两种刺激声坐姿下颈部及眼部前庭诱发肌源性电位特征分析

赵苗苗; 邵薏汀; 金晓杰

doi:10.3969/j.issn.1672-4933.2024.05.009

您当前的位置：

首页 >

文章列表页 >

两种刺激声坐姿下颈部及眼部前庭诱发肌源性电位特征分析

临床研究 | 更新时间：2024-09-05

- 两种刺激声坐姿下颈部及眼部前庭诱发肌源性电位特征分析
- Analysis of the Characteristics of Cervical and Ocular Vestibular Evoked Myogenic Potentials under Two Kinds of Stimulating Sounds in Sitting Posture
- 中国听力语言康复科学杂志 2024年22卷第5期页码：488-491
- 作者机构：
  
  1.浙江中医药大学杭州 310053
  2.上海交通大学医学院附属仁济医院上海 200025
- 作者简介：
  
  赵苗苗本科听力师；研究方向：临床听力学
  金晓杰，E-mail：jinxiaojie@renji.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.05.009
  中图分类号： R765.04
- 纸质出版日期：2024-09-15，
  
  收稿日期：2024-06-12，
- 稿件说明：
移动端阅览
赵苗苗,邵薏汀,金晓杰.两种刺激声坐姿下颈部及眼部前庭诱发肌源性电位特征分析[J].中国听力语言康复科学杂志,2024,22(05):488-491.

ZHAO Miao-miao,SHAO Yi-ting,JIN Xiao-jie.Analysis of the Characteristics of Cervical and Ocular Vestibular Evoked Myogenic Potentials under Two Kinds of Stimulating Sounds in Sitting Posture[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):488-491.
赵苗苗,邵薏汀,金晓杰.两种刺激声坐姿下颈部及眼部前庭诱发肌源性电位特征分析[J].中国听力语言康复科学杂志,2024,22(05):488-491. DOI： 10.3969/j.issn.1672-4933.2024.05.009.

ZHAO Miao-miao,SHAO Yi-ting,JIN Xiao-jie.Analysis of the Characteristics of Cervical and Ocular Vestibular Evoked Myogenic Potentials under Two Kinds of Stimulating Sounds in Sitting Posture[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):488-491. DOI： 10.3969/j.issn.1672-4933.2024.05.009.

摘要

目的

研究不同刺激声在坐姿下诱发的前庭诱发肌源性电位（vestibular-evoked myogenic potentials，VEMPs）特征，提供各波潜伏期及振幅等参数的正常值参考范围。

方法

分别用500 Hz短纯音（tone-burst）及500 Hz 线性调频脉冲音（CE-chirp）两种刺激声对21名（男11人，女10人）听力正常且无耳蜗及前庭系统疾病的青年人（年龄22～33岁，平均年龄23.95±3.29岁）进行VEMPs测试，测试起始强度为110 dB nHL，以5 dB为步阶测试至阈值，记录各强度参数，并进行分析。

结果

两种刺激声坐姿下诱发的cVEMP及oVEMP阈值分别为tone-burst cVEMP 85.00±6.10 dB nHL，CE-chirp cVEMP 84.63±4.99 dB nHL；tone-burst oVEMP 83.38±6.54 dB nHL，CE-chirp oVEMP 82.50±6.20 dB nHL。两种刺激声测得的各强度p1潜伏期、n1潜伏期有显著差异（

＜0.05），p1-n1波间期、p1-n1振幅、双侧不对称性、双侧振幅比、双侧对称系数等均无显著差异（

＞0.05）。

结论

坐姿下正常青年人两种刺激声给声强度100 dB nHL时VEMPs的引出率均为100%，500 Hz线性调频脉冲音可作为VEMPs测试的刺激声应用于临床，评估椭圆囊和球囊功能。

Abstract

Objective

To observe the normal range of Vestibular-evoked myogenic potentials (VEMPs) by 500 Hz CE-chirp and 500 Hz tone-burst stimuli in sitting position.

Methods

21 normal hearing adult volunteers (42 ears

11 males and 10 females) included (without ear diseases). 500 Hz tone-burst and 500 Hz CE-chirp stimuli were used to conduct VEMPs. The intensity began from 110 dB nHL to threshold

5 dB as a step. We recorded and analyzed each data by different intensities.

