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[用累加电流刺激法研究肌肉诱发电位在神经损伤诊断中的应用]

[Study of muscular evoked potentials by the built-up current in diagnosis of nerve injuries].

作者信息

Bersnev V P

出版信息

Vopr Neirokhir. 1975(2):29-33.

PMID:1198992
Abstract

In 129 patients the diagnosis was defined over periods from 1 month to 2 years following the damage of the nerves with the help of myopotentials evoked through stimulation of the nerves with batches (charges) of a built-up current of varying frequency lasting for 1 second. With the lability of the neuro-muscular system falling from 35 down to 10 pulses/sec, a reduced amplitude of periliminal peak potentials, post-tetanic after-potentials and in the absence of pessimal inhibition of up to 1000 pulses/sec the operative treatment is, as a rule, not indicated. Late after injury and with a low amplitude of evoked myopotentials, falling down to 5--26 mug, an amplitude transformation from 2 up to 10 pulses/sec, the absence of periliminal rising peak potentials and post-tetanic after-potentials (spikes) surgery is commonly indicated. The operative intervention is also indicated in the absence of all types of the evoked myopotentials when this is combined with other factors.

摘要

在129例患者中,神经损伤后1个月至2年期间,借助于用持续1秒的不同频率的叠加电流的脉冲(电荷)刺激神经所诱发的肌电位来明确诊断。当神经肌肉系统的兴奋性从35次/秒降至10次/秒,阈下峰电位、强直后电位的幅度降低,且在高达1000次/秒时无超限抑制时,通常不建议进行手术治疗。损伤后期且诱发肌电位幅度较低,降至5 - 26微伏,频率从2次/秒增至10次/秒,无阈下上升峰电位和强直后电位(尖峰)时,通常建议手术治疗。当所有类型的诱发肌电位均未出现且伴有其他因素时,也建议进行手术干预。

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