介绍三双子声反射:在全身麻醉下评估脑干连接的新见解
Javier Urriza1, Isabel Fernandez-Conejero2, Kathleen Seidel3
1Department of Clinical Neurophysiology. Hospital Universitario de Navarra - Nafarroako Ospitale Unibertsitarioa. Irunlarrea, 3. 31008-Pamplona, Spain. Universidad Publica de Navarra - Nafarroako Unibertsitate Publikoa. Campus de Salud, Avda. Barañain, s/n. 31008 Pamplona-Spain.
研究人员在麻醉患者中发现了一种新的Trigemino-Vocal Reflex (TVcR),证实了三角神经和阴道神经系统的连接. 这种反射可能有助于手术期间的监测和大脑干生理学的理解.
科学领域:
- 神经科学是一个神经科学.
- 人体生理学 人体生理学
背景情况:
- 三角神经 (头骨神经V) 和阴道神经 (头骨神经X) 在感觉和运动功能中起着至关重要的作用.
- 了解这些神经之间的功能连接对于理解脑干电路至关重要.
研究的目的:
- 为一个新描述的反射提供证据,即三角形声反射 (TVcR).
- 在麻醉下,在人类中确认三体和阴道系统之间的功能连接.
主要方法:
- 在47名患者的下孔中刺激三神经的精神分支.
- 使用粘合管电极记录声带肌肉反应.
- 根据麻醉深度调整的电脉冲刺激 (单个或列车)
主要成果:
- 在41名患者中观察到双边反应,2名患者表现出单边反应.
- 在43名患者中记录了具有~30毫秒延迟的早期潜力 (R1).
- 在24名患者中观察到具有~65毫秒延迟的晚期潜力 (R2).
结论:
- 在麻醉患者中可以记录三角形声反射 (TVcR).
- 声带的阴道运动反应可以通过刺激三角神经来引起.
- 在手术内神经生理监测和推进脑干生理学知识方面,TVcR具有潜在的价值.
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