视频头脉冲测试中扫视波参数的重要性分析  

Importance of SaccadicWave Parameters in Video Head Impulse Testing

作　　者：杜一 刘兴健 王郁 徐正燕 任丽丽 吴子明 DU Yi;LIU Xingjian;WANG Yu;XU Zhengyan;REN Lili;WU Ziming(Department of Otolaryngology Head and Neck Surgery,First Medical Centre,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]中国人民解放军总医院第一医学中心,听觉与平衡觉全国重点实验室,国家耳鼻咽喉疾病临床医学研究中心,聋病教育部重点实验室,聋病防治北京市重点实验室,北京100853

出　　处：《中华耳科学杂志》2024年第1期31-35,共5页Chinese Journal of Otology

摘　　要：本综述旨在全面讨论视频头脉冲中扫视波(catch-up saccades,CS)的参数、机制以及其与前庭功能和相关疾病的联系,从而验证CS在临床评估前庭功能及相关疾病中的关键作用。本文详细描述了CS的参数特征、生理机制以及产生的条件,并深入分析其在前庭-眼反射以及颈眼反射的角色。借助头脉冲抑制模型中的CS,结合动态视敏度以及步态和平衡功能,进一步探讨CS与前庭功能的紧密联系。此外,本文还从不同年龄段、前庭功能损伤、梅尼埃病及前庭性偏头痛等角度,剖析了CS的表现及其在各种疾病背景下的重要性。总之,CS对于维持视觉的稳定性,评估前庭功能的损伤程度以及前庭康复阶段均具有重要价值。The aim of this paper is to describe the parameters and mechanisms of catch-up saccades(CS)in video head impulse tests and their relationship to vestibular functions and disorders,as the evidence of its importance in clinical assessment.Characteristics,mechanisms and generation of CS are described in detail,especially its roles in the vestibulo-ocular reflex(VOR)and cervico-ocular reflex.By assessing CS in the suppression head impulse paradigm,dynamic visual acuity,gait and balance,we elaborate in detail on the connection between CS and vestibular functions.The article also analyzes the performance of CS under various conditions,including age,vestibular function damage,Meniere's disease and vestibular migraines,to provide an understanding of the role of CS in various disease conditions.CS plays a crucial role in maintaining visual stability and in assessing vestibular functions impairment and vestibular rehabilitation.

关 键 词：扫视波 前庭眼反射 颈眼反射 梅尼埃病 前庭性偏头痛 

分 类 号：R764[医药卫生—耳鼻咽喉科]