健康成年人头脉冲抑制试验正常值研究

Measuring Normal Parameters of Suppression Head Impulse Paradigm for Healthy Adults

刘进;冷辉;石磊;张琦;

1:辽宁中医药大学

2:辽宁中医药大学附属医院耳鼻咽喉科

摘要
目的 研究健康成年人头脉冲抑制试验(suppression head impulse paradigm, SHIMP)各项指标的正常值参考范围,并与视频头脉冲试验(video head impulse test, vHIT)结果对比。方法 对84例健康成年人进行HIT与SHIMP试验,记录vHIT及SHIMP双侧水平半规管60 ms瞬时增益、双侧水平半规管回归增益、双侧水平半规管回归增益不对称比、垂直半规管回归增益、两对共轭垂直半规管回归增益不对称比,分析结果。结果 84例受试者SHIMP均能引出反代偿性扫视波;SHIMP 60 ms瞬时增益的均值水平半规管为1.04±0.17,正常值范围为>0.77;回归增益的均值:水平半规管为1.04±0.16,正常值范围为>0.78,垂直半规管为1.15±0.20,正常值范围为>0.82;回归增益不对称比的均值水平半规管为4.61%±3.11%,正常值范围为<9.73%,垂直半规管为3.58%±3.04%,正常值范围为<8.58%。同侧SHIMP与vHIT相比较,SHIMP增益值较vHIT增益值小,差异有显著统计学意义(P<0.001)。结论 本研究得出健康成年人SHIMP的正常值范围,可用于成年人的前庭功能测试,可与vHIT共同评估半规管功能。
关键词
头脉冲试验;头脉冲抑制试验;健康成年人;正常值;增益
基金项目(Foundation):
作者
刘进;冷辉;石磊;张琦;
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