A clinical study of different doses and frequencies of Sildenafil in the treatment of erectile dysfunction / 现代泌尿外科杂志

【Objective】 To evaluate the efficacy and safety of different doses and frequencies of oral Sildenafil in the treatment of erectile dysfunction (ED). 【Methods】 The randomized,open clinical trial included 120 ED patients who met the inclusion and exclusion criteria. The patients were randomly divided into the following groups:on-schedule (25 mg/day),on-demand (50 mg,taken irregularly half an hour before each sexual life),new regular group (25 mg/day,50 mg more before each sexual life),regular group (100 mg/time,twice/week). All treatments lasted for 8 weeks. The follow-up indexes included the five-item International Index of Erectile Function (IIEF-5),Erection Hardness Scale (EHS) and Sexual Encounter Profile (SEP2/3). The adverse reactions were recorded. 【Results】 The IIEF-5 scores of the four groups were significantly higher than those after baseline treatment (P0.05). In terms of effective rate,at the 16th week,there were significant differences between the on-demand group (10.7%) and new regular group (62.1%),and between the on-demand group (10.7%) and regular group (50.0%) (P<0.001). In terms of EHS, the percentage of grade 4 patients in regular group was significant higher than that in the on-demand group at the 8th week and 16th week (all P<0.05). In terms of positive rate of SEP-3,there was a significant difference between the on-demand group and regular group (P=0.042) at the 16th week. In the course of treatment,there were transient adverse reactions such as headache,blurred vision,stuffy nose and back pain,which did not affect the treatment. 【Conclusion】 All of the four treatment methods of oral sildenafil showed good efficacy. Both regular group and new regular group maintained good clinical efficacy during the follow-up,which is better than that of the on-demand group. The new regular scheme can be used as a new,safe and effective treatment option.

Effects of Suspension Exercise Therapy Combined with Soft Tissue Manipulation on Upper Limb Sensory Function in Patients with Radicular Cervical Spondylosis / 医用生物力学

bjective To observe the changes of upper extremity sensory function in patients with radicular cervical spondylosis and evaluate the treatment effect, by using the method of suspension exercise therapy (SET) and soft tissue manipulation. Methods A total of 72 patients with cervical spondylosis were divided into observation group (treated by SET combined with manipulation)and control group (treated by purely cervical traction) by simple random method. Both groups received 4-week continuous treatment for 6 times per week. The somatosensory evoked potential(SEP), current perception threshold (CPT) before and after the treatment in two groups were separatedly tested, and changes in visual analogue scale (VAS) pain scores of the affected limbs were examined, so as to determine the effective rate of treatment. Results After treatment, the latency of SEP was shortened mainly in brachial plexus potential N9 and cervical spinal potential N13 in two groups (P<0.05). The CPT levels and the VAS pain scores of the affected limbs were reduced in two groups (P<0.01), and the treatment effect in observation group was better that in control group (P<0.01)．Conclusion SET combined with soft tissue manipulation can effectively promote the repair of nerve sense function of cervical spondylotic radiculopathy.

Discectomía Endoscópica Lumbar Percutánea: presentación de 110 casos intervenidos en Argentina y revisión de la técnica quirúrgica / Percutaneous Lumbar Endoscopic Discectomy: presentation of 110 operated cases in Argentina and review of the surgical technique

