Effects of acoustic stimulation intensity on air-conducted vestibular evoked myogenic potential in children.

Effects of acoustic stimulation intensity on air-conducted vestibular evoked myogenic potential in children.
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DOI:
10.3389/fneur.2022.996246
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发表时间:
2022
影响因子:
3.4
通讯作者:
Zhang, Qing
Zhang, Qing
中科院分区:
医学3区
文献类型:
--
作者:
Xiao, Qianwen;Zhang, Qin;Wu, Qiong;Shen, Jiali;Wang, Lu;Chen, Yanfei;Lv, Jingrong;Yang, Jun;Jin, Yulian;Zhang, Qing

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目的:探讨声刺激强度对气导声(Acs)诱发儿童眼及颈部前庭诱发肌源性电位(oVEMP和cVEMP)反应的影响。13名4~10岁健康儿童和20名20~40岁听力和鼓室导纳正常的健康成人作为研究对象。所有受试者在不同声刺激强度(131、126、121、116、111和106dBSPL)下进行oVEMP和cVEMP测试。观察并分析平均N1潜伏期、p1潜伏期、峰间潜伏期、波幅和反应率。随着声刺激强度的降低,儿童对oVEMP的反应率从100%(131、126和121dBSPL)下降到57.69%(116dBSPL)、26.92%(111dBSPL)和11.54%(106dBSPL)。成人的反应率从100%(131和126dBSPL)下降到95%(121dBSPL)、55%(116dBSPL)、12.5%(111dBSPL)和2.5%(106dBSPL)。与声刺激强度相比,儿童N1潜伏期较短,p1潜伏期较短,波幅较高(p<0.05)。对于cVEMP,儿童的有效率从100%(131、126和121dBSPL)下降到88.46%(116dBSPL)、53.85%(111dBSPL)和26.92%(106dBSPL)。成人的反应率从100%(131和126dBSPL)下降到95%(121dBSPL)、85%(116dBSPL)、37.5%(111dBSPL)和7.5%(106dBSPL)。儿童和成人在不同声刺激强度下的波幅差异均有统计学意义(p<0.05)。在131dBSPL声刺激下,儿童oVEMP和cVEMP的N1潜伏期、p1潜伏期较成人低,波幅较高(p<0.05)。儿童和成人的oVEMP和cVEMP的反应率和波幅随声刺激强度的降低而有显著差异。在这项研究中,在VEMP测试中,儿童使用121dBSPL,成人使用126dBSPL,可以认为是更安全的刺激强度,从而减少了声音暴露。
To investigate the effects of acoustic stimulation intensity on ocular and cervical vestibular evoked myogenic potential (oVEMP and cVEMP) responses elicited by air-conducted sound (ACS) in healthy children. Thirteen healthy children aged 4–10 years and 20 healthy adults aged 20-40 years with normal hearing and tympanometry were enrolled in this study. All subjects received oVEMP and cVEMP tests under different acoustic stimulation intensities (131, 126, 121, 116, 111 and 106 dB SPL). Mean n1 latency, p1 latency, interpeak latency, amplitude and response rate were investigated and analyzed. As the acoustic stimulation intensity decreased, for oVEMP, the response rate of children decreased from 100% (131, 126 and 121 dB SPL) to 57.69% (116 dB SPL), 26.92% (111 dB SPL) and 11.54% (106 dB SPL). The response rate of adults decreased from 100% (131 and 126 dB SPL) to 95% (121 dB SPL), 55% (116 dB SPL), 12.5% (111 dB SPL) and 2.5% (106 dB SPL). There were lower n1 latency, p1 latency and higher amplitude in children when comparing by acoustic stimulation intensities (p < 0.05). Regarding cVEMP, the response rate of children decreased from 100% (131, 126 and 121 dB SPL) to 88.46% (116 dB SPL), 53.85% (111 dB SPL) and 26.92% (106 dB SPL). The response rate of adults decreased from 100% (131 and 126 dB SPL) to 95% (121 dB SPL), 85% (116 dB SPL), 37.5% (111 dB SPL) and 7.5% (106 dB SPL). A statistically significant difference was found in amplitude at different acoustic stimulation intensities in both children and adults (p < 0.05). When stimulated by 131 dB SPL acoustic stimulation, there were lower n1 latency, p1 latency and higher amplitude in children in oVEMP and cVEMP compared with adults (p < 0.05). The response rate and amplitude of oVEMP and cVEMP in children and adults presented significant differences with a decrease in acoustic stimulation intensity. In this study, using 121 dB SPL for children and 126 dB SPL for adults during VEMP test could be regarded as safer stimulation intensities and thus reduced sound exposure.
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影响因子: 1.5
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