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监测脊髓缺血再灌注损伤中的体感诱发电位。

Monitoring somatosensory evoked potentials in spinal cord ischemia-reperfusion injury.

机构信息

Department of Orthopedic Surgery, the First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China.

出版信息

Neural Regen Res. 2013 Nov 25;8(33):3087-94. doi: 10.3969/j.issn.1673-5374.2013.33.002.

Abstract

It remains unclear whether spinal cord ischemia-reperfusion injury caused by ischemia and other non-mechanical factors can be monitored by somatosensory evoked potentials. Therefore, we monitored spinal cord ischemia-reperfusion injury in rabbits using somatosensory evoked potential detection technology. The results showed that the somatosensory evoked potential latency was significantly prolonged and the amplitude significantly reduced until it disappeared during the period of spinal cord ischemia. After reperfusion for 30-180 minutes, the amplitude and latency began to gradually recover; at 360 minutes of reperfusion, the latency showed no significant difference compared with the pre-ischemic value, while the somatosensory evoked potential amplitude in-creased, and severe hindlimb motor dysfunctions were detected. Experimental findings suggest that changes in somatosensory evoked potential latency can reflect the degree of spinal cord ischemic injury, while the amplitude variations are indicators of the late spinal cord reperfusion injury, which provide evidence for the assessment of limb motor function and avoid iatrogenic spinal cord injury.

摘要

脊髓缺血再灌注损伤是否可以通过体感诱发电位来监测,目前尚不清楚。因此,我们使用体感诱发电位检测技术监测了兔的脊髓缺血再灌注损伤。结果表明,在脊髓缺血期间,体感诱发电位潜伏期明显延长,振幅明显降低,直至消失。再灌注 30-180 分钟后,振幅和潜伏期开始逐渐恢复;再灌注 360 分钟时,潜伏期与缺血前值无显著差异,而体感诱发电位振幅增加,并检测到严重的后肢运动功能障碍。实验结果表明,体感诱发电位潜伏期的变化可以反映脊髓缺血损伤的程度,而振幅变化则是晚期脊髓再灌注损伤的指标,为评估肢体运动功能提供了依据,并避免了医源性脊髓损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b08/4158706/811445580254/NRR-8-3087-g002.jpg

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