Introducción: La Discectomía Endoscópica Lumbar Percutánea (DELP) es una técnica mínimamente invasiva que se usa en distintos países desde finales de los ochenta para el tratamiento de las Hernias Discales. Objetivo: El propósito del presente artículo es presentar los resultados de la evolución clínica de 110 pacientes operados de distintas hernias discales lumbares por técnica endoscópica percutánea, con seis meses de seguimiento. Asimismo, describir la técnica realizada y los aspectos más relevantes del planning preoperatorio, entre ellos el punto de ingreso percutáneo. Materiales y Métodos: En un grupo de 110 pacientes y 141 discos operados entre abril de 2016 y octubre de 2019, se recogieron datos como la edad, el sexo, la clínica, las imágenes de RMN y el planning del ingreso (Skin Entry Point) con target en el fragmento discal herniado. Se realizó en todos los casos una fragmentectomía dirigida, y luego se complementó con técnica In-Out. Se registró, como dato principal, la diferencia en los puntajes de Oswestry (ODI) pre y postquirúrgico a los 6 meses del procedimiento. También se constató la duración de la operación, el tiempo de hospitalización, y la necesidad de reintervención. Todos los pacientes se operaron despiertos, recibiendo anestesia peridural y sedación. Resultados: Se operaron 110 pacientes y 141 hernias discales. El promedio de reducción en ODI a los 6 meses fue 47,5 puntos (SD=5,7), representando un porcentaje medio de reducción de 85% (SD=9,5). Desde el punto de vista técnico se logró promediar la distancia de línea media al ingreso o Skin Entry Point, según el nivel operado y el abordaje elegido. Conclusión: a la luz de los resultados en nuestra serie de 110 pacientes con hernias discales lumbares, operados despiertos por endoscopía percutánea, se obtuvieron mejorías en el dolor promedio del 85% a seis meses. La técnica endoscópica puede ser considerada como un procedimiento efectivo para pacientes con hernias foraminales, extraforaminales y centrales en los niveles L3L4, L4L5 y L5S1.

Introduction: Introduction: PELD is a minimally invasive technique that has been used in different countries since the late 1980s for the treatment of Herniated Discs. Objective: to describe the surgical method from the Approach point of view and PELD results in a series of 110 patients. Materials and Methods: In a group of 110 patients who together had 141 discs operated on between April 2016 and October 2019, data were collected on patients age and gender, clinical presentation, MRI abnormalities and Skin Entry Point (SEP) with target in the herniated disc fragment. A focused fragmentectomy was performed in all cases, and then it was complemented with an In-Out technique. The main result was the difference in the pre and postoperative Oswestry Disability Index (ODI) scores 6 months after the procedure. The operation duration, the lenght of hospitalization, and the need for reoperation were also recorded. All patients underwent surgery awake, receiving epidural anesthesia and sedation. Results: Respecting the SEP of the endoscope according to the MRI planning focused in the herniated fragment, the evolution of the patients was very favorable. The average reduction in ODI at 6 months was 47.5 points (SD = 5.7), representing an average percentage reduction of 85% (SD = 9.5). The average surgery time was 58 minutes, and the hospitalization time 8.5 hours. Conclusions: In our series of surgical patients with lumbar disc herniations, PELD with focused fragmentectomy in awake patients proved to be a technique with very good results, especially with prior planning of the SEP to achieve effective root decompression

Effect of Acupuncture Stimulation on the Long Latency Reflex / 全日本鍼灸学会雑誌

[Objectives] In this study, we examined the effects of acupuncture stimulation on short latency reflexes (SLR) and long latency reflexes (LLR) to determine the site of acupuncture stimulation in modulating motor reflexes. Further, we investigated the relationship between changes in LLR and changes in the N20 somatosensory evoked potential (SEP) component induced by acupuncture stimulation and examined changes in central motor conduction time (CMCT).[Subjects and Methods] Sixteen healthy and right-handed adults (11 males and 5 females; 28.9 ± 6.6 years old; upper limb length 54.9 ± 3.2 cm) participated in this study. The experiments were performed under three conditions: (1) control (no acupuncture stimulation), (2) acupuncture stimulation of right-sided Hegu (LI4), and (3) acupuncture stimulation of left-sided LI4. An acupuncture needle (0.18 mm in diameter) was inserted up to a depth of 10 mm at the right- or left-sided LI4. Electrical stimulation was delivered to the median nerve in the right hand joint at a 120% intensity compared with the threshold to produce an M-wave. SLR and LLR were recorded from the opponens pollicis muscle of the right hand. The frequency and amplitude ratio of SLR (latency, approximately 20-30 ms) and LLR (latency, approximately 40-70 ms) were analyzed. SEP was produced by electrical stimulation delivered to the median nerve. The amplitude from baseline and mean latency of N20 waves were measured. F-wave in the evoked electromyography was evoked by electrical stimulation of the median nerve of the right hand at supramaximal intensity to elicit an M-wave and recorded from the opponens pollicis muscle of the same hand. We analyzed the mean latency and calculated the CMCT using the mean latencies of LLR, N20, F-wave, and M-wave.[Results] The frequency and amplitude ratio of SLR were reduced by acupuncture stimulation of left- and right-sided LI4, respectively. LLR frequency and amplitude ratio were reduced by acupuncture stimulations on either side. A correlation was observed between changes in the LLR amplitude ratio and changes in the N20 SEP amplitude ratio induced by acupuncture stimulation. No effect of acupuncture stimulation was observed on CMCT. [Discussion and Conclusion] SLR is the reflex potential of the spinal cord, and LLR is the motor reflex of the central nervous system via supraspinal pathways. These findings suggest that acupuncture stimulation inhibits motor nerve reflexes via both spinal and supraspinal modulation systems.

