头脉冲抑制试验  

Suppression head impulse paradigm

作　　者：陈飞云 陈耔辰 魏馨雨 张玉忠[1] 成颖[1] 胡娟[1] 韩鹏 高滢[1] 任晓勇[1] 许珉[1] 张青[1] CHEN Fei-yun;CHEN Zi-chen;WEI Xin-yu;ZHANG Yu-zhong;CHENG Yin;HU Juan;HAN Peng;GAO Ying;REN Xiao-Yong;XU Min;ZHANG Qing(Department of Otorhinolaryngology-Head and Neck Surgery,the Second Affiliated Hospital,Xi'an Jiaotong University School of Medicine,Xi'an 710004,China;Department of Otorhinolaryngology-Head and Neck Surgery,the First Affiliated Hospital,Xi'an Jiaotong University School of Medicine,Xi'an 710061,China)

机构地区：[1]西安交通大学第二附属医院耳鼻咽喉头颈外科,陕西西安710004 [2]西安交通大学第一附属医院耳鼻咽喉头颈外科,陕西西安710061

出　　处：《中国耳鼻咽喉颅底外科杂志》2018年第6期588-591,596,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：国家自然科学基金(81670945);陕西省国际科技合作重点项目(2017KW-048);西安交通大学第二附属医院新技术新疗法重点项目(2016YL-018)

摘　　要：头脉冲抑制试验(suppression head impulse paradigm,SHIMP)是在头脉冲试验(head impulse paradigm,HIMP)或者视频头脉冲试验(video head impulse test,v HIT)基础上发展而来的一种新型检查技术。SHIMP和HIMP都是通过计算前庭眼动反射增益(vestibulo-ocular reflex gain,VOR gain)及校正性扫视(corrective saccades)来评估半规管功能的检查方法。VOR增益在两种检查中测定方法相似,扫视却相互补充:在HIMP中,代偿性扫视显示了前庭功能的损失,而在SHIMP中,反代偿性扫视显示了前庭功能的保留。本文就SHIMP的检测方法、原理及研究进展等进行综述。The suppression head impulse paradigm( SHIMP) is a new vestibular test protocol on the basis of head impulse paradigm( HIMP) or video head impulse test( v HIT). Both examinations evaluate semicircular canal functions according to VOR( vestibule-ocular reflex) gain and corrective saccades. The measurements and significance of VOR gain are the same in both examinations,while the corrective saccades are complementary: in HIMP test,compensatory saccades indicate vestibular loss,whereas in SHIMP test,anticompensatory saccades indicate vestibular function residual. In this article,the origin,development and the current research status of SHIMP are reviewed.

关 键 词：前庭功能 头脉冲抑制试验 视频头脉冲试验 前庭眼动反射 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]