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高頻雙向電刺激下無髓神經(jīng)模型傳導阻斷的仿真研究

Simulation study of unmyelinated nerve model blocked by high frequency biphasic electrical stimulation

作者: 陳茜  趙守國                          
單位:                                 北京交通大學計算機與信息技術學院(北京100044)            
關鍵詞:                               電刺激;無髓神經(jīng);傳導阻斷;阻斷閾;恢復時間              
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出版年·卷·期(頁碼):2015·34·2(156-160)
摘要:

目的  神經(jīng)纖維異常興奮會造成許多功能障礙疾病,因此,研究無髓神經(jīng)纖維受到電刺激時動作電位的傳播規(guī)律及傳導阻斷情況有重要的科研意義和臨床價值。方法 本文基于Hodgkin-Huxley模型,在高頻雙向電刺激下研究無髓神經(jīng)纖維的阻斷閾和阻斷機制,并提出一種電刺激結束后軸突恢復初始狀態(tài)的時間測量方法。結果 電刺激下直徑大的神經(jīng)纖維先被阻斷,直徑小的神經(jīng)纖維后被阻斷,并隨著刺激頻率的增加,阻斷閾在12~16kHz時達到峰值。阻斷電極處鈉離子和鉀離子通道的持續(xù)開放造成神經(jīng)纖維的傳導阻斷。電刺激結束后,神經(jīng)纖維恢復初始狀態(tài)的時間隨著頻率的增加而增加。結論 本研究揭示了無髓神經(jīng)纖維的阻斷機制以及電刺激結束后神經(jīng)纖維恢復初始狀態(tài)的時間與電刺激頻率的關系,這些結果將為相關動物實驗和功能電刺激的臨床應用提供更多的信息。

Objective Abnormal nerve fiber activation can cause many disorder diseases. Therefore, the study on action potential propagation and conduction block of unmyelinated nerve with electrical stimulation has great values for science research and clinical application. Methods Based on Hodgkin-Huxley model, we research on fiber blocking threshold and blocking mechanism of unmyelinated nerve under high frequency biphasic electrical stimulation. A measurement method for the recovery time of axon to the initial state after electrical stimulation is proposed in this paper. Results Larger diameter fibers tend to be blocked early than smaller nerve fibers under electrical stimulation. With the increase of frequency, the biggest block threshold is 12kHz to 16kHz. The high frequency stimulation produces constant activation of both sodium and potassium channels at the nerve fiber node under the block electrode, which causes the conduction block of nerve fiber. After the electrical stimulation, the recovery time of nerve fiber to the initial state increases with the increase of frequency. Conclusions This study reveals the blocking mechanism of unmyelinated nerve fiber, and the relationship between recovery time of axon to the initial state and the frequency of electrical stimulation after electrical stimulation. The results can provide more information for animal experiments and clinical applications.

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