EFFECT OF SURGERY ON SENSORY THRESHOLD AND SOMATOSENSORY EVOKED-POTENTIALS AFTER SKIN STIMULATION

被引:22
作者
LUND, C [1 ]
HANSEN, OB [1 ]
KEHLET, H [1 ]
机构
[1] HVIDOVRE UNIV HOSP,DEPT SURG GASTROENTEROL,DK-2650 HVIDOVRE,DENMARK
关键词
Brain: somatosensory evoked potentials; Surgery: gynaecological;
D O I
10.1093/bja/65.2.173
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have studied the effect of surgical injury on cutaneous sensitivity and somatosensory evoked potentials (SSEP) to dermatomal electrical stimulation in 10 patients undergoing hysterectomy. Forty-eight hours after surgery, sensory threshold increased from 2.2 (SEM 0.3) mA to 4.4 (1.1) mA (P < 0.01) and SSEP amplitudes in P1, N1, P2 and the peak-to-peak amplitudes decreased (P < 0.05). Latency was prolonged only in the N3 component (P < 0.05). No changes were seen in threshold and SSEP in a control group studied over the same interval. The results suggest that surgical injury activates antinociceptive modulatory systems. © 1990 Copyright: 1990 British Journal of Anaesthesia.
引用
收藏
页码:173 / 176
页数:4
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