TEE guided minimally invasive transthoracic device closure of ventricular septal defect versus convention-al thoracotomy: a comparative study of propensity score matching / 实用医学杂志

Objective To compare the difference between transthoracic device closure of ventricular sep-tal defect and conventional thoracotomy and examine the effect and safety of transesophageal echocardiography (TEE) guided minimally invasive transthoracic device closure of ventricular septal defect. Methods Three hun-dred and sixty-eight patients underwent isolated ventricular septal defect surgery in our hospital from May 2014 to May 2016. There were 40 patients in group A underwent TEE guided minimally invasive transthoracic device clo-sure of ventricular septal defect and 328 patients in group B underwent conventional thoracotomy surgery.By using the method of propensity score matching,we selected 40 conventional thoracotomy patients as a control group in our study. Results All patients were survived after surgery without death and other serious complications. Compared with conventional thoracotomy surgery,patient with transthoracic device closure of ventricular septal defect had sta-tistical improvement in surgery time(1.97 ± 0.48 vs. 3.55 ± 1.95)h, ICU stayed time(21.15 ± 30.52 vs. 38.37 ± 10.91)h,volume of thoracic drainag(28.39 ± 32.67 vs.174.84 ± 85.36)mL,surgery incision length(2.98 ± 0.72 vs. 11.76 ± 2.89)cm.There were no significant differences in postoperative valvular regurgitation,arrhythmia and resid-ual shunt between the two groups.Conclusion TEE guided minimally invasive transthoracic device closure of ven-tricular septal defect is safe,effective,feasible,less trauma,less bleeding,faster recovery and etc.

Diagnostic and prognostic value of CD163 for infection-associated hemophagocytic syndrome in children / 中华实用儿科临床杂志

