右正中神經電刺激儀主要用于早期(qi)昏迷的促醒(xing)，對于生命體征平(ping)穩(wen)，顱(lu)內情況平(ping)穩(wen)，無(wu)須手術處理的顱(lu)內血腫，腦積水等患者(zhe)效果更(geng)佳且(qie)措施(shi)簡單(dan)易施(shi)行。在(zai)使用時一般刺(ci)激(ji)右手，那(nei)這有什(shen)么依據嗎？刺(ci)激(ji)左手與刺(ci)激(ji)右手效果是不一樣(yang)的嗎？
有(you)國外(wai)數(shu)(shu)據顯(xian)現(xian)，選用(yong)(yong)右(you)側(ce)(ce)(ce)正(zheng)(zheng)中(zhong)神經(jing)電(dian)(dian)(dian)(dian)刺(ci)(ci)激(ji)要比左(zuo)邊(bian)正(zheng)(zheng)中(zhong)神經(jing)電(dian)(dian)(dian)(dian)刺(ci)(ci)激(ji)效(xiao)果好。這(zhe)是由(you)于(yu)(yu)無論是右(you)利手或是左(zuo)利手，大都(dou)患(huan)者(zhe)(zhe)左(zuo)邊(bian)大腦(nao)半球為優勢半球，因而右(you)側(ce)(ce)(ce)正(zheng)(zheng)中(zhong)神經(jing)電(dian)(dian)(dian)(dian)刺(ci)(ci)激(ji)更能促進(jin)受損的(de)神經(jing)細胞的(de)批改，加速(su)復蘇。右(you)正(zheng)(zheng)中(zhong)神經(jing)電(dian)(dian)(dian)(dian)刺(ci)(ci)激(ji)在(zai)(zai)單(dan)側(ce)(ce)(ce)外(wai)周電(dian)(dian)(dian)(dian)影響的(de)同(tong)時，在(zai)(zai)顱內發(fa)作(zuo)(zuo)雙側(ce)(ce)(ce)反響，體(ti)現(xian)在(zai)(zai)雙側(ce)(ce)(ce)感覺運動(dong)皮(pi)層(ceng)均(jun)呈(cheng)血(xue)流灌注升高趨(qu)勢，且以上肢及手部(bu)功能區為著(zhu)。因而選擇(ze)右(you)側(ce)(ce)(ce)手腕掌側(ce)(ce)(ce)正(zheng)(zheng)中(zhong)神經(jing) 電(dian)(dian)(dian)(dian)刺(ci)(ci)激(ji)證實效(xiao)果杰出。大部(bu)分(fen)都(dou)研究表(biao)明，性(xing)別、體(ti)質(zhi)量、年紀對(dui)神經(jing)傳(chuan)導各參數(shu)(shu)無顯(xian)著(zhu)影響。 盡(jin)管右(you)正(zheng)(zheng)中(zhong)神經(jing)電(dian)(dian)(dian)(dian)刺(ci)(ci)激(ji)治療(liao)在(zai)(zai)顱腦(nao)危害后(hou)前期(qi)(qi)運用(yong)(yong)療(liao)效(xiao)顯(xian)著(zhu)，但(dan)也需(xu)注意(yi)(yi)在(zai)(zai)治療(liao)前做好相關(guan)查看(kan)，孕媽媽、頻發(fa)癲(dian)癇(xian)者(zhe)(zhe)、頻發(fa)心(xin)律反常(chang)、嚴峻心(xin)率反常(chang)或心(xin)臟起搏器置入(ru)患(huan)者(zhe)(zhe)不允許運用(yong)(yong)，患(huan)者(zhe)(zhe)有(you)部(bu)分(fen) 皮(pi)膚(fu)炎癥、濕疹、疤痕、潰瘍等(deng)，電(dian)(dian)(dian)(dian)極(ji)需(xu)避開此部(bu)位(wei)。每次操作(zuo)(zuo)前查看(kan)電(dian)(dian)(dian)(dian)源電(dian)(dian)(dian)(dian)壓正(zheng)(zheng)確，保(bao)證用(yong)(yong)電(dian)(dian)(dian)(dian)安全。徹底清潔皮(pi)膚(fu)后(hou)擦(ca)干，在(zai)(zai)橡(xiang)膠電(dian)(dian)(dian)(dian)極(ji)片(pian)與皮(pi)膚(fu)接觸處涂導電(dian)(dian)(dian)(dian)膠或運用(yong)(yong)生理鹽水紗布(bu)，電(dian)(dian)(dian)(dian)極(ji)與皮(pi)膚(fu)應充 分(fen)接觸，用(yong)(yong)彈性(xing)紗帶將電(dian)(dian)(dian)(dian)極(ji)固定于(yu)(yu)治療(liao)部(bu)位(wei)；調理參數(shu)(shu)，緩慢增加影響強度(du)，以患(huan)者(zhe)(zhe)呈(cheng)現(xian)拇指、食指纖(xian)細抽動(dong)或縮(suo)短為佳，不要隨意(yi)(yi)調理大小；治療(liao)期(qi)(qi)間慣例監(jian)護目(mu)標，包括呼吸、脈搏、血(xue)壓、血(xue)氧飽 和度(du)，評判(pan)病況改動(dong)或與電(dian)(dian)(dian)(dian)刺(ci)(ci)激(ji)相關(guan)。對(dui)于(yu)(yu)需(xu)求顱內壓監(jian)護的(de)患(huan)者(zhe)(zhe)，記載顱內壓監(jian)護數(shu)(shu)值。
右正中神經電刺激儀治療(liao)對顱腦外傷后昏倒患(huan)(huan)者確有促(cu)復蘇(su)(su)效(xiao)果,削減致殘率和提高患(huan)(huan)者生活質(zhi)量(liang)。影(ying)響后腦脊液中神經遞質(zhi)含(han)量(liang)的改(gai)動可(ke)能是正(zheng)中神經電(dian)影(ying)響促(cu)復蘇(su)(su)的機制之一。
