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Yıl:2014; Cilt: 1; Sayı: 3>> Özet
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Türk Uyku Tıbbı Dergisi; 2014;1(3):77-81
Basit Dokunsal Uyarılma Potansiyellerinin Uykunun İlk ve İkinci Yarısında Değişimleri
G İnanç, M Özgören, A Öniz
Dokuz Eylül Üniversitesi, İzmir
Giriş: Çalışmada uyku sürecinde sağ ele uygulanan ağrısız dokunsal uyaranlara karşı NREM uykunun ilk ve ikinci yarısında meydana gelen beyin yanıtlarının değişiminin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmaya 16 sağlıklı gönüllü birey (9 kadın, yaş ortalamaları: 22,44±1,75) katılmıştır. Kayıtlarda NuAmps 40 kanallı [elektroensefalografi (EEG), elektrookülügrafi (EOG) ve elektromiyografi (EMG)] kayıt sistemi, Embedded Microcontroller Stimulation Unit (EMISU), pnömatik uyarıcı ünitesi (Somatosensory Stimulus Generator 4-D Neuroimaging), video kayıt sistemi ve analiz bilgisayarı kullanılmıştır. Tek tip ağrısız dokunsal uyaran katılımcıların sağ el işaret ve orta parmaklarına uygulanmıştır. Gece boyunca alınan EEG, EOG ve EMG kayıtları, kayıt sonrası Amerikan Uyku Tıbbı Akademisi (AUTA) kurallarına göre uyku evrelerine ayrılmıştır. Her bireyin toplam uyku süresi tam orta noktadan bölünerek, uyku sürelerinin ilk ve ikinci yarılarında NREM uykuda, meydana gelen değişiklikler öncelikli olarak santral bölgede yer aldığı için CZ elektrodunda incelenmiştir. Bulgular: NREM uykuda ağrısız dokunsal uyaranlara karşı oluşan beyin yanıtları incelendiğinde P50, N100, P200, N300, P450, N550, P900 ve N_geç yanıtları belirgin olarak gözlenmiştir. İlk ve ikinci yarıda ortaya çıkan yanıtlar karşılaştırıldığında uykunun ilk yarısında görülen P900 yanıtının latansı, ikinci yarıda görülenden kısa bulunmuştur. Genlikler incelendiğinde; N300 ve P900 yanıtlarının genlikleri uykunun ilk yarısında ikinci yarısından büyük bulunmuştur. Sonuç: Uyku sürecinde kendi içinde farklı evreler bulunmakta ve literatürde genellikle evreler bazında araştırmalar yapıldığı görülmektedir. Ancak elde ettiğimiz sonuçlar ışığında uykuda, gecenin farklı dönemleri içinde, ağrısız dokunsal uyarana verilen beyin yanıtını etkilediğini göstermiştir. Uykunun, evrelerin yanı sıra uyku süresinden de etkilendiği görülmüştür.
Variations of Simple Somatosensory Evoked Potentials in the First and Second Halvesof Sleep
Introduction: The study aims to investigate variations in brain responses to non-painful tactile stimulation on right hand in the first and second halves of NREM sleep. Materials and Methods: Sixteen healthy volunteers (9 female, mean age: 22.44±1.75) participated in the study. 40-channel NuAmps recording system [electroencephalography (EEG), electrooculography (EOG), and electromyography (EMG)], Embedded Microcontroller Stimulation Unit (EMISU), pneumatic stimulation unit (Somatosensory Stimulus Generator 4-D Neuroimaging), video recording system, and analysis PC were used during recordings. Single-type non-painful somatosensory stimulus was applied to the index and middle fingers of right hands of participant. All night long records of EEG, EOG, and EMG were classified into sleep stages according to American Academy of Sleep Medicine (AASM). As the variations in first and second halves of the NREM sleep were localized in central region, Cz electrode was investigated. Results: When the brain responses to non-painful tactile stimuli in NREM sleep were investigated, P50, N100, p200, N300, P450, N550, P900, and N_late responses were observed. When the responses in the first and the second halves of sleep were compared, latency of P900 response in the first half was significantly shorter than that in the second half; and amplitudes of N300 and P900 responses in the first half were significantly larger than that in the second half. Discussion: There are different stages in their sleep in the process and studies in the literature often seen where some sleep stages. However our results showed that the the time of night, during sleep, influences the brain responsiveness to non-painful tactile stimuli..

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