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[体内实验性内淋巴积水时钙离子浓度及内耳蜗电位的测量]

[Measurement of Ca2+ concentration and endocochlear potential in experimental endolymphatic hydrops in vivo].

作者信息

Zhang S, Zhou C, Zhao C

机构信息

PLA General Hospital, Beijing.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 1995;30(5):276-8.

PMID:8762506
Abstract

This study was based on observations on 14 normal guinea pigs and 17 guinea pigs in which the left endolymphatic duct and sac had been surgically obliterated to induce endolymphatic hydrops. Three groups of hydropic animals were tested 1, 2 and 3 months after surgery. The Ca2+ concentration and endocochlear potential (EP) were recorded by means of double-barrelled ion selective micro-electrode in the third turn of the cochlea. The results indicated that a decrease in EP and an increase in Ca2+ in hydropic cochlea, a negative correlation was present. In the control ear, the values of Ca2+ and EP were 26.4 +/- 0.33 microns/L (n = 14) and 72.78 mV (n = 14), respectively; in the hydropic ear, the value of Ca/+ was 404.47 +/- 79.74 microns/L (n = 17), while the EP was 55.82 +/- 3.28 mV (n=17). According to Nerstian formula, the slope of electrochemical gradient in the control was 31 mV/decade (n = 14), but in the hydropic ear it increased to 72.5 mV/decade change in Ca2+ (n = 17). The statistical analysis showed significant difference between the control and hydropic ears. The changes were progressive and became more pronounced as the duration of hydrops prolonged. The cause of hearing loss in the Ménière's disease and the relation between the EP and CA2+ concentration had been discussed.

摘要

本研究基于对14只正常豚鼠和17只豚鼠的观察,后者的左内淋巴管和内淋巴囊已通过手术闭塞以诱发内淋巴积水。对三组积水动物在手术后1、2和3个月进行了测试。通过双管离子选择性微电极在耳蜗第三转记录Ca2+浓度和蜗管内电位(EP)。结果表明,积水耳蜗中EP降低而Ca2+升高,二者呈负相关。在对照耳中,Ca2+和EP的值分别为26.4±0.33微摩尔/升(n = 14)和72.78毫伏(n = 14);在积水耳中,Ca2+/的值为404.47±79.74微摩尔/升(n = 17),而EP为55.82±3.28毫伏(n = 17)。根据能斯特公式,对照中的电化学梯度斜率为31毫伏/十倍变化(n = 14),但在积水耳中,Ca2+每变化十倍,该斜率增加到72.5毫伏(n = 17)。统计分析显示对照耳和积水耳之间存在显著差异。这些变化是渐进性的,并且随着积水持续时间延长而变得更加明显。文中讨论了梅尼埃病听力损失的原因以及EP与Ca2+浓度之间的关系。

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