Objective To investigate the diagnostic and prognostic value of serum soluble CD163 (sCD163 )and the positive rate of membrane -bound CD163 (mCD163 )in peripheral blood mononuclear cells (PBMC)in children with infection -associated hemophagocytic syndrome (IAHS).Methods Between July 2012 and June 2016,26 pediatric patients with IAHS (IAHS group)and 28 pediatric patients with sepsis(sepsis group)admitted to Children′s Hospital Affiliated to Shanghai Jiaotong University were selected,and 20 healthy children were taken as healthy control group. Sandwich enzyme linked immunosorbent assay was used to detect serum sCD163 .The population of circulating mCD163 positive monocytes was determined by using flow cytometry.Receiver operating characteristic (ROC)curves were used to evaluate the diagnostic and prognostic values of sCD163 and mCD163 in children with IAHS compared with the diagnos-tic and prognostic values of plasma ferritin,and so on.Results The serum levels of sCD163 in patients of IAHS group, sepsis group and healthy control group were (1264 ±538)mg/L,(862 ±332)mg/L,(610 ±316)mg/L,respective-ly.And the population of mCD163 -positive PBMC in patients of IAHS group,sepsis group and healthy control group was (88.3 ±9.7)%,(68.5 ±18.3)%,(28.9 ±5.2)%,respectively.Both serum sCD163 and the population of mCD163 -positive PBMC were significantly higher in IAHS group compared with those of sepsis group (t =2.031 ,P =0.048;t =3.191 ,P =0.002,respectively).The serum sCD163 and population of mCD163 -positive PBMC in sepsis group were higher than controls (t =3.848,P =0.002;t =4.049,P =0.000,respectively).Moreover,the areas under the ROC curve (AUC)for the mCD163 ,sCD163 ,were 0.853(P =0.013),0.762(P =0.004),0.755(P =0.049),respec-tively.mCD163 at a cutoff of 83.7% had a high diagnosis sensitivity (81 .8%)and specificity (72.4%).The optimal cutoff values of sCD163 and ferritin for predicting IAHS was 888 mg/L (sensitivity 66.7% and specificity 63.3%)and 2880 μg/L (sensitivity 80.0% and specificity 54.5%).In addition,the serum level of sCD163 and the population of mCD163 -positive PBMCs were significantly increased in acute phase and decreased in recovery phase[(1553 ±542) mg/L vs.(866 ±92)mg/L,(91 .0 ±6.4)% vs.(79.0 ±4.6)%,t =2.450,χ2 =3.419,P =0.036,0.007]in IAHS group.Furthermore,subgroup analysis indicated that the serum level of sCD163 and the population of mCD163 -positive PBMCs were significantly higher in dead patients than those in survived patients [(1748.91 ±518.17)mg/L vs. (909.69 ±171 .35)mg/L,t =3.070,P =0.011 ;(93.50 ±8.42)% vs.(77.30 ±3.28)%,χ2 =3.005,P =0.024, respectively].Conclusion Serum sCD163 and the population of mCD163 -positive PMSCs are specific and validity bio-markers for early diagnosis of IAHS,which also are associated with treatment response assessment and prognostic analy-sis in IAHS.

Polysaccharide from eggs of S. nudus (SEP) prevents cardiomyocyte hypertrophy induced by high glucose and high insulin in vitro in neonatal rat / 中国药理学通报

Aim To study the protective effects of SEP on the hypertrophic myocardial cells induced with high glucose and high insulin and the mechanism. Methods The protein content was assayed with Lowrys meth-od;the cardiomyocytes area was measured by computer photograph analysis system;the expression of ANF and PPAR-α was determined by RT-PCR;APS was select-ed as control drug. Results Compared with conctrol group,the protein content,cardiomyocytes area and the expression of ANF and PPAR-α of high glucose and high insulin group were significantly increased. Com-pared with conctrol group,the SEP of different dosages were able to decrease the protein content, area, the expression of ANF mRNA and PPAR-α mRNA of cul-tured hypertrophic myocadial cells induced with high glucose and high insulin. Conclusion SEP can pre-vent cardiomyocyte hypertrophy induced by high glu-cose and high insulin, which is related to its inhibition on PPAR-α signaling path.

Monitoramento da presença de Mycoplasma hyopneumoniae em granjas de suínos durante a implementação de programas de erradicação / Monitoring the presence of Mycoplasma hyopneumoniae in swine farms during the implementation of eradication programs

O objetivo deste estudo foi monitorar a presença de M. hyopneumoniae em granjas suínas durante a implementação de programas de erradicação utilizando diferentes técnicas de diagnóstico focalizando no PCR. Trabalhou-se com uma empresa que possuía três granjas, uma parto-terminação (390 matrizes), uma múltiplo-sítio (4100 matrizes) e uma nova granja que povoava suas novas instalações. Nas duas primeiras, foi desenvolvido um programa de despovoamento parcial para erradicar a pneumonia enzoótica suína, a última foi povoada pelos suínos dos anteriores após a erradicação. Nos três rebanhos, os suínos foram monitorados por: sorologia (ELISA), PCR, lesões pulmonares macro e microscópicas e a presença de tosse não produtiva. A ausência de tosse, a baixa porcentagem de suínos soropositivos na fase de terminação e a baixa proporção de lesões pulmonares no abate sugerem que a pneumonia enzoótica suína foi erradicada, mas não o agente causativo -M. hyopneumoniae- cujo DNA foi detectado pela PCR, mostrando diferentes comportamentos de acordo com o rebanho.

