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[听觉脑干反应潜伏期变化与鼓膜温度的相关性]

[Latency changes in auditory brainstem response correlated with tympanic membrane temperature].

作者信息

Soutsu M

机构信息

Department of Neurosurgery, Jikei University School of Medicine, Tokyo, Japan.

出版信息

No To Shinkei. 1988 Oct;40(10):939-45.

PMID:3196497
Abstract

We had examined auditory brainstem responses (ABRs) of boxers in order to study human cerebral concussion. ABRs were not prolonged after bouts or knock-out but were unexpectedly shortened after any exertion with or without impact to the head. It was supposed that hyperthermia induced by exertion shortened brainstem conduction velocity as it occurred in peripheral nerve. We investigated correlation of ABR latency and tympanic membrane temperature, which indicated hypothalamic temperature or central nervous temperature, during exertion and body heating. I. Exertion group Six young males aged from 21 to 24 years old were examined (the two were examined twice). T ty (tympanic membrane temperature) and T rec (rectal temperature) were monitored. ABRs and carotid blood flow were examined (QFM). Then subjects were covered with PVC clothes and exercised on bicycle ergometer for 12 approximately 38 min. After T ty reached approximately one degree higher (degrees C) than base line, ABRs and carotid blood flow were recorded in the course of cooling down. T ty was elevated by 0.82 +/- 0.27 degrees C T rec, 0.60 +/- 0.26 degrees C after exertion. ABR I-V IPL was shortened from 4.24 +/- 0.60 to 4.10 +/- 0.11 msec (p less than 0.01) and it was correlated with T ty change rather than T rec or carotid blood flow. ABR IPL returned to base line as T ty came down. II. Heating group Six young males were examined. Hyperthermia was induced by electrical blanket or immersing in hot water (41 +/- 1 degrees C).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为了研究人类脑震荡,我们检测了拳击运动员的听觉脑干反应(ABR)。在比赛或被击倒后ABR并未延长,但在头部受到或未受到撞击的任何运动后,ABR却意外缩短。据推测,运动引起的体温过高会像在周围神经中发生的那样缩短脑干传导速度。我们研究了运动和身体发热期间ABR潜伏期与鼓膜温度(其指示下丘脑温度或中枢神经温度)之间的相关性。一、运动组对6名年龄在21至24岁的年轻男性进行了检测(其中两人接受了两次检测)。监测鼓膜温度(Tty)和直肠温度(Trec)。检测ABR和颈动脉血流量(QFM)。然后让受试者穿上PVC衣服,在自行车测力计上运动约12至38分钟。当Tty比基线升高约1摄氏度(℃)后,在降温过程中记录ABR和颈动脉血流量。运动后Tty升高了0.82±0.27℃,Trec升高了0.60±0.26℃。ABR I-V峰间潜伏期从4.24±0.60毫秒缩短至4.10±0.11毫秒(p<0.01),且它与Tty的变化相关,而非与Trec或颈动脉血流量相关。随着Tty下降,ABR峰间潜伏期恢复到基线水平。二、加热组对6名年轻男性进行了检测。通过电热毯或浸入热水(41±1℃)诱导体温过高。(摘要截断于250字)

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