改良检查体位对正常青年人颈性前庭诱发肌源性电位的影响
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摘要
目的:探讨改良检查体位对正常青年人颈性前庭诱发肌源性电位(cVEMP)的影响。方法:选择30例正常青年人为研究对象,分别采用仰卧抬头体位和坐位下颌下压体位行cVEMP检测,观察和比较cVEMP检查结果。结果:2种体位cVEMP引出率均为100%,P1潜伏期、N2潜伏期、振幅及不对称比比较差异均无统计学意义(P>0.05)。不同体位舒适度VAS评分,坐位下颌下压体位优于仰卧抬头体位(P<0.05)。结论:坐位下颌下压体位对cVEMP检查结果无影响,受试者更舒适,可推广用于年老体弱及不能配合仰卧抬头体位者。
Objective:To observe the effect of modified body position on cervical vestibular evoked myogenic potential(cVEMP)in normal young people.Method:Thirty normal young people were selected as subjects.CVEMP test was performed by supine head position and sitting submandibular lower body position respectively.The cVEMP examination results were observed and compared.Result:The elicitation rate of the two kinds of position of cVEMP were 100%.There was no significant difference in P1 latency,N2 latency,amplitude and asymmetry ratio.Different body position comfort VAS score,submandibular pressure of sitting position was better than supine head up position(P<0.05).Conclusion:Submandibular pressure of sitting position has no effect on the results of cVEMP examination,and the subjects are more comfortable,and can be used for old age and inability to cooperate with supine head up position.
Objective:To observe the effect of modified body position on cervical vestibular evoked myogenic potential(cVEMP)in normal young people.Method:Thirty normal young people were selected as subjects.CVEMP test was performed by supine head position and sitting submandibular lower body position respectively.The cVEMP examination results were observed and compared.Result:The elicitation rate of the two kinds of position of cVEMP were 100%.There was no significant difference in P1 latency,N2 latency,amplitude and asymmetry ratio.Different body position comfort VAS score,submandibular pressure of sitting position was better than supine head up position(P<0.05).Conclusion:Submandibular pressure of sitting position has no effect on the results of cVEMP examination,and the subjects are more comfortable,and can be used for old age and inability to cooperate with supine head up position.
引文
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[5]冷辉,张琦,孙海波.国内外前庭诱发肌源性电位相关文献发表情况与研究进展关系的分析[J].中国医学文摘耳鼻咽喉科学,2017,32(6):310-314.
[6]冷辉,孙海波,张琦.前庭诱发肌源性电位在耳源性眩晕中的应用进展[J].北京医学,2017,39(8):837-840.
[7]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):333-334,344.
[8] HALMAGYI G M,CURTHOYS I S,COLEBATCH J G,et al.Vestibular responses tosound[J].Ann N Y Acad Sci,2005,1039:54-67.
[9] CHANG C H,YANG T L,WANG C T,et al.Measuring neck structures in relation to vestibular evokedmyogenic potentials[J].Clin Neurophysiol,2007,118:1105-1109.
[10]吴子明,张素珍,杨伟炎,等.前庭诱发的肌源性电位原理与应用[J].中华耳科学杂志,2004,2(1):71-73.
[11]VANSPAUWEN R,WUYTS F L,VAN DE HEYNING P H.Improving vestibular evoked myogenic potential reliability by using a blood pressure manometer[J].Laryngoscope,2006,116:131-135.
[2] FELIPE L,SANTOS M A,GONCALVES D U.Vestibular evoked myogenic potential(Vemp):evaluation of responses innormalsubjects[J].Pro Fono,2008,20:249-254.
[3]毕潇,周慧芳,苏娟,等.不同年龄段前庭诱发肌源性电位参数的正常值[J].临床耳鼻咽喉头颈外科杂志,2016,30(13):1016-1020.
[4]韩朝,田亮,王璟,等.颈性前庭诱发肌源性电位正常值及影响因素的探讨[J].中国眼耳鼻喉科杂志,2015,15(2):101-104.
[5]冷辉,张琦,孙海波.国内外前庭诱发肌源性电位相关文献发表情况与研究进展关系的分析[J].中国医学文摘耳鼻咽喉科学,2017,32(6):310-314.
[6]冷辉,孙海波,张琦.前庭诱发肌源性电位在耳源性眩晕中的应用进展[J].北京医学,2017,39(8):837-840.
[7]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):333-334,344.
[8] HALMAGYI G M,CURTHOYS I S,COLEBATCH J G,et al.Vestibular responses tosound[J].Ann N Y Acad Sci,2005,1039:54-67.
[9] CHANG C H,YANG T L,WANG C T,et al.Measuring neck structures in relation to vestibular evokedmyogenic potentials[J].Clin Neurophysiol,2007,118:1105-1109.
[10]吴子明,张素珍,杨伟炎,等.前庭诱发的肌源性电位原理与应用[J].中华耳科学杂志,2004,2(1):71-73.
[11]VANSPAUWEN R,WUYTS F L,VAN DE HEYNING P H.Improving vestibular evoked myogenic potential reliability by using a blood pressure manometer[J].Laryngoscope,2006,116:131-135.