中国临床康复
中國臨床康複
중국림상강복
CHINESE JOURNAL OF CLINICAL REHABILITATION
2004年
22期
4638-4639
,共2页
坐骨神经/生理学%动作电位%电刺激疗法
坐骨神經/生理學%動作電位%電刺激療法
좌골신경/생이학%동작전위%전자격요법
背景:神经纤维疾病的患者经常被推荐做复合动作电位相对不应期的测定,但其在不同刺激条件下的特性始终并未完全证实.目的:通过蟾蜍坐骨神经复合动作电位的实验,更加全面地阐述复合动作电位相对不应期爆发动作电位的特点.设计:随机非对照的实验研究.地点和对象:由首都医科大学实验动物中心提供的6只蟾蜍,在同一生理学实验室被处死来做实验.干预:以不同的刺激强度和组合方式刺激神经.主要观察指标:用NSA-Ⅲ医学信号处理系统记录相对不应期发生动作电位的幅度.结果:在相对不应期的同一时刻,较强的刺激会引起较大幅度的复合动作电位,并且在同样的刺激强度下,不会产生太大变化.结论:在同一时期对相对不应期的刺激可引起不同阈值的神经纤维不同概率性的兴奋,但它们可以固定的概率性叠加,以形成稳定的动作电位.此外,神经干中A类神经纤维的最短绝对不应期可以通过足够强的刺激来测定.
揹景:神經纖維疾病的患者經常被推薦做複閤動作電位相對不應期的測定,但其在不同刺激條件下的特性始終併未完全證實.目的:通過蟾蜍坐骨神經複閤動作電位的實驗,更加全麵地闡述複閤動作電位相對不應期爆髮動作電位的特點.設計:隨機非對照的實驗研究.地點和對象:由首都醫科大學實驗動物中心提供的6隻蟾蜍,在同一生理學實驗室被處死來做實驗.榦預:以不同的刺激彊度和組閤方式刺激神經.主要觀察指標:用NSA-Ⅲ醫學信號處理繫統記錄相對不應期髮生動作電位的幅度.結果:在相對不應期的同一時刻,較彊的刺激會引起較大幅度的複閤動作電位,併且在同樣的刺激彊度下,不會產生太大變化.結論:在同一時期對相對不應期的刺激可引起不同閾值的神經纖維不同概率性的興奮,但它們可以固定的概率性疊加,以形成穩定的動作電位.此外,神經榦中A類神經纖維的最短絕對不應期可以通過足夠彊的刺激來測定.
배경:신경섬유질병적환자경상피추천주복합동작전위상대불응기적측정,단기재불동자격조건하적특성시종병미완전증실.목적:통과섬서좌골신경복합동작전위적실험,경가전면지천술복합동작전위상대불응기폭발동작전위적특점.설계:수궤비대조적실험연구.지점화대상:유수도의과대학실험동물중심제공적6지섬서,재동일생이학실험실피처사래주실험.간예:이불동적자격강도화조합방식자격신경.주요관찰지표:용NSA-Ⅲ의학신호처리계통기록상대불응기발생동작전위적폭도.결과:재상대불응기적동일시각,교강적자격회인기교대폭도적복합동작전위,병차재동양적자격강도하,불회산생태대변화.결론:재동일시기대상대불응기적자격가인기불동역치적신경섬유불동개솔성적흥강,단타문가이고정적개솔성첩가,이형성은정적동작전위.차외,신경간중A류신경섬유적최단절대불응기가이통과족구강적자격래측정.
BACKGROUND: The measure of "relative refractory period of compound action potential" is commonly recommended for patients with nervous fiber diseases. But its characteristics with different intensities of stimulus have not been completely proved.OBJECTIVE: To illustrate the characteristics of action potential occurring in "relative refractory period of compound action potential" from the experiment of compound action potential of sciatic stem in toads.DESIGN: A randomly uncontrolled trial study.SETTING and MATERIALS: Six toads were provided by the Experimental Animal Center of Capital University of Medical Sciences and were killed for experiment at the same physiology laboratory.INTERVENTIONS: The sciatic stems were stimulated with different intensities and combinations.MAIN OUTCOME MEASURES: The amplitudes of action potential occurring in relative refractory period were recorded by NSA-Ⅲ medical signal processing system.RESULTS: The higher extent of compound action potentials could be caused by stronger stimulations at the same point of relative refractory period, all of which were almost unchangeable with the same stimulus intensity.CONCLUSION: The stimulation in relative refractory period can cause the action potentials of the nerves, whose thresholds are different at different probabilities, but they can be added according to the same probability to form the stable extent of compound action potentials at the same intervat. On the other hand, the shortest absolute refractory period of category A nerves of the stem can be measured by enough strong intension of stimulation.