1. 中国听力语言康复研究中心,北京,100029
2. 广州优听电子科技有限公司
纸质出版:2021
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腾白玉, 王晓力, 杨洋, 等. cVEMP在极重度听力障碍患儿耳石器功能评估中的价值[J]. 中国听力语言康复科学杂志, 2021,19(4):252-255.
腾白玉, 王晓力, 杨洋, et al. cVEMP Application Value in Evaluating the Otolith Function for Children with Profound Sensorineural Hearing Loss[J]. 2021, 19(4): 252-255.
目的分析颈源性前庭诱发肌源性电位(cervical vestibular evoked myogenic potential
cVEMP)在极重度听力障碍患儿前庭功能评价的特征表现及其临床应用价值。方法实验组受试者28人(56耳)年龄2~8岁
均为极重度听力障碍患儿
全部患儿均采用双模助听干预方式
一侧配戴助听器(hearingaid
HA)
一侧行人工耳蜗植入(cochlearimplant
CI);同时
选取只配戴助听器作为干预手段且影像学检测无异常的重度-极重度听力障碍患儿6人(12耳)作为对照组。参与本研究的实验组与对照组患儿双侧鼓室图均为A型
分别进行双侧颈源性前庭诱发肌源性电位(cVEMP)检测
记录受试者cVEMP的检出率、P1波和N1波潜伏期、P1-N1波之间振幅数据信息
与对照组患儿cVEMP结果进行对比分析。结果 cVEMP检出率:对照组检出率100%;实验组中的助听器组(HA组)检出率为67.80%
未引出率为32.20%;植入人工耳蜗组(CI组)检出率为39.30%
未引出率为60.70%。对全部能引出前庭诱发肌源性电位(cVEMP)的病例
分别评价P1波、N1波潜伏期情况和P1-N1波之间振幅结果
对照组3个指标平均值分别是12.26 ms、18.33 ms和92.02μV;植入人工耳蜗组(CI)分别是14.00 ms、19.06 ms和88.81μV;助听器组(HA)分别是12.84ms、18.83ms和114.80μV
进一步行ANOVA方差分析
3组间P1波潜伏期有统计学差异(P=0.000)
N1波潜伏期和P1-N1波之间振幅均无统计学差异(P=0.248和P=0.234)。结论无论是CI植入侧还是配戴助听器侧
极重度感音神经性听力损失(sensorineuralhearingloss
SNHL)患儿都有较高耳石器功能异常发生率
cVEMP作为简易、快捷检测患者前庭功能的评价技术
可为患儿制订康复训练时行前庭康复训练提供依据。
Objective To analyze the characteristics of cervical vestibular evoked myogenic potential of children with profound sensorineural hearing loss
and to investigate the application value of VEMP technology in evaluating the otolithic function for children with profound SNHL before and after the intervention. Method 28 28 children(56 ears) aged 2-8 years old with profound SNHL were included as subjects experimental group in this study
all of them were using the bimodel intervention
one side was fitting with the hearing aid(Hearing Aid
HA group)
and the other side was implanted CI(Cochlear Implant
CI group)
meanwhile we selected 6 children participants(aggregating 12 ears) aged from 2-6 years old with severe-profound SNHL
who only wear hearing aids and with normal level imageological examination as control group
the tympanometer of all participants were type A for both of ears
We made the measurement of cervical vestibular evoked myogenic potential for both side of ears
and obtained the results information of detectable rate
latency of P1 and N1 and amplitude of P1-N1
and compared with the cVEMP of children of control group. Result(1) For the detectable rate of cVEMP: the Control group was 100%; HA group was 67.8% and 32.20% abnormality; CI group was 39.30% and 60.70% abnormality.(2) In all results of the detectable cVEMP
we analyzed the latency of P1 and N1 and amplitude of P1-N1
the averaged values of them for control group were 12.26 ms
18.33 ms and 92.02 uV; CI group 14.00 ms
19.06 ms and 88.81 uV; HA group 12.84 ms
18.83 ms and 114.80 uV
ANOVA analysis was performed on three groups of three evaluation indexes
and the results showed that there was significant difference between the three groups in the latency of P1(P=0.000)
and there was no significant difference in the latency of N1 and the amplitude of P1-N1 wave(P=0.248 and P=0.234). Conclusion Children with profound SNHL(Sensorineural Hearing Loss
SNHL) have a higher rate of otolithic dysfunction for both the CI side and the hearing aid side. cVEMP is a simple and quick objective evaluation technique to detect the otolithic function
which can provide the objective evidences for vestibular rehabilitation before or during the speech rehabilitation.
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