新生儿前庭诱发肌电位的作用

H. J. Lee, Junghak Lee
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引用次数: 0

摘要

应用前庭诱发肌电位(VEMPs)评价高强度声刺激下的囊功能和胸锁乳突肌(SCM)诱发的肌电位。它也很容易和客观的测试,不会引起头晕。本研究的目的是确定健康新生儿VEMP的标准数据。本研究选用23例健康新生儿的46只耳朵(男14只,女9只)。实验结果如下:首先,健康新生儿的p13和n23潜伏期分别为16.65±2.57 ms和26.34±3.14 ms。p13-n23峰间潜伏期为9.69±2.41 ms,振幅为0.47±。70μV。(2) 30天以下新生儿VEMP潜伏期明显长于30天以上新生儿[P13潜伏期:t检验,t(44) = 0.80, p < 0.05;N23潜伏期:t检验,t(44) = 1.77, p < 0.05。第三,新生儿VEMP潜伏期明显长于成人[P13潜伏期:t检验,t(90) = 8.29, p < 0.05;N23潜伏期:t检验,t(90) = 3.62, p < 0.05]。结论:正常新生儿VEMP数据得到部分证实。建议早期进行前庭功能检查和听力检查诊断前庭功能障碍,特别是有高危因素的新生儿。临床应用需要进行以下研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Usefullness of Vestibular Evoked Myogenic Potentials in Newborns
Usefullness of Vestibular Evoked Myogenic Potentials in Newborns Hui Jung Lee and Jung Hak Lee Department of Audiology, Hallym University of Graduate School, Seoul, Korea Vestibular evoked myogenic potentials (VEMPs) are used to evaluate the function of saccule and measure myogenic potentials evoked at the sternocleidomastoid muscle (SCM) by the high level acoustic stimulation. It is also easy and objective to test and doesn't cause dizziness. The purpose of this study was to determine the normative VEMP data in healthy newborns. Forty six ears from 23 healthy newborns (14 boys, 9 girls) were used in this study. The results were as follows; First, the latency of p13 and n23 in healthy newborns were 16.65 ± 2.57 ms and 26.34 ± 3.14 ms, respectively. The interpeak latency of p13-n23 was 9.69 ± 2.41 ms with the amplitude of .47 ±.70 μV. Second, the latency of the VEMP was significantly longer in the newborns under 30 days than in the newborns over 30 days [P13 latency: t-test, t(44) = 0.80, p < .05; N23 latency: t-test, t(44) = 1.77, p < .05]. Third, the latency of the VEMP was significantly longer in all newborns than in adults [P13 latency: t-test, t(90) = 8.29, p < .05; N23 latency: t-test, t(90) = 3.62, p < .05]. In conclusion, normative VEMP data of healthy newborns were partially demonstrated. It is suggested that vestibular function test as well as hearing test be conducted to diagnose vestibular dysfunction at an early age, especially for newborns with high risk factors. Following research is required for clinical application.
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