Stevenson Matthew, Baylor Kelly, Netherton Brett L, Stecker Mark M
Department of Neuroscience, Joan C. Edwards Marshall University School of Medicine, Huntington, West Virginia, USA.
Am J Electroneurodiagnostic Technol. 2010 Dec;50(4):263-96.
Electrical stimulation can cause significant damage to clinical electrodes as well as patient injury. In this study, the effects of stimulation on pure metal electrodes were investigated without the complexities introduced by the multiple elements that make up the clinical electrode. As with the clinical electrodes, there was significant decomposition of pure stainless steel anodes with no associated significant changes in the cathodes when stimulation employed long pulse durations. Effects of stimulation were greater when the anode and cathode were closer under constant voltage stimulation but were distance independent under constant current stimulation. High ionic content of the solution also increased the degree of damage to the anode as did the presence of chloride in the solution. Electrode composition also influenced the amount damage to the anode. Platinum and platinum-iridium electrodes showed no damage with any stimulus while stainless steel showed the lowest resistance to corrosion for direct current (DC) stimulation. Tungsten electrodes behaved very differently than stainless steel, decomposing with pulse stimulation and resisting decomposition during DC stimulation because of the formation of surface protective layers. Because platinum was able to maintain high levels of current over time, prolonged stimulation produced dramatic increases in the temperature of the solution; however, even short periods of stimulation were sufficient to produce dramatic changes in pH in the neighborhood of the electrode.
电刺激会对临床电极造成严重损害,也会对患者造成伤害。在本研究中,研究了刺激对纯金属电极的影响,而没有考虑构成临床电极的多种元素所带来的复杂性。与临床电极一样,当采用长脉冲持续时间进行刺激时,纯不锈钢阳极会发生显著分解,而阴极没有相关的显著变化。在恒压刺激下,阳极和阴极距离越近,刺激效果越大;而在恒流刺激下,刺激效果与距离无关。溶液的高离子含量以及溶液中氯化物的存在也会增加阳极的损坏程度。电极成分也会影响阳极的损坏程度。铂和铂铱电极在任何刺激下均未显示损坏,而不锈钢对直流(DC)刺激的耐腐蚀性最低。钨电极的行为与不锈钢非常不同,在脉冲刺激下会分解,而在直流刺激期间由于形成表面保护层而抵抗分解。由于铂能够长时间保持高电流水平,长时间刺激会使溶液温度急剧升高;然而,即使是短时间的刺激也足以使电极附近的pH值发生显著变化。