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本文采用改良Allen’s法,分别以50g/cm和100g/cm打击大鼠T13~L1脊髓,造成不同程度的脊髓损伤,分别观察伤后24小时内的SpEP和CMEP的变化,以了解不同程度损伤对SpEP和CMEP的影响及SpEP、CMEP的变化与脊髓继发性损伤发展过程的关系。结果表明:①两种不同程度的脊髓损伤均可造成大鼠脊髓SpEP,CMEP的明显变化,尤以SpEP变化明显。损伤越重,电位改变越明显.②在脊髓损伤后1~24小时内,伤后10分钟SpEP,CMEP波幅却有明显降低,4~8小时进一步降低。两次降低有明显差异。SpEP峰潜伏时延长,以4~8小时显著。表明原发损伤后在受损部位存在继发性损伤,提示阻止继发损伤的时间应早于伤后4小时,并尽可能提前。
In this paper, improved Allen’s method was used to impact the spinal cord of rat T13 ~ L1 at 50g / cm and 100g / cm, respectively, resulting in different degrees of spinal cord injury. The changes of SpEP and CMEP within 24 hours after injury were observed respectively to understand the different degrees The effect of injury on SpEP and CMEP and the relationship between the changes of SpEP and CMEP and the development of spinal cord secondary injury. The results showed that: (1) Spinal cord injury at two different levels could cause significant changes of SpEP and CMEP in spinal cord, especially SpEP. The more damage, the more obvious changes in potential. ② Within 1 to 24 hours after spinal cord injury, the amplitude of SpEP and CMEP decreased significantly 10 minutes after injury and further decreased from 4 to 8 hours. There are significant differences between the two reductions. SpEP peak latency extended to 4 to 8 hours significantly. This indicates that there is secondary injury in the damaged area after primary injury, suggesting that secondary injury should be stopped earlier than 4 hours after injury and should be advanced as early as possible.