神经电生理监测在脊髓损伤大鼠中的定量评价作用
DOI:
作者:
作者单位:

泰安市中心医院

作者简介:

通讯作者:

中图分类号:

基金项目:

山东省自然科学基金联合专项


Quantitative evaluation of neurophysiological monitoring in rats with spinal cord injury
Author:
Affiliation:

Taian City Central Hospital

Fund Project:

Natural Science Foundation of Shandong Province of China

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    [目的]探讨神经电生理监测在不同程度脊髓损伤(SCI)中的定量评价作用。[方法]将50只雌性健康的SD大鼠随机分成5组,每组10只。对照组SD大鼠麻醉后仅暴露T10脊髓。实验组(40g?cm组、60g?cm组、80g?cm组、100g?cm组)采用自制改良Allen’s打击器,分别从2cm、3cm、4cm、5cm高度打击T10脊髓,造成不同程度脊髓损伤。采用Medtronic NIM Eclipse32术中神经监护仪,监测打击前、打击后即刻、术后3天、术后1周、术后2周的经颅电刺激运动诱发电位(TcMEP)和体感诱发电位(SSEP)波形,测量潜伏期和峰波幅;同时进行大鼠运动功能的观察评分。[结果]对照组SD大鼠无脊髓损伤,SSEP、TcMEP结果正常,实验组SD大鼠脊髓损伤后出现不同程度的潜伏期延长、波幅下降。随着打击程度的加重,潜伏期明显延长、波幅显著下降,直至波形消失,组间差异显著(p<0.01)。运动功能评分显示随着打击程度的加重,评分明显下降,组间差异显著(p<0.01)。术后除100g?cm组均有不同程度波形及运动功能恢复,组间及组内差异明显(p<0.01)。SCI模型的TcMEP波幅变化与运动功能评分具有良好的相关性(p<0.01)。[结论]通过神经电生理监测,可以准确客观地判断SCI的严重程度,为SCI的定量评估和预后判断提供有效的实验依据。

    Abstract:

    [Objective] To investigate the quantitative evaluation of neurophysiological monitoring in different degrees of spinal cord injury (SCI).[Methods] 50 female healthy SD rats were randomly divided into 5 groups. Rats of control group only exposed T10 spinal cord. In the experimental group(40g?cm group, 60g?cm group, 80g?cm group, 100g?cm group), the self-made modified Allens strikers were used to strike the T10 spinal cord from 2cm, 3cm, 4cm, and 5cm of the rats respectively, resulting in different degrees of spinal cord injury. Using the Medtronic NIM Eclipse32 intraoperative nerve monitoring system to monitor the Transcranial electrical stimulation of motor evoked potential (TcMEP) and somatosensory evoked potential (SSEP), the waveforms was recorded preoperative, postoperative, 3 days, 1 week, and 2 weeks after the operation. And latency and peak amplitude were measured. At the same time, the observation score of the motor function of rats was performed.[Results] In this experiment, there was no spinal cord injury in the control group, and SSEP and TcMEP results were normal. When the spinal cord was hit by a lighter degree, the latency was prolonged and the amplitude decreased. When the spinal cord was severely hit, the latency was apparently prolonged,the amplitude significantly drop even disappears and the difference was significant (p<0.01). The motor function score showed that the score decreased significantly with the severity of the attack, and the difference between the groups was significant (p<0.01). After the operation, all the groups except 100g?cm had different degrees of waveform and motor function recovery, with significant differences between and within the groups (p<0.01). The TcMEP amplitude change of the spinal cord injury model was well correlated with the motor function score (p<0.01).[Conclusion] The neurophysiological monitoring can judge the severity of SCI accurately and objectively, and provide an effective experimental basis for the quantitative evaluation and prognosis of SCI.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2019-02-08
  • 最后修改日期:2019-11-15
  • 录用日期:2019-12-02
  • 在线发布日期:
  • 出版日期: