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体感诱发电位变化与减压时机对脊髓损伤大鼠脊髓功能恢复及诱发电位的影响。

Somatosensory evoked potential changes and decompression timing for spinal cord function recovery and evoked potentials in rats with spinal cord injury.

机构信息

Department of Microscopic Orthopaedic, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, China.

Department of Orthopedic Surgery, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, China.

出版信息

Brain Res Bull. 2019 Mar;146:7-11. doi: 10.1016/j.brainresbull.2018.12.003. Epub 2018 Dec 11.

Abstract

OBJECTIVE

The study aimed to evaluate changes of somatosensory evoked potentials and the effects of decompression timing on spinal cord recovery and evoked potentials by measuring the somatosensory evoked potentials of rats with spinal cord injury at different time points.

METHODS

A total of 70 SD rats were divided into the control group (group A) and the experimental group. The experimental groups included group B-D according to the severity of spinal cord injury. Somatosensory evoked potentials were evaluated in the 4 study groups after the spinal cord was opened and spinal anesthesia. Continuous operations were performed to establish the rat models of spinal cord injury until surgical trauma was detected for stable somatosensory evoked potentials. The somatosensory evoked potentials of rats were determined before injury, and 5 min, 1 and 6 h, 3 and 7 days after injury. Evoked potentials were measured before decompression, and 5 min, 1 and 6 h, 3 and 7 days after decompression in the rat models. Latency and amplitude were determined.

RESULTS

There was no significant change in latency and amplitude of somatosensory evoked potentials before and after anesthesia and operation in the control group (P > 0.05). At 1 and 6 h after spinal cord injury, the more severe the spinal cord were hit, the more significant extension and decreases were observed in latency and in amplitude, respectively. Significant changes were identified in latency and vibration amplitude at 5 min after spinal cord injury in group B, C, and D than before injury with even more obvious changes in amplitude. The latency and amplitude of the somatosensory evoked potentials in the control group and each spinal cord injury group had great difference before increasing the spinal cord injury. The rats in the 30-minute compression group had significant longer latency than those in other groups after 7 days of compression; the somatosensory evoked potential amplitude recovered faster in rats with less time for compression. The wave amplitude was significantly lower in rats with 30 min' compression than that in the other groups after 7 days.

CONCLUSIONS

Somatosensory evoked potential can well reflect the severity of spinal cord injury. The longer the spinal cord was compressed, the more significant were changes in somatosensory evoked potential. Changes in the amplitude of somatosensory evoked potential following spinal cord injury are more sensitive than latency changes for early diagnosis and prompt assessment of spinal cord injury.

摘要

目的

通过测量不同时间点脊髓损伤大鼠的体感诱发电位,评估减压时机对脊髓恢复和诱发电位的影响,研究旨在评估体感诱发电位的变化,并观察减压时机对脊髓损伤后脊髓恢复和诱发电位的影响。

方法

将 70 只 SD 大鼠分为对照组(A 组)和实验组。实验组根据脊髓损伤的严重程度进一步分为 B-D 组。在打开脊髓和脊髓麻醉后,4 个研究组评估体感诱发电位。持续手术建立大鼠脊髓损伤模型,直至检测到稳定的体感诱发电位。在损伤前、损伤后 5 min、1 h、6 h、3 d 和 7 d 测定大鼠体感诱发电位,在减压前、减压后 5 min、1 h、6 h、3 d 和 7 d 测量大鼠模型的诱发电位,测定潜伏期和振幅。

结果

对照组麻醉和手术前后体感诱发电位潜伏期和振幅无明显变化(P>0.05)。脊髓损伤后 1 h 和 6 h,脊髓损伤越严重,潜伏期和振幅分别延长和降低越明显。B、C、D 组脊髓损伤后 5 min 时,潜伏期和振动幅度均发生显著变化,与损伤前相比,振幅变化更为明显。控制组和各脊髓损伤组在增加脊髓损伤前的体感诱发电位潜伏期和振幅差异较大。30 分钟压迫组大鼠在压迫 7 天后的潜伏期明显长于其他组;压迫时间越短,大鼠体感诱发电位恢复越快。压迫 7 天后,30 分钟组大鼠的波幅明显低于其他组。

结论

体感诱发电位能很好地反映脊髓损伤的严重程度,脊髓受压时间越长,体感诱发电位变化越明显。脊髓损伤后体感诱发电位振幅的变化比潜伏期的变化更为敏感,对早期诊断和及时评估脊髓损伤有重要意义。

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