The aim of this study was to monitor the presence of M. hyopneumoniae in pig farms during the implementation of eradication programs using different diagnostic techniques focusing on PCR. They worked with a company owner of three farms, a farrow-to-finish (390 sows), a multiple-site (4100 sows) and a new one that was populated its new facility. In the first two were developed a partial depopulation program to eradicate swine enzootic pneumonia, the latter one was populated with pigs after the previous eradication. In the three farms, the pigs were monitored by: serology (ELISA), PCR, macroscopic and microscopic lung lesions and the presence of non-productive cough. The absence of cough, low percentage of seropositive pigs in the finishing stage and the low proportion of lung lesions at slaughter suggest that swine enzootic pneumonia was eradicated, but not the causative agent -M. hyopneumoniae- whose DNA was detected by PCR showing different behaviors according to the herd.

The Correlation of Hemiplegic Upper Limb Recovery with SEP and MEP in Subjects with a Stroke

OBJECTIVE: To investigate whether combined somatosensory evoked potential (SEP) and motor evoked potential (MEP) would provide more reliable data in predicting hemiplegic upper limb function in subjects with an acute stroke. METHOD: We enrolled 59 subjects (34 males; mean age, 56.7 years) with stroke involving the middle cerebral artery (MCA) territory. The SEP and MEP were recorded within a month from the onset time of the stroke. Simultaneously, the manual function test (MFT) and the self-care in functional independence measure (Fsc) were selected for evaluation (MFT-Initial and Fsc-Initial). The MFT and Fsc were assessed every other week until improvement was no longer observed (MFT-Final and Fsc-Final). The subjects were divided into two groups according to SEP and MEP results. With the results from the two methods combined, the subjects were divided into three groups: responses in both, responses in only one, and responses in none. Data were analyzed to find the correlation of MFT or Fsc with the results of SEP and MEP combined and individually. RESULTS: Both SEP and MEP had a correlation with MFT- Initial and MFT-Final, but not with Fsc-Initial and Fsc-Final (p<0.05), whether combined or not. However, combining the SEP and MEP resulted in a stronger correlation with MFT-Initial and MFT-Final. CONCLUSION: Combining SEP and MEP is a more effective means to detect the recovery of motor weakness for hemiplegic upper limb in stroke subjects, although SEP or MEP alone has a correlation with recovery as well.

Application of somatosensory evoked potential for spinal cord monitoring and EMG for nerve root monitoring in spinal surgery / 中国矫形外科杂志

[Objective]To evaluate the accuracy and influenceing factors of somatosensory evoked potential in spinal cord monitoring during cervical and thoracic spinal surgery and intraoperative nerve root monitoring in lumbar surgery.[Method]The somatosensory evoked potential(SEP) were used during arvical and thoracic spinal surgery and evaluated the accuracy of SEP according to the record of different stages and spinal cord function after surgery.The EMG were used to monitor the nerve root function in lumber operation to estimate whether nerve root being stimulated or tensioned.In addition,affected fators of SEP and EMG during operation were observed.[Result]Of 128 cases of cervical and thoracic surgery,116 cases did not reach the warning standards(amplitude decreasing 50% or diappearing) and showed no postoperative enhancement of symptom of nerve roots injury.12 cases reached the warning standards intraoperatively and the surgeon were warned to take some steps to finish the operations,only in one case incompletely transient paralysis occurred due to the time of amplitude decreasing of intraoperative SEP more than 10 minutes.Effect of other factors such as anaesthesia and low blood pressure did not reach the warning standards.There were 3 artifical negative cases.Only 1 was artifical positive case.of 40 cases of lumbar surgery,12 cases were found myoelectic responses,which warning the surgeon at any time to avoid nerve roots injury,no nerve roots injury were found after operation.[Conclusion]During cervical and thoracic spinal operation,the somatosensory evoked potential can reflect the physiological and pathological conditions of spinal cord after ruling out the interfering factors.Intraoperative spontaneous electromyography can reflect the nerve roots function promptly and accurately and assure the safety of lumbar surgery.

