视频儿童头部脉冲测试 - - 一个系统的文献综述
Soumit Dasgupta1, Aditya Lal Mukherjee2, Rosa Crunkhorn3
1Alder Hey Children's Hospital NHS Foundation Trust, Liverpool L14 5AB, UK.
Journal of clinical medicine
|January 25, 2025
概括
视频头脉冲测试 (vHIT) 在儿童中是可行的,用于评估前庭功能,但由于他们的发育系统,需要进行特定的适应. 成年人对于前庭眼反射 (VOR) 增益的规范不适用于儿科患者.
科学领域:
- 静脉门诊诊断 静脉门诊诊断
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科听力学 儿科听力学
背景情况:
- 视频头脉冲测试 (vHIT) 是评估高频半圆通道系统的一个关键方法.
- 虽然它在成年人中已经很成熟,但由于研究有限,它在儿童中的使用定义较差.
- 本系统性审查涉及vHIT在儿科患者群体中的可行性和实施.
研究的目的:
- 系统地审查和分析儿童视频头部脉冲测试 (vHIT) 的现有证据.
- 确定vHIT在儿科患者中的可行性和实施情况.
- 为了确定正常和功能低下的儿科前庭系统的规范前庭眼反射 (VOR) 增益值.
主要方法:
- 使用特定关键字和标准对研究存储库进行系统的文献搜索.
- 包括在规范和病理儿科队列中调查vHIT的研究.
- 计算所有半圆通道的平均VOR增益,并对病例控制研究进行元分析.
主要成果:
- 分析了26篇文章,其中包括6个案例控制研究,来自6000多个vHIT出版物.
- 正常儿童的平均VOR增加:侧面通道0.96 ± 0.07,前面0.89 ± 0.13,后面0.9 ± 0.12.
- 实施需要实践和对儿童的具体考虑,包括瞳孔校准和眼镜配套,由于前庭成熟.
结论:
- vHIT是一种可行的诊断工具,用于儿科前置系统评估,对正在发育的前置系统有重要的考虑.
- 关于使用vHIT的儿童的高频半圆通道功能,可以得出有意义的推断.
- 儿科VOR增益与成年人不同;因此,不应将成年人的规范推断为儿童.
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