Denys E H
ALS and Neuromuscular Research Center, Pacific Presbyterian Medical Center, San Francisco, California.
Muscle Nerve. 1991 Sep;14(9):795-811. doi: 10.1002/mus.880140902.
AAEM MINIMONOGRAPH # 14 Temperature affects biologic and neurophysiologic processes and is, therefore, always well controlled in in vitro experiments. Its role is equally important in the clinical laboratory but has often been neglected. Lower temperature cause slower nerve conduction velocities (NCVs), and increased amplitudes of muscle and nerve potentials. Fibrillations may disappear, and muscle contraction will be slower and weaker. Neuromuscular transmission improves. Somatosensory evoked potentials (SEPs) are similarly vulnerable in the peripheral segments, or with changes in central temperature. As a result, abnormalities are artificially created or existing defects are not detected, resulting in false or missed diagnoses. Control of temperature, albeit somewhat time consuming, will result in greater diagnostic accuracy.
美国电生理医学学会小型专论#14 温度会影响生物和神经生理过程，因此在体外实验中总是得到很好的控制。其在临床实验室中的作用同样重要，但常常被忽视。较低的温度会导致神经传导速度（NCV）减慢，肌肉和神经电位的幅度增加。纤颤可能消失，肌肉收缩会更慢且更弱。神经肌肉传递得到改善。体感诱发电位（SEP）在外周节段或随着中心体温的变化同样易受影响。结果，会人为造成异常或无法检测到现有的缺陷，从而导致误诊或漏诊。尽管控制温度有些耗时，但会提高诊断准确性。
