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不同刺激模式对神经传导阻断影响的仿真研究

Simulation of myelinated nerve conduction block induced byelectrical stimulus pulses superimposed with different modes

作者: 刘斌  张旭  任朝晖  钱柏霖  朱亚光  左锐 
单位:首都医科大学临床生物力学应用基础研究北京市重点实验室(北京100069)
关键词: 词方波;正弦波;传导阻滞;阈值;高斯白噪声 
分类号:R318.04
出版年·卷·期(页码):2017·36·2(118-122)
摘要:

目的 为减少长期电刺激导致的神经疲劳,提高治疗效率,本研究比较多种刺激模式在神经传导阻断中的阻断阈值,为动物实验选择最好的刺激模式。方法 以有限长单根有髓神经为研究对象,采用有髓神经纤维Frankenhaeuser-Huxley(F-H)模型进行仿真,比较双向对称方波、正弦波、双向对称方波簇的阻断阈值以及叠加不同信噪比的双向对称方波阻断阈值。结果 在刺激频率范围内,对称方波的阻断波形低于正弦波和方波簇的刺激阻断阈值。对于叠加噪声的对称方波,叠加-50dB的高斯白噪声能够降低方波的阻断阈值。结论 方波的阻断阈值低于正弦波和方波簇。在相同的条件下,叠加高斯白噪声对方波阻断阈值的影响明显,尤其是叠加-50dB的噪声。

Objective In order to reduce the nerve fatigue caused by long-term electrical stimulation and improve the treatment efficiency, this study compares the blocking threshold of a variety of stimulation modes in nerve conduction block, and chooses the best stimulation mode for animal experiments.Methods We used the myelinated nerve fiber with limited length as the research object, and the Frankenhaeuser-Huxley (F-H) model for mammal’s marrow nerve fiber as the basic system.We simulated the symmetrical biphasic pulses, sinusoidal pulses, intermittent biphasic pulse clusters and symmetrical biphasic pulses superimposed with different SNR noise to compare the block threshold.Results In the simulation, the symmetrical biphasic pulse wave had a lower blocking threshold than sinusoidal pulses and biphasic pulse cluster.The symmetrical square wave superimposed -50dB of white Gaussian noise could reduce the blocking threshold.Conclusions In the same conditions, the blocking threshold of symmetry biphasic pulses is lower than the others, and the effect of the symmetrical biphasic pulses superimposed with -50dB noise has a lower blocking threshold.

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