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目的:研究磁刺激肌肉脑诱发电位(MMSEP)的传入机制。方法:对肌松弛下腓肠肌MM-SEP及电刺激踝部胫后神经体感诱发电位(SEP)进行配对对比研究。结果:(1)肌松弛无肌收缩时仍可记录到MMSEP;(2)配对腓肠肌MMSEP与胫后神经SEPP40潜伏期差值伴与不伴肌收缩相差显著;(3)伴肌收缩时,MMSEP较配对SEPP40潜伏期显著延长,不伴肌收时则相差不显著。结论:正常伴肌收缩时,磁刺激很可能先兴奋肌肉运动神经末梢致肌肉运动,间接兴奋肌肉Ia纤维或(和)肌肉深部感受器;由此可解释MMSEP较电刺激同等水平SEPP40潜伏期长。
Objective: To study the afferent mechanism of magnetic stimulation of muscle evoked potential (MMSEP) in rats. Methods: Paired contrast studies were performed on MM-SEP with gastrocnemius muscle relaxation and electro-stimulation of ankle tibial nerve somatosensory evoked potential (SEP). Results: (1) MMSEP could still be recorded when there was no muscular contraction in muscle relaxation; (2) The difference between the latency of MMSEP and the posterior tibial nerve SEPP40 in paired gastrocnemius muscle was significant; (3) Paired SEPP40 latency was significantly prolonged, without muscle contraction was not significantly different. CONCLUSIONS: During normal contractions, it is likely that magnetic stimulation stimulates the muscle movement of the muscle motor nerve endings and indirectly excites the muscle Ia fibers and / or the deep muscle receptors of the muscles. Thus, it can be interpreted that MMSEP has a longer incubation period than the same level of electrical stimulation.