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高频交流电对迷走神经轴突传导的影响。

Effects of high-frequency alternating current on axonal conduction through the vagus nerve.

机构信息

EnteroMedics Inc., St Paul, MN, USA.

出版信息

J Neural Eng. 2011 Oct;8(5):056013. doi: 10.1088/1741-2560/8/5/056013. Epub 2011 Sep 15.

Abstract

High-frequency alternating current (HFAC) is known to disrupt axonal conduction in peripheral nerves, and HFAC has much potential as a therapeutic approach for a number of pathological conditions. Many previous studies have utilized motor output as a bioassay of effects of HFAC on conduction through medium- to large-diameter motor axons. However, little is known about the effectiveness of HFAC on smaller, more slowly conducting nerve fibres. The present study tested whether HFAC influences axonal conduction through sub-diaphragmatic levels of the rat vagus nerve, which consists almost entirely of small calibre axons. Using an isolated nerve preparation, we tested the effects of HFAC on electrically evoked compound action potentials (CAPs). We found that delivery of charge-balanced HFAC at 5000 Hz for 1 min was effective in producing reversible blockade of axonal conduction. Both Aδ and C components of the vagus CAP were attenuated, and the degree of blockade as well as time to recovery was proportional to the amount of HFAC current delivered. The Aδ waves were more sensitive than C waves to HFAC blockade, but they required more time to recover.

摘要

高频交流电流(HFAC)已知会干扰周围神经中的轴突传导,并且 HFAC 作为许多病理状况的治疗方法具有很大的潜力。许多先前的研究都利用运动输出作为 HFAC 对中到大直径运动轴突传导影响的生物测定。然而,对于较小、传导速度较慢的神经纤维,HFAC 的有效性知之甚少。本研究测试了 HFAC 是否会影响大鼠迷走神经膈下水平的轴突传导,该神经几乎完全由小口径轴突组成。使用分离的神经制备物,我们测试了 HFAC 对电诱发复合动作电位(CAP)的影响。我们发现,以 5000 Hz 的频率平衡电荷的 HFAC 输送 1 分钟可有效产生可逆的轴突传导阻滞。迷走神经 CAP 的 Aδ 和 C 成分均被减弱,阻滞程度以及恢复时间与输送的 HFAC 电流量成正比。Aδ 波比 C 波对 HFAC 阻滞更敏感,但恢复所需的时间更长。

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