Ito H, Bassett C A
Clin Orthop Relat Res. 1983 Dec(181):283-90.
The short- and long-term effects of pulsed electromagnetic fields (PEMFs) on the rate and quality of peripheral nerve regeneration were studied. High bilateral transections of rat sciatic nerves were surgically approximated (a 1-mm gap was left) and shielded with a Silastic sleeve. Animals were exposed to PEMFs for two to 14 weeks after operation. Three groups of 20 rats each (control rats and rats undergoing 12- and 24-hour/day PEMF exposure) were killed at two weeks. Histologically, regenerating axons had penetrated the distal stump nearly twice as far in the PEMF-exposed animals as in the control animals. Return of motor function was judged two to 14 weeks after operation by the load cell-measured, plantar-flexion force produced by neural stimulation proximal to the transection site. Motor function returned earlier in experimental rats and to significantly higher load levels than in control rats. Nerves from animals functioning 12-14 weeks after operation had less interaxonal collagen, more fiber-containing axis cylinders, and larger fiber diameters in the PEMF-exposed group than in the control rats. Histologic and functional data indicate that PEMFs improve the rate and quality of peripheral nerve regeneration in the severed rat sciatic nerve by a factor of approximately two.
研究了脉冲电磁场(PEMF)对周围神经再生速率和质量的短期和长期影响。通过手术将近端大鼠双侧坐骨神经切断(留1毫米间隙),并用硅橡胶套管保护。术后让动物暴露于脉冲电磁场中2至14周。每组20只大鼠(对照组大鼠以及每天接受12小时和24小时脉冲电磁场暴露的大鼠)在术后两周处死。组织学检查发现,在暴露于脉冲电磁场的动物中,再生轴突穿透远端残端的距离几乎是对照组动物的两倍。术后2至14周,通过测力传感器测量在横断部位近端神经刺激产生的足底屈肌力量来判断运动功能的恢复情况。实验大鼠的运动功能恢复得比对照组大鼠更早,且负荷水平显著更高。术后12 - 14周仍有功能的动物,其神经中,暴露于脉冲电磁场组的轴突间胶原蛋白比对照组大鼠更少,含纤维的轴突圆柱体更多,纤维直径更大。组织学和功能数据表明,脉冲电磁场可使切断的大鼠坐骨神经周围神经再生的速率和质量提高约两倍。