Experimental study of motor and somatosensory evoked potentials on spinal cord injury / 中国矫形外科杂志

[Objective]To evaluate the validity and feasibility of somatosensory evoked potentials(SEP) and transcranial magnetic stimulation motor evoked potential(TMS-MEP) in early decompression of spinal cord injury(SCI). [Method]Thirty-two rabbits fell into four groups randomly. The static load model were used to simulate human SCI. According to the compression time, the animals were divided into 4 groups (control,5min, 15min,30min). In this study, somatosensory evoked potentials (SEP) and transcranial magnetic stimulation motor evoked potential (TMS-MEP) were used to assess neurologic function. The EPs were recorded at 5min, 15min, 30min, 60min, 6 hours, 24 hours, 3 days, 7 days post-decompression and before spinal cord injury in injury groups. Latency and amplitude were measured for each wave. Tarlov behaviour score was performed before surgery and after surgery at 1,3,7 days. Histologic studies were performed on part of animals. [Result]Spinal cord compression resulted in a gradual increment in the peak latency and significant decrement in the peak amplitude. After decompression, the recovery of the latency was more obvious than the amplitude in all injury groups, EPs recovered earlier than Tarlov score. [Conclusion]EPs may evaluate the neurologic function of SCI models sensitively and impartially. Dcompression early may promote SCI recovery.

Effects of orphanin FQ on somatosensory evoked potential and Na~+-K~+A TPase activity in cerebral cortex of rats / 基础医学与临床

Objective To investigate the effect of intracerebroventricular injection of morphine and orphanin FQ (OFQ) on somatosensory evoked potential (SEP) and Na+-K+ATPase activity in cerebral cortex of rat. MethodsTo study the SEP with the BL-420 biological signal collecting system. The cerebral cortex tissues were extracted, homogenized and centrifuged. Na+-K+ATPase activity was measured with ATPase analytical kit. Results After intracerebroventricular injection with OFQ 0.9 ?g, the amplitude of P1-N1 and N1-P2 increased significantly(P

Effects of Naotong oral solution on acute cerebral infarction in rats / 中国康复理论与实践

@# ObjectiveTo observe effects of Naotong(NT) oral solution on the somatosensory evoked potentials(SEP) of acute cerebral infarction rats and its curative experimental.Methods24 model rats were randomly divided into three groups and treated with NT oral solution,Naoxuekang(NXK) and normal saline(NS) respectively for 20 days,the SEP and neurologic grades of the rat models were evaluated before and after treatment.ResultsAll the latencies of SEP(P1,N2,P2) in NT group was shorter than that of the pre-treatment and NS control group(P<0.01).The neurologic grades of both NT and NXK groups were highly lowered compared with pre-treatment and NS control group(both P<0.05).The latencies of SEP in the model rats were highly correlated with the neurologic grades(r=0.97～0.99,P<0.05～0.01).ConclusionNT can accelerate the nervous function recovery of the rat models with acute cerebral infarction.SEP may be used as a powerful index of observation on curative effect of acute cerebral infarction.

Effects of magnesium sulfate on spinal cord ischemia-reperfusion injury in rabbits / 中国康复理论与实践

@#ObjectiveTo observe effects of intravenous magnesium sulfate (MgSO 4) administration on ischemia reperfusion injury of the spinal cord in rabbits.MethodsNew Zealand White rabbits (n=27) were randomly divided into the group A (treated with MgSO4), group B (treated with saline) and group C (sham group) with 9 animals in each group. Ischemic model was established with midline laparotomy and clamping the aorta just distal to left renal artery and proximal to aortic bifurcation for 30 min followed by a reperfusion period of 48 h. Animals were treated with 0.25 ml/kg/h MgSO4 intravenous infusion in group A, treated with similar volume of saline as control in group B, and were anesthetized and subjected laparotomy without aortic occlusion in group C. Somatosensory evoked potentials (SEP) were monitored before ischemia, during ischemia and in the first 60 min of reperfusion. The neurological outcome was clinically evaluated up to 48 h post ischemia, and motor function was scored. The animals were sacrificed two days post ischemia, and spinal cords were processed for histopathological examination.ResultsSEP amplitudes and latencies in group C did not change during the procedures and all animals recovered without neurological deficits. The waves disappeared in group B and reduced to 29% of the initial amplitude at the end of the ischemia in group A. After 60 min reperfusion, SEP amplitudes returned gradually to 74% and 49% of the initial amplitude respectively (P<0.01) in groups A and B. The N1, P1 latencies returned gradually to (28.9±1.9) ms, (57.3±3.2) ms in group A and (30.7±0.9) ms, (61.2±2.9) ms in group B (P<0.05). The average motor function score in group A was significantly higher than that in group B at 24 h and 48 h after reperfusion (P<0.01).ConclusionMgSO4 intravenous infusion may relieve spinal cord injury and preserve neurological function in transient spinal cord ischemia in rabbits.

