眼损伤图形刺激对比度视诱发电位

目的研究眼损伤者对比度视诱发电位的特征。方法选取本中心行法医临床学鉴定的60例眼损伤者,根据最佳矫正视力分为0.2~0.3(A组)、0.3~0.5(B组)、≥0.5(C组)三组。分别观察100%、25%、10%对比度条件下的对比度视诱发电位波的振幅及潜伏期变化特征,并行统计学分析。结果 (1)相同对比度时,P_(100)波振幅随刺激视角的减小而降低;(2)相同刺激视角时,P_(100)波振幅随对比度降低而降低,组间差异有统计学意义(P0.05);(3)100%、25%对比度时,相同刺激视角(100%7′视角除外),A组与B组差异无统计学意义(P0.05);A组与C组、B组与C组随视力提高,P_(100)波振幅增高(P0.05);10%对比度15′刺激视角,P_(100)波振幅随视力提高而增高(P0.05);(4)相同对比度下,相同刺激视角时,P_(100)波潜伏期随视力提高而缩短,但组间差异无统计学意义(P0.05)。相同刺激视角时,随对比度降低,P_(100)波潜伏期延长,但差异无统计学意义(P0.05)。结论对比度视诱发电位有望成为评估对比度视力的方法之一。

Contrast Visual Evoked Potentials under Pattern Stimulus in Ocular Trauma

Objective T o study the characteristic of contrast visual evoked potentials (C V E P ) in patients w ith ocular traum a. Methods Sixty patients defined as ocular traum a by forensic clinical exam ination in our center w ere selected, and split into 0.2-0.3 (G roup A ), 0.3-0.5 (G roup B ) and ≥0.5 (G roup C ) according to the best corrected visual acuity. T he variation characteristics of w ave am plitude and latency of C V E P under 100%, 25% and 10% contrast w ere observed and analyzed statistically. Results (1) U n-der the sam e contrast, the w ave am plitude of P 100 decreased w ith the decrease of stim ulus perspective. (2) U nder the sam e stim ulus perspective, the w ave am plitude of P100 decreased w ith the decrease of contrast (P<0.05). (3) U nder the contrast of 100% and 25% w ith the sam e stim ulus perspective (except 100% 7′ perspective stim ulus), the difference betw een group A and group B had no statistical signifi-cance (P>0.05). B etw een group A and group C , group B and group C , the w ave am plitude of P100 gradually increased w ith the increase of vision (P<0.05). U nder the contrast of 10% w ith 15′ stim ulus perspective, the w ave am plitude of P100 increased w ith the increase of vision (P<0.05). (4) U nder the sam e contrast w ith the sam e stim ulation perspective, the latency of P 100 w ave shortened w ith the increase of vision, w hile the difference had no statistical significance (P>0.05). U nder the sam e stim ulus per-spective, the latency of P100 w ave w as prolonged w ith the decrease of contrast (P>0.05). Conclusion C V E P m ay becom e one of the possible m ethods for the evaluation of contrast visual acuity.