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奎尼丁应用于大鼠坐骨神经会降低诱发反应的幅度并增加潜伏期。

Application of quinidine on rat sciatic nerve decreases the amplitude and increases the latency of evoked responses.

作者信息

Cheng Kuang-I, Lin I-Ling, Chang Lin-Li, Jou I-Ming, Lai Chung-Sheng, Wang Jhi-Joung, Wang Hung-Chen, Kwan Aij-Lie

机构信息

Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

J Anesth. 2014 Aug;28(4):559-68. doi: 10.1007/s00540-013-1754-x. Epub 2013 Dec 15.

Abstract

PURPOSE

Multi-modality electrophysiological techniques were performed to assess the effects of quinidine on peripheral nerve conduction.

METHODS

Twenty-seven rats were treated with 1, 3, and 5 μmol quinidine in 0.1 ml 5 % glucose. The mixed-nerve somato-sensory evoked potential (M-SSEP), dermatomal-SSEP (D-SSEP), and compound muscle action potentials (CMAP) were evoked and recorded. After positioning Gelfoam strips saturated with quinidine and 5 % glucose around the left and right sciatic nerves, potentials were measured at baseline, immediately after treatment, every 15 min for the 1st hour, and every 30 min for the next 3 h. After 2 weeks, the walking behaviors and potentials were again analyzed and myelinated fibers in the sciatic nerve were counted.

RESULTS

Quinidine applied directly to sciatic nerves reduced the amplitude and prolonged the latency in SSEPs and CMAP, compared to baseline and the contralateral right limbs (controls). This persisted for at least 4 h. After 2 weeks, electrophysiological tests and walking behavior showed no significant difference between the controls and experimental limbs. There was also no difference in the number of myelinated fibers in the sciatic nerves.

CONCLUSIONS

Quinidine decreases amplitude and prolongs latency in the sciatic nerve in a dose-related manner without local neural toxicity.

摘要

目的

采用多模态电生理技术评估奎尼丁对周围神经传导的影响。

方法

27只大鼠分别接受1、3和5μmol奎尼丁(溶于0.1ml 5%葡萄糖)治疗。诱发并记录混合神经体感诱发电位(M-SSEP)、皮节体感诱发电位(D-SSEP)和复合肌肉动作电位(CMAP)。在左右坐骨神经周围放置浸有奎尼丁和5%葡萄糖的明胶海绵条后,在基线、治疗后即刻、第1小时每15分钟以及接下来3小时每30分钟测量电位。2周后,再次分析行走行为和电位,并对坐骨神经中的有髓纤维进行计数。

结果

与基线和对侧右肢(对照)相比,直接应用于坐骨神经的奎尼丁降低了SSEP和CMAP的波幅并延长了潜伏期。这种情况持续至少4小时。2周后,电生理测试和行走行为在对照肢和实验肢之间未显示出显著差异。坐骨神经中有髓纤维的数量也没有差异。

结论

奎尼丁以剂量相关的方式降低坐骨神经的波幅并延长潜伏期,且无局部神经毒性。

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