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[婴幼儿和儿童诱发电位中枢传导时间的发育变化]

[Developmental changes of central conduction time of evoked potentials in infants and children].

作者信息

Tien Y, Yasuhara A, Araki A, Kobayashi Y

机构信息

Department of Pediatrics, Kansai Medical University, Osaka.

出版信息

No To Hattatsu. 1994 Jul;26(4):302-7.

PMID:8074890
Abstract

We investigated the developmental changes of the central conduction time (CCT) of the median nerve somatosensory evoked potential (SEP) and the auditory evoked potential (ABR): SEP was recorded in 148 children and adults, and ABR in 307 subjects. We determined the rostral CCT (CCT 1:P 14 to N 17) and the caudal CCT (CCT 2:N 17 to N 19), because the central sensory tract was long, and included the spinal tract, brainstem, thalamus and cerebral cortex. The greatest changes in CCT of SEP occurred during early infancy (0 to 6 months of age). The latency of SEP gradually decreased with maturation. CCT 2 showed similar developmental patterns and was longer than CCT 1 during 0 to 4 months of age. Developmental changes in CCT 1 linearly decreased as age increased. The CCT of ABR also decreased as age increased. The maturation of I-III interpeak latency (IPL) (2 years of age) was earlier than the III-V IPL (3 years of age). The maturation of both ABR and SEP was seen from the rostral to caudal direction. The correlation coefficients of CCT, CCT 1 and CCT 2 divided by body height were 0.86, 0.77 and 0.69, respectively. They were higher than non-divided correlation coefficients. CCTs of the short latency SEPs were also related to body height.

摘要

我们研究了正中神经体感诱发电位(SEP)和听觉诱发电位(ABR)的中枢传导时间(CCT)的发育变化:对148名儿童和成人记录了SEP,对307名受试者记录了ABR。我们测定了延髓CCT(CCT 1:P14至N17)和尾侧CCT(CCT 2:N17至N19),因为中枢感觉传导路径较长,包括脊髓、脑干、丘脑和大脑皮层。SEP的CCT最大变化发生在婴儿早期(0至6个月龄)。SEP的潜伏期随成熟而逐渐缩短。CCT 2显示出类似的发育模式,在0至4个月龄时比CCT 1长。CCT 1的发育变化随年龄增长呈线性下降。ABR的CCT也随年龄增长而下降。I-III峰间潜伏期(IPL)(2岁)的成熟早于III-V IPL(3岁)。ABR和SEP的成熟均从延髓向尾侧方向出现。CCT、CCT 1和CCT 2除以身高后的相关系数分别为0.86、0.77和0.69。它们高于未除以身高的相关系数。短潜伏期SEP的CCT也与身高有关。

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