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[血液透析对尿毒症患者体感诱发电位的影响]

[Effect of hemodialysis on somatosensory evoked potentials in uremia patients].

作者信息

Niemann G, Stöhr M, Müller G A

出版信息

Eur Arch Psychiatry Neurol Sci. 1984;234(3):184-8. doi: 10.1007/BF00461559.

Abstract

Spinal and cortical potentials in response to unilateral stimulation of the median nerve of the wrist were recorded in 13 uremic patients, 1 h prior to and 1 h after dialysis. A comparison of the data from these patients with those of a control group revealed a slowing of impulse conduction in the peripheral nerve only, whereas the central part of the somatosensory system was not affected. Amplitudes of the evoked potentials tended to increase after dialysis. This could be due to a decrease of descending inhibition or a transitory change of the resting membrane potential caused by the elimination of dialyzable substances.

摘要

在13名尿毒症患者中,于透析前1小时和透析后1小时记录了对腕部正中神经进行单侧刺激时的脊髓和皮质电位。将这些患者的数据与对照组的数据进行比较发现,仅外周神经的冲动传导减慢,而体感系统的中枢部分未受影响。透析后诱发电位的幅度趋于增加。这可能是由于下行抑制的降低或可透析物质清除导致静息膜电位的短暂变化所致。

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