Effects of rehabilitation training on behavior and sensory evoked potential of rats with acute cerebral infarction / 中国康复理论与实践

@#ObjectiveTo observe effects of rehabilitation training on behavior and sensory evoked potential of rats with acute cerebral infarction.Methods30 male Wistar rats were randomly divided into sham operation groups (group A), model group (group B), and rehabilitation group (group C). Animal model was made by blocking the middle cerebral artery (MCA). For each group, the Bederson Neural Function was scored and balancing wood, rotating bar, and net screen were tested at the 24 hours, 3rd day and 7th day after operation respectively. The sensory evoked potential (SEP) latency of each group was also tested right after operation and on the 7th day after operation.ResultsComparing with group A, Bederson Neural Function scores of groups B and C indicated significant differences at each time (P<0.01). The ability of grasping, walking and coordinating of all groups handicapped 24 hours after operation, however, with time continuing, every function of group A restored and that of group B or C improved partly, but showed significant difference compared with group A (P<0.01). On the 3rd day after operation, balancing wood test of group C was better than that of group B (P<0.05), on the 7th day after operation, except Bederson Neural Function scores, there were significant difference between groups C and B (P<0.01 or P<0.05). Right after operation, compared with group A, the SEP latency of group B and C showed significant difference (P<0.01), on the 7th day after operation, the SEP latency of group C improved significantly compared with itself right after operation (P<0.01).ConclusionThe rehabilitation training can improve the MCAO rats' ability of equilibrating,grasping and walking and adjust the abnormal latency of SEP after MCAO, and prevent the nerve cells from damage caused by ischemic trauma.

Relationship of the lower limb functional recovery and somatosensory evoked potentials in the hemiplegic patients with acute cerebral infarction / 中国康复理论与实践

@#ObjectiveTo explore the role of ssomatosensory evoked potential (SEP) in evaluating and predicting the lower limb motor function of patients with acute cerebral infarction.Methods19 patients (13 male, 6 female) with acute cerebral infarction diagnosed according to the standard of Chinese Classifications of the Cerebral Vascular Disease were chosen as the case group and 18 patients (11 male, 7 female) with non-nerve system injury were taken as the control group. All patients of two groups were received SEP test within 7 days after onset and latency and amplitude values of SEP of two groups were compared. To the case group, SEP was tested again at 30th day after admission, the Fugl-Meyer assessment (FMA) was also carried out at same times of two SEP tests, and the correlation of SEP and FMA scores was analyzed.ResultsThe difference of latency and amplitude value of SEP test between the case group and control group was significantly (P<0.01). The latency value of SEP in lower limb was correlated with FMA scores (P<0.01). But the amplitude value was no difference between the onset and 30th day after admission in the case group.ConclusionSEP is sensitive in the acute stage of stroke. SEP has significant value for predicting the prognosis of patients with acute cerebral infarction and correlates with the clinical FMA scores. The value of amplitude is not sensitive.

A Case of Small Bowel Perforation Associated with Sclerosing Encapsulating Peritonitis in Patient with Intermittent Peritoneal Dialysis (IPD) / 대한신장학회잡지

Sclerosing ecapsulating peritonitis (SEP) first described by Gandhi and Humyn at 1980 is generally recognized, but uncommon complication of continous ambulatory peritoneal dialysis (CAPD) and the prognosis is very poor. A 62-year old female was admitted to our hospital with chief complaint of abdominal pain, nausea, vomiting. On physical examination, abdominal pain was not detected. Abdominal CT demonstrated paralytic ileus and adhesion in proximal ileum. She underwent adhesilolysis of ileum and repair of perforated ileum. We experienced one case of SEP presenting small bowel perforation and peritonitis in patient with IPD. We report this case with review of the literature.

