在患有外周血管疾病的患者中引发运动潜力的特征
Pawandeep Sarai1, Charlotte Luff1, Cyrus Rohani-Shukla1
1The Nick Davey Laboratory, Division of Medicine, Department of Surgery and Cancer, Imperial College London, London, United Kingdom.
PloS one
|April 25, 2024
概括
周围血管疾病 (PVD) 在老年人中没有显著影响运动唤起潜力 (MEP). 这些神经生理学措施可靠地用于在PVD患者手术期间监测脊髓完整性.
科学领域:
- 神经科学是一个神经科学.
- 血管医学 血管医学
- 临床神经生理学 临床神经生理学
背景情况:
- 周围血管疾病 (PVD) 在老年人群中越来越普遍.
- 在手术期间脊髓监测对于PVD患者至关重要.
- 使用运动唤起潜能 (MEP) 进行手术内神经监测有助于减轻风险.
研究的目的:
- 在患有外周血管疾病 (PVD) 的老年患者中描述运动唤起潜力 (MEP).
- 评估PVD严重程度对MEP特征的影响.
- 确定欧洲议会议员对于神经生理学研究和手术监测在这个人口群体中的实用性.
主要方法:
- 在20名患有PVD的患者和20名健康对照中,使用过体磁刺激来唤起MEP.
- 欧洲议会议员从上肢和下肢肌肉中记录了超过一个小时的时间.
- 分析了数据,将PVD患者与对照者进行比较,并将MEP与疾病严重程度相关联.
主要成果:
- 在PVD患者和健康对照者之间,MEP幅度对于特定肌肉是可比的.
- 在PVD患者中,MPE特征在症状和无症状腿之间没有区别.
- 在老年参与者中,MEP延迟时间较长,但PVD严重程度通常与MEP幅度无关.
结论:
- 周围血管疾病本身似乎没有显著改变运动唤起的潜力.
- 在PVD的老年患者中,MEP可靠地唤起和解释.
- 这些发现支持使用MEP来监测风险手术的PVD患者的脊髓.
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