Kawamura S, Ohta H, Suzuki A, Nemoto M, Hinuma Y, Suzuki E, Yasui N
No To Shinkei. 1987 Mar;39(3):243-50.
Hyperbaric oxygenation (HBO) was reported to have a favorable influence on ischemic brain dysfunction, and also appeared to be useful in improving brain edema. Somatosensory evoked potentials (SEP) and EEG would be available as indicators of brain function. The purpose of this paper is to study reproducibility of the N1-amplitude of SEP and EEG under HBO. Materials were 10 normal volunteers, from 21 to 31 (mean age: 26) years old. Two stimulating needle electrodes were inserted into the skin at the wrist and somatosensory stimulations were applied to the median nerve with 1 msec duration square pulses. Stimulation pulses were generated regularly every 1 sec., and stimulus intensity was adjusted just above the thumb twitch threshold. Monopolar EEGs were recorded from 16 silver-cup electrodes on the scalp, and SEPs were recorded by averaging 250 responses in those EEGs using computer technique. N1-amplitude was determined by the vertical distance between peaks of the P1 and N1 components. EEGs were analyzed by Fast Fourier Transform and the square root of the averaged power of each frequency band (delta, theta, alpha 1, alpha 2, beta) was obtained and evaluated as the equivalent potential. EEGs under the influence of sleeping or artifacts, such as electromyograms, eye lid movements and wandering of the base line, were excluded in evaluating the EEGs. SEPs and EEGs recorded consecutively. The first record was taken before HBO under air breathing at 1ATA, the second during HBO under pure oxygen breathing at 2ATA, and the third after HBO under air breathing at 1ATA once again.(ABSTRACT TRUNCATED AT 250 WORDS)
据报道,高压氧疗(HBO)对缺血性脑功能障碍有积极影响,似乎也有助于改善脑水肿。体感诱发电位(SEP)和脑电图可作为脑功能指标。本文旨在研究HBO下SEP的N1波幅和脑电图的可重复性。研究对象为10名年龄在21至31岁(平均年龄:26岁)的正常志愿者。将两根刺激针电极插入手腕皮肤,以1毫秒持续时间的方波脉冲刺激正中神经。刺激脉冲每隔1秒定期产生,刺激强度调整到刚好高于拇指抽搐阈值。从头皮上的16个银杯电极记录单极脑电图,并用计算机技术对这些脑电图中的250个反应进行平均记录SEP。N1波幅由P1和N1成分峰值之间的垂直距离确定。通过快速傅里叶变换分析脑电图,获得每个频段(δ、θ、α1、α2、β)平均功率的平方根并作为等效电位进行评估。在评估脑电图时,排除受睡眠或伪迹(如肌电图、眼睑运动和基线漂移)影响的脑电图。SEP和脑电图连续记录。第一次记录在常压空气呼吸下HBO治疗前进行,第二次在2ATA纯氧呼吸下HBO治疗期间进行,第三次在再次常压空气呼吸下HBO治疗后进行。(摘要截选至250字)