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[腰椎疾病患者小腿交感神经活动的微神经图研究]

[Microneurographic study of sympathetic nerve activity of the lower leg in lumbar spine diseases].

作者信息

Senma S

机构信息

Department of Orthopedic Surgery, Akita University School of Medicine, Japan.

出版信息

Nihon Seikeigeka Gakkai Zasshi. 1991 Aug;65(8):488-97.

PMID:1955795
Abstract

Sympathetic nerve activity was recorded with micro-neurography, and this activity in lumbar spine disease was evaluated. The recording was made with 2-5 omega impedance tungsten microelectrodes in human common peroneal nerve. Sympathetic nerve activity was expressed as bursts numbers per minute, and bursts per 100 heart beats. For the skin sympathetic nerve activity, reflex latencies were 0.80 +/- 0.16 seconds. These values were clearly longer than those of myelinated A fiber, reflecting the conduction velocities of unmyelinated C fiber that forms postganglionic sympathetic fiber. Muscle sympathetic nerve activity in lumbar spine disease with leg symptoms increased in comparison with other subjects. These results suggest this condition induces latent ischemia of the leg that may cause coldness or numbness in the leg.

摘要

采用微神经ography记录交感神经活动,并对腰椎疾病中的这种活动进行评估。记录是在人体腓总神经中使用2 - 5欧姆阻抗的钨微电极进行的。交感神经活动以每分钟爆发次数和每100次心跳的爆发次数表示。对于皮肤交感神经活动,反射潜伏期为0.80±0.16秒。这些值明显长于有髓鞘A纤维的值,反映了构成节后交感纤维的无髓鞘C纤维的传导速度。与其他受试者相比,伴有腿部症状的腰椎疾病患者的肌肉交感神经活动增加。这些结果表明,这种情况会导致腿部潜在缺血,可能会引起腿部发冷或麻木。

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