Yin S K
Department of Otorhinolaryngology, Jinzhou Medical College, Liaoning.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(3):142-5, 186.
Forty healthy youth, 20 aged Chinese volunteers and 400 dizzy patients were tested with SHAT at frequencies of 0.01-0.64Hz. The peak velocity was 50 degrees/s. The commonly used three parameters: phase, gain, asymmetry were calculated by computer. Alertness tests in the darkness demonstrated a gain increase and a decrease of phase lead with increasing frequency. The bilateral responses were symmetrical in normal volunteers. The asymmetry value was in the limit of 5 degrees. The values of all the parameters made no sexual difference. The phase value with 0.01Hz in the aged volunteers was a little smaller than that in the younger volunteers. An abnormal result was found in 204 patients (51%). Phase lag decreases were the most common abnormal results. Both patients with Meniere's disease and with central disorders revealed phase lag decreases. However, patients with central lesions showed decreases of phase lag in more frequencies. Direction of asymmetry in patients with central lesion was in good correlation with the side of lesions. The five common types of abnormality were reported in the present paper, they were vestibular habituation and asymmetry, vestibular habituation, vestibular asymmetry in higher frequencies, vestibular deficit and vestibular hyperreactivity.
对40名健康青年、20名老年中国志愿者和400名头晕患者在0.01 - 0.64Hz频率下进行了主观水平视动试验(SHAT)测试。峰值速度为50度/秒。常用的三个参数:相位、增益、不对称性由计算机计算得出。黑暗中的警觉性测试表明,随着频率增加,增益增加且相位超前减小。正常志愿者的双侧反应是对称的。不对称值在5度范围内。所有参数的值无性别差异。老年志愿者在0.01Hz时的相位值略小于年轻志愿者。204名患者(51%)出现异常结果。相位滞后减小是最常见的异常结果。梅尼埃病患者和中枢性疾病患者均出现相位滞后减小。然而,中枢性病变患者在更多频率下出现相位滞后减小。中枢性病变患者的不对称方向与病变侧密切相关。本文报告了五种常见的异常类型,即前庭习服和不对称、前庭习服、高频前庭不对称、前庭功能减退和前庭反应亢进。