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振动暴露与周围神经纤维损伤。

Vibration exposure and peripheral nerve fiber damage.

作者信息

Lundborg G, Dahlin L B, Hansson H A, Kanje M, Necking L E

机构信息

Department of Hand Surgery, University of Lund, Malmö General Hospital, Sweden.

出版信息

J Hand Surg Am. 1990 Mar;15(2):346-51. doi: 10.1016/0363-5023(90)90121-7.

Abstract

The hind leg of adult rats was exposed to vibrations (82 Hz; amplitude peak-to-peak 0.21 mm) for 4 hours during 5 consecutive days. Light and electron microscopic examination of the plantar and sciatic nerves were done immediately after the exposure period or after a 2- or 4-week recovery period. Light microscopic examination did not reveal any distinct signs of injury. However, ultrastructurally unmyelinated fibers in the plantar nerves showed distinct changes, with deranged axoplasmic structure and/or accumulation of smooth endoplasmatic reticulum. These changes were to a large extent reversible in 2 weeks and appeared normalized after a 4-week recovery period. No ultrastructural changes could be observed in the sciatic nerve. However, when the sciatic nerve was crushed after 5 days of vibration exposure, axonal outgrowth was increased 23% as compared with controls. These findings confirm that vibration induces nerve fiber damage, in this experimental model expressed as a "conditioning effect" contributing to increased regeneration potential of the corresponding neurones.

摘要

成年大鼠的后腿连续5天每天暴露于振动(82赫兹;峰峰值振幅0.21毫米)下4小时。在暴露期结束后或2周或4周的恢复期后,立即对足底神经和坐骨神经进行光镜和电镜检查。光镜检查未发现任何明显的损伤迹象。然而,超微结构上,足底神经中的无髓纤维显示出明显变化,轴浆结构紊乱和/或滑面内质网积聚。这些变化在2周内很大程度上是可逆的,在4周恢复期后似乎恢复正常。坐骨神经未观察到超微结构变化。然而,在振动暴露5天后挤压坐骨神经,与对照组相比,轴突生长增加了23%。这些发现证实,在这个实验模型中,振动会诱导神经纤维损伤,表现为一种“调节效应”,有助于相应神经元再生潜力的增加。

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