和5-7岁组的ACS-cVEMP反应率分别为94.12%(32/34)和98.15%(53/54),两组间差异无统计学意义(>0.05);3-4岁组和5-7岁组的BCV-cVEMP反应率分别为94.12%(32/34)和100.00%(54/54),两组间差异无统计学意义(>0.05)。与5-7岁组相比,3-4岁组p1和n1潜伏期较短(<0.05),波幅较高(<0.05),其他参数差异无统计学意义(>0.05)。两组BCV-cVEMP的阈值、n1、p1潜伏期、n1-p1波间期、n1-p1波幅及波幅不对称率差异均无统计学意义(>0.05)。大多数学龄前儿童可引出ACS-cVEMP和BCV-cVEMP,cVEMP是检测儿童前庭功能的一种可行方法。