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口吃学龄儿童长潜伏期皮质听觉诱发电位与口吃严重程度的关系。

The relation between long latency cortical auditory evoked potentials and stuttering severity in stuttering school-age children.

机构信息

Unit of Phoniatrics Otorhinolaryngology Department, Faculty of Medicine, Alexandria University, Egypt.

Unit of Audio-vestibular Medicine, Otorhinolaryngology Department, Faculty of Medicine, Alexandria University, Egypt.

出版信息

Int J Pediatr Otorhinolaryngol. 2023 Dec;175:111766. doi: 10.1016/j.ijporl.2023.111766. Epub 2023 Oct 21.

Abstract

BACKGROUND

Disturbances in auditory processing and feedback have been suggested to play a role in the pathogenesis of developmental stuttering. Long latency cortical auditory evoked potentials in response to non-linguistic and linguistic stimuli can be used to investigate these disturbances. There were differences between developmental stuttering patients. However, there is no solid evidence of these differences to date.

OBJECTIVE

This study aims to determine whether there is a statistically significant difference in component P1-N1-P2 of long latency cortical auditory evoked potentials between stuttering school-aged children and non-stuttering children. In addition, the study aims to investigate the relationship between these potentials and objective quantitative measures of stuttering.

METHOD

The study included two groups, patients and controls, consisting of 40 subjects aged 6-12 years. For the cases group, the severity of stuttering symptoms and P1-N1-P2 responses to a non-linguistic stimulus were evaluated. In addition, the P1-N1-P2 responses of the matched control group were evaluated.

RESULTS

The P1-N1 responses were similar in both study groups, while P2 response was shorter in the patient group, but the difference was not statistically significant compared to the control group. N1 latency has the only statistically significant correlation with the percentage of repetitions, prolongation, and blocks. The female cases had a decreased, not statistically significant, latency than the male cases group.

CONCLUSION

In contrast to the previous finding, the study revealed a non-statistically significant different P1-N1, a non-statistically significant reduced P2 response to a non-linguistic stimulus, in CWS, in as evidence for basic auditory processing. The study also revealed a significant correlation between N1 latency and proportion of the repetition symptoms.

摘要

背景

听觉处理和反馈的干扰被认为在发展性口吃的发病机制中起作用。对非语言和语言刺激的长潜伏期皮质听觉诱发电位可用于研究这些干扰。发展性口吃患者之间存在差异。然而,迄今为止,没有确凿的证据表明存在这些差异。

目的

本研究旨在确定口吃学龄儿童和非口吃儿童之间长潜伏期皮质听觉诱发电位的 P1-N1-P2 成分是否存在统计学上的显著差异。此外,本研究旨在调查这些电位与口吃客观定量测量之间的关系。

方法

该研究包括两个组,患者组和对照组,共 40 名年龄在 6-12 岁的受试者。对于病例组,评估了口吃症状的严重程度和对非语言刺激的 P1-N1-P2 反应。此外,还评估了匹配对照组的 P1-N1-P2 反应。

结果

研究组的 P1-N1 反应相似,而 P2 反应在患者组中较短,但与对照组相比差异无统计学意义。N1 潜伏期与重复、延长和停顿的百分比具有唯一的统计学显著相关性。女性病例的潜伏期比男性病例组略有下降,但无统计学意义。

结论

与之前的发现相反,该研究显示 CWS 中 P1-N1 无统计学显著差异,对非语言刺激的 P2 反应无统计学显著降低,作为基本听觉处理的证据。该研究还显示 N1 潜伏期与重复症状的比例之间存在显著相关性。

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