Results

The thresholds of cVEMP and oVEMP by different stimulations were as followed: Tone-burst cVEMP (85.00±6.10) dB nHL

CE-chirp cVEMP (84.63±4.99) dB nHL. Tone-burst oVEMP (83.38±6.54) dB nHL

CE-chirp oVEMP

(82.50±6.20) dB nHL. The p1 and n1 latency of different stimulations had significant differences (

0.05). The p1-n1 interval latency

p1-n1 amplitude

inter-aural asymmetry and bilateral amplitude ratio found no statistically difference (

0.05).

Conclusion

In the sitting position

The extraction rate of VEMPs was 100% in normal young people when two kinds of stimuli were given to 100 dB nHL

CE-Chirp can be used as the stimulus sound of VEMPs test in clinic to evaluate the function of utricle and saccule.

关键词

颈部前庭诱发肌源性电位眼部前庭诱发肌源性电位线性调频脉冲音短纯音坐姿

Keywords

Cervical vestibular-evoked myogenic potentialOcular vestibular-evoked myogenic potentialCE-ChirpTone-burstSitting posture

references

Akin FW, Murnane OD, Panus PC, et al. The Influence of Voluntary Tonic Emg Level on the Vestibular-evoked Myogenic Potential[J]. Rehabil Res Dev, 2004,41(3B):473-480.

陈艾婷, 韩莹, 吴鹏琦, 等.听觉诱发电位临床应用情况在线调查[J]. 中华耳科学杂志, 2020,18(6): 1018-2020.

Colebatch JG, Halmagyi GM, Skuse NF, et a1. Myogenic Potentials Generated by a Click-evoked Vestibulocollic Reflex[J]. Neurol Neumsurg Psychiatry, 1994, 57(2):190-197.

张青, 宋辉, 胡娟, 等. 气导短纯音诱发的眼肌前庭诱发肌源性电位在健康青年人群中的波形特征[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 47(1): 15-18.

Shin BS, Oh SY, Kim JS, et a1. Cervical and Ocular Vestibular-evoked Myogenic Potentials in Acute Vestibular Neuritis [J]. Clin Neurophysiol, 2012,123(2):369-375.

Akin FW, Murnane OD. Vestibular Evoked Myogenic Potentials: Preliminary [J]. J Am Audiol, 2001, 12(9): 445-452.

苏俊, 李文靖, 孙一鸣, 等. 正常青年人不同体位前庭诱发肌源性电位的研究[J]. 听力及言语疾病杂志, 2013, 21(6):578-581.

张青, 许信达, 牛晓蓉, 等. 年龄因素对气导声刺激诱发的眼肌和颈肌前庭诱发肌源性电位的影响[J]. 中华耳鼻咽喉头颈外科杂志, 2014, 49(17): 897-900.

施乐娟, 陈庆峰, 姚建慧, 等. 不同刺激声音对前庭肌诱发电位潜伏期影响的比较[J]. 中国眼耳鼻喉科杂志, 2016, 16(2): 111-113.

Curthoys IS, Vulovic V. Vestibular Primary Afferent Responses to Sound and Vibration in the Guinea Pig[J]. Exp Brain Res, 2011, 210(3-4): 347-352.

石磊, 冷辉, 张琦. 不同刺激声对颈性前庭诱发肌源性电位的影响[J]. 中国中西医结合耳鼻咽喉科杂志, 2017, 25(5): 333-335.

Wei W, Ben J, William M, et al. Frequency Tuning of the Cervical Vestibular-evoked Myogenic Potential (cVEMP) Recorded from Multiple Sites along the Sternocleidomastoid Muscle in Normal Human Subjects [J]. Association Res Otolaryngol, 2013,14(1):37-47.

雷艳, 刘琦明, 黄伟洛. Chirp声刺激信号发展过程及其应用进展[J]. 中华耳科学杂志, 2021, 19(5):860-865.

Elberling C, Calle J, Don M, et al. Evaluating Auditory Brainstem Responses to Different Chirp Stimuli at Three Levels of Stimulation[J]. Acoust Soc Am, 2010, 128(1): 215-223.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

暂无数据