366例志愿者勃起相关神经电生理检测的实验室参考值分析  

Analysis of laboratory reference value of erectile related nerve electrophysiology testing in 366 volunteers

作　　者：陈小勇[1] 王雪峰 张立元[1] 包淑兰 魏莉[1] 郭庆华[1] 

机构地区：[1]兰州大学第一医院男科,兰州730000 [2]中国石油兰州石化总医院(兰州大学附属天浩医院)神经内科肌电图室

出　　处：《中国男科学杂志》2013年第5期18-21,共4页Chinese Journal of Andrology

基　　金：[致谢]：衷心感谢兰州市西固区教育局关千等老师对本课题所提供的支持与帮助

摘　　要：目的提高本实验室对勃起功能神经电生理检测的准确度,校正本实验室的参考值。方法对本区3657名高中男生体检时随机抽样366人常规进行球海绵体反射（Bulbocavernosus reflex response），阴部体感神经诱发电位（Pudendal somaticevoked potential），阴部运动神经诱发电位（Pudendal motorevoked potential），阴茎皮肤交感反应（Penile sympathetic skin responses, PSSR）检测。所得潜伏期数据计算均值、标准差。结果球海绵体反射的潜伏期为（33.71±10.21）ms、阴部脊髓体感神经诱发电位潜伏期为（10.88±2.75）ms、阴部皮层体感神经诱发电位潜伏期为（40.23±5.43）ms、阴部脊髓运动神经诱发电位潜伏期为（9.78±2.26）ms、阴部皮层运动神经诱发电位潜伏期为（23.18±5.25）ms、阴茎皮肤交感反应的潜伏期为（1229.88±233.21）ms。结论建立勃起功能神经电生理检测的本地实验室校正参考值是必须的球海绵体反射小于43.92ms、阴部脊髓体感神经诱发电位小于13.63ms、阴部皮层体感神经诱发电位小于45.66ms、阴部脊髓运动神经诱发电位小于12.04 ms、阴部皮层运动神经诱发电位小于28.43 ms、阴茎皮肤交感反应小于1463.09 ms。Objective To enhances the accuracy of the electrophysiological in assessment of erectile function and normalize the laboratory reference value. Methods In 3657 middle school students who receivedphysical examination, 366 were randomly selected for testing conventional bulbocavernosus reflex response,pudendal somaticevoked potential,pudendal motorevoked potential and penile sympathetic skin responses respectively. The collected data were calculated and analyzed. Rusults The incubation period of bulbocavernosus reflex response was （33.71±10.21）ms, The incubation period of pudendal somaticevoked potential from spinal was （10.88±2.75）ms, The incubation period of pudendal somaticevoked potential from cortex was （40.23±5.43）ms, The incubation period of pudendal motorevoked potential from spinal was （9.78 ±2.26）ms, The incubation period of pudendal motorevoked potential from cortex was（23.18±5.25）ms. The incubation period of penile sympathetic skin responses was （1229.88±233.21）ms. Conclusion What reference value of erectile function neural electrophysiology were normalized in local laboratory was necessary prior to use in clinic. The incubation period of bulbocavernosus reflex response was less than 43.92ms, The incubation period of pudendal somaticevoked potential from spinal was less than 13.63ms, The incubation period of pudendal somaticevoked potential from cortex was less than 45.66ms, The incubation period of pudendal motorevoked potential from spinal was less than 12.04ms, The incubation period of pudendal motorevoked potential from cortex wasless than 28.43ms, The incubation period of penile sympathetic skin responses was less than 1463.09ms.

关 键 词：阴茎勃起 电生理学 数据收集 

分 类 号：R338.8[医药卫生—人体生理学] R339.21[医药卫生—基础医学]