Ren Hao, Zhou Rui-Ling, Zhou Chong-Tan
Department of Physiology, Chengde Medical College, Chengde 067000, China.
Sheng Li Xue Bao. 2012 Aug 25;64(4):469-74.
The aim of the present study was to establish a minimally invasive H reflex model in mice for the benefit of the research of clinical spinal cord injury and related diseases. Minimally invasive surgery was performed in hind limb of Kunming mouse under light anesthesia. The skin was incised at the point of one-third of the distance from greater trochanter to the base of the cauda. A pair of fine copper conductors were inserted into the shallow muscle using a syringe needle. After the needles were withdrawed, the retained conductors were ligated and fixed with the tissues surrounding the sciatic nerve as the first pair of stimulating electrodes. Another pair of conductors were inserted and fixed in medial malleolus close to the tibial nerve as the second stimulating electrodes. Copper conductor was inserted passing the skin above the proximal end of the metatarsal and fixed as the recording electrode. The reference electrode was placed at the walking pad in the base of the big toe using the same method. Electromyography (EMG) was used to record M and H waves in planta pedis muscles. The stimulus was a square wave with a width of 0.2 ms and frequency of 0.3 Hz. The latency time of the M and H waves which were induced from the two pairs of stimulating electrodes was recorded. Nerve conduction velocity (NCV) was then calculated from the distance between the cathodes of the stimulating electrodes and the latency time difference of M or H waves. The result showed the achievement ratios of H reflex induction were 92.73% and 81.82% in sciatic and tibial nerves, respectively. The latency time of H wave was about 7~10 ms. Motor nerve conduction velocity (MNCV) obtained was (25.84 ± 4.70) m/s (n = 35), while sensory nerve conduction velocity (SNCV) was (31.45 ± 7.30) m/s (n = 35). The method established in the present paper is simple to practice, does slight harm to the animal, and can produce waveforms with little interference. With these advantages, the method can be applied for the study of the latency of H reflex, and it is suitable for the researches which demands good physical condition of experimental animal during H reflex study. This model can also be applied to the detection of SNCV and MNCV.
本研究的目的是建立一种小鼠微创H反射模型,以利于临床脊髓损伤及相关疾病的研究。在轻度麻醉下,对昆明小鼠的后肢进行微创手术。在大转子至尾基部距离的三分之一处切开皮肤。用注射器针头将一对细铜导体插入浅层肌肉。拔出针头后,将保留的导体结扎并与坐骨神经周围的组织固定在一起,作为第一对刺激电极。另一对导体插入并固定在靠近胫神经的内踝处,作为第二对刺激电极。将铜导体穿过跖骨近端上方的皮肤并固定,作为记录电极。用同样的方法将参考电极置于大脚趾基部的脚垫处。采用肌电图(EMG)记录足底肌肉的M波和H波。刺激为宽度0.2 ms、频率0.3 Hz的方波。记录由两对刺激电极诱发的M波和H波的潜伏期。然后根据刺激电极阴极之间的距离和M波或H波的潜伏期差计算神经传导速度(NCV)。结果显示,坐骨神经和胫神经的H反射诱导成功率分别为92.73%和81.82%。H波的潜伏期约为7~10 ms。获得的运动神经传导速度(MNCV)为(25.84±4.70)m/s(n = 35),感觉神经传导速度(SNCV)为(31.45±7.30)m/s(n = 35)。本文建立的方法操作简单,对动物损伤小,能产生干扰小的波形。该方法具有这些优点,可用于H反射潜伏期的研究,适用于在H反射研究中对实验动物身体状况要求较高的研究。该模型还可用于SNCV和MNCV的检测。