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躯体诱发脑反应作为适应氮麻醉的指标。

Somatic-evoked brain responses as indicators of adaptation to nitrogen narcosis.

作者信息

Langley T D, Hamilton R W

出版信息

Aviat Space Environ Med. 1975 Feb;46(2):147-51.

PMID:1115712
Abstract

Two 2-week experimental pressure chamber exposures to nitrogen-oxygen breathing mixtures afforded an opportunity to study adaptation to nitrogen narcosis. Somatic-evoked brain responses induced by electrical stimulation of the median nerve in the wrist were processed on-line with a signal averager. The N1P2 interval was seen generally to be reduced in amplitude as a result of exposure to increased nitrogen partial pressure. Compressions with air were made from sea level and saturation to 200, 250 and 300 ft of sea water (fsw) equivalent (61, 76, and 91m). The decrement was found to be less, for equivalent exposures, in subjects who had been saturated at the pressure of 90 and 120 fsw (27 and 36 m); we interpret this as evidence of a nonspecific "adaptation." Less adaptation was seen from 30 and 60 fsw (9 and 18 m). These results are consistent with performance tests on the same exposures, and with subjective impressions. Saturation with 3 0r 4 atm of nitrogen may permit somewhat deeper diving without serious narcosis, than is possible from sea level.

摘要

两次为期两周的在压力舱中吸入氮氧混合气体的实验,为研究对氮麻醉的适应性提供了机会。通过信号平均器对腕部正中神经电刺激诱发的躯体诱发电位脑反应进行在线处理。由于暴露于升高的氮分压下,N1P2间期的幅度通常会降低。在海平面进行空气压缩,并将饱和度提高到相当于200、250和300英尺海水(fsw)(61、76和91米)的深度。结果发现,对于等效暴露,在90和120 fsw(27和36米)压力下饱和的受试者,这种降低程度较小;我们将此解释为非特异性“适应”的证据。在30和60 fsw(9和18米)时观察到的适应性较低。这些结果与相同暴露条件下的性能测试以及主观感受一致。与从海平面开始潜水相比,在3或4个大气压的氮环境中饱和,可能允许进行更深一些的潜水而不会出现严重麻醉。

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