CAJ | 학술논문

　　目的提高本实验室对勃起功能神经电生理检测的准确度,校正本实验室的参考值。方法对本区3657名高中男生体检时随机抽样366人常规进行球海绵体反射（Bulbocavernosus reflex response），阴部体感神经诱发电位（Pudendal somaticevoked potential），阴部运动神经诱发电位（Pudendal motorevoked potential），阴茎皮肤交感反应（Penile sympathetic skin responses, PSSR）检测。所得潜伏期数据计算均值、标准差。结果球海绵体反射的潜伏期为（33.71±10.21）ms、阴部脊髓体感神经诱发电位潜伏期为（10.88±2.75）ms、阴部皮层体感神经诱发电位潜伏期为（40.23±5.43）ms、阴部脊髓运动神经诱发电位潜伏期为（9.78±2.26）ms、阴部皮层运动神经诱发电位潜伏期为（23.18±5.25）ms、阴茎皮肤交感反应的潜伏期为（1229.88±233.21）ms。结论建立勃起功能神经电生理检测的本地实验室校正参考值是必须的球海绵体反射小于43.92ms、阴部脊髓体感神经诱发电位小于13.63ms、阴部皮层体感神经诱发电位小于45.66ms、阴部脊髓运动神经诱发电位小于12.04 ms、阴部皮层运动神经诱发电位小于28.43 ms、阴茎皮肤交感反应小于1463.09 ms。
　　목적제고본실험실대발기공능신경전생리검측적준학도,교정본실험실적삼고치。방법대본구3657명고중남생체검시수궤추양366인상규진행구해면체반사（Bulbocavernosus reflex response），음부체감신경유발전위（Pudendal somaticevoked potential），음부운동신경유발전위（Pudendal motorevoked potential），음경피부교감반응（Penile sympathetic skin responses, PSSR）검측。소득잠복기수거계산균치、표준차。결과구해면체반사적잠복기위（33.71±10.21）ms、음부척수체감신경유발전위잠복기위（10.88±2.75）ms、음부피층체감신경유발전위잠복기위（40.23±5.43）ms、음부척수운동신경유발전위잠복기위（9.78±2.26）ms、음부피층운동신경유발전위잠복기위（23.18±5.25）ms、음경피부교감반응적잠복기위（1229.88±233.21）ms。결론건립발기공능신경전생리검측적본지실험실교정삼고치시필수적구해면체반사소우43.92ms、음부척수체감신경유발전위소우13.63ms、음부피층체감신경유발전위소우45.66ms、음부척수운동신경유발전위소우12.04 ms、음부피층운동신경유발전위소우28.43 ms、음경피부교감반응소우1463.09 ms。
Objective To enhances the accuracy of the electrophysiological in assessment of erectile function and normalize the laboratory reference value. Methods In 3657 middle school students who receivedphysical examination, 366 were randomly selected for testing conventional bulbocavernosus reflex response,pudendal somaticevoked potential,pudendal motorevoked potential and penile sympathetic skin responses respectively. The collected data were calculated and analyzed. Rusults The incubation period of bulbocavernosus reflex response was (33.71±10.21)ms, The incubation period of pudendal somaticevoked potential from spinal was (10.88±2.75)ms, The incubation period of pudendal somaticevoked potential from cortex was (40.23±5.43)ms, The incubation period of pudendal motorevoked potential from spinal was (9.78 ±2.26)ms, The incubation period of pudendal motorevoked potential from cortex was(23.18±5.25)ms. The incubation period of penile sympathetic skin responses was (1229.88±233.21)ms. Conclusion What reference value of erectile function neural electrophysiology were normalized in local laboratory was necessary prior to use in clinic. The incubation period of bulbocavernosus reflex response was less than 43.92ms, The incubation period of pudendal somaticevoked potential from spinal was less than 13.63ms, The incubation period of pudendal somaticevoked potential from cortex was less than 45.66ms, The incubation period of pudendal motorevoked potential from spinal was less than 12.04ms, The incubation period of pudendal motorevoked potential from cortex wasless than 28.43ms, The incubation period of penile sympathetic skin responses was less than 1463.09ms.