CHANGES IN SOMATOSENSORY INPUT FOLLOWING LOCAL MUSCLE FATIGUE / 体力科学

We studied whether exercise fatigue affects somatosensorv input using somatosensory evoked potential (SEP) . Sixteen subjects performed intermittent grip strength exercises with muscle fatigue while ignoring electrical stimulation given to an elbow. We induced SEP in the exercise task (during contraction) in every stage (first stage, middle stage and final stage) . In addition, we induced SEP in the exercise task during relaxation in the first stage and final stage. As a result, the early component amplitude of SEP decreased with the progress of exercise (manifestation of muscle fatigue) during contraction and relaxation. Our findings suggested that somatosensory input decreased with the manifestation of muscle fatigue. Somatosensory input is necessary for control of voluntary movement. Therefore, we speculate that these factors play a role in decreased performance of athletes competing in long-duration events.

The Somatosensory Evoked Potentials and Nerve Conduction Studies in Patients with Diabetic Polyneuropathy

BACKGROUND: The nerve conduction study (NCS) is one of the most important diagnostic tools used to evaluate the function of large myelinated nerve fibers. However, the NCS in patients with diabetic polyneuropathy, who have senso-ry and motor abnormalities on neurological examination, are frequently found to be within normal limits. Somatosensory Evoked Potentials (SEP), F-waves, and NCS were performed to determine their usefulness in detecting electrophysiologic abnormalities in the early stages of patients with diabetic polyneuropathy. METHODS: Posterior tibial SEP (PTSEP) studies were performed in thirty patients with clinically suspected diabetic polyneuropathy who had with-in normal values of NCS involving the upper and lower extremities. PTSEP, F-wave, and NCS were also performed in age and height matched eighteen normal participants. RESULTS: The mean latencies of spinal evoked potentials (T12) and cortical evoked potentials (P1) were significantly prolonged in the diabetic patients compared to the control group (p 0.05). CONCLUSIONS: We found the SEP study to be a useful diagnostic test for detecting diabetic polyneuropathy.

Electrophysiologic Neuromonitoring Changes during Tumor Surgery in Cerebellopontine Angle

BACKGROUND: Intraoperative neurophysiologic monitoring(INM) is well known to be useful method to reduce intraoperative complications during tumor surgery in cerebellopontine angle(CPA). We investigated the changes of INM during the surgery. It might be helpful to keep one's eyes on which monitoring modalities are reluctant to change during the operation. METHODS: We included 49 subjects who had undergone CPA tumor surgery under INM. Their pathology was as follows; vestibular schwannoma in 37, other cranial nerve schwannoma in 3, meningioma in 5 , cyst in 2. The modalities of monitoring were short latency auditory evoked potentials(AEP), somatosensory evoked potentials(SEP) , facial and trigeminal nerve EMG(EMG). Stimulation of SEP was on left or right median, posterior tibial nerves. We studied the frequency of abnormal INM changes and the factors affecting it. RESULTS: The subjects who had abnormal changes in at least one monitoring modality were 19(38.8.%). AEP changes were in 6.1%, SEP in 12.2% and EMG in 24.5%. The AEP monitoring had no potentials from II through V wave in 28 subjects(57.1%). SEP monitoring had improvement in 2 subjects and aggravation in 6, especially involved in median nerve SEP. Tonic EMG activities were observed in 3 facial muscles of 3 subjects, 2 of 4, 1 of 5. Regarding the pathology of tumor, meningioma had much more changed INM than vestibular schwannoma. The volume of tumor was bigger in abnormal INM group than normal group although it is not statistically significant. Also abnormal SEP and EMG group had bigger mass than normal group. CONCLUSIONS: INM has frequent electrophysiologic changes during tumor surgery in CPA. Especially EMG can be changed the most frequently. The larger tumor are, the more frequently abnormal changes in INM of CPA tumor surgery are.