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与直流电刺激成骨相关的骨生物电位变化。

Changes in bioelectric potentials on bone associated with direct current stimulation of osteogenesis.

作者信息

Rubinacci A, Black J, Brighton C T, Friedenberg Z B

机构信息

McKay Laboratory of Orthopaedic Surgery Research, Department of Orthopaedic Surgery, University of Pennsylvania, School of Medicine, Philadelphia.

出版信息

J Orthop Res. 1988;6(3):335-45. doi: 10.1002/jor.1100060305.

Abstract

This study was designed to determine whether changes occur in the bioelectric potentials on bone during and after bone stimulation with a 20-microA direct current (DC) and whether the variations in bioelectric potentials are related to the variations in bone formation. The bioelectric potentials were recorded at different times on the rabbit distal tibial surface, during (current-on state) and after (current-off state) DC stimulation with a cathode implanted within the medullary canal. The new bone formed at the end of the experiment was quantitated and related to the bioelectric potentials recorded at current-on and current-off states, respectively. Direct current stimulation resulted in electronegative potential spike centered on the cathode tip while current was applied. After electrical stimulation was turned off, the residual potentials at the end of the experiment did not significantly differ from the initial values. Conversely, the time sequence of the changes was significantly different from the control to the experimental group. The variations in the induced potentials at current-on state were significantly related to the variations in bone formation. This study suggests the existence of a relationship among bioelectric potentials, DC stimulation, and osteogenesis.

摘要

本研究旨在确定在用20微安直流电(DC)刺激骨骼期间及之后,骨骼上的生物电势是否会发生变化,以及生物电势的变化是否与骨形成的变化相关。将阴极植入髓腔内,在兔胫骨远端表面于直流电刺激期间(通电状态)和之后(断电状态)的不同时间记录生物电势。对实验结束时形成的新骨进行定量,并分别将其与在通电和断电状态下记录的生物电势相关联。施加直流电刺激时,在阴极尖端处产生以电负性电势尖峰为中心的电势。电刺激关闭后,实验结束时的残余电势与初始值无显著差异。相反,从对照组到实验组,变化的时间顺序存在显著差异。通电状态下诱导电势的变化与骨形成的变化显著相关。本研究表明生物电势、直流电刺激和成骨之间存在关联。

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