| 徐士军 李智琳 杨建国 孙玉会 董晓柳 袁苑.神经传导测定技术对腕管综合征病情评估的价值[J].,2014,14(28):5503-5506 |
| 神经传导测定技术对腕管综合征病情评估的价值 |
| Value of Nerve Conduction Measurement for the Assessmentof Carpal Tunnel Syndrome |
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| DOI： |
| 中文关键词: 神经电图 腕管综合征 病情评估 |
| 英文关键词: Nervous electrical diagram Carpal tunnel syndrome Disease assessment |
| 基金项目: |
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| 中文摘要: |
| 目的：近年来腕管综合征发病率逐年升高，然而其慢性、隐匿性不易引起人们的重视，发现时往往已造成较大的危害。本文
探讨腕管综合征的神经传导测定对病情评估的临床价值，旨在为患者腕管综合征早期发现和后续治疗提供进一步的临床参考依
据。方法：选取我院124 例确诊的腕管综合征患者。其中无大鱼际肌萎缩者有64 例,并选取平均年龄相近的64例正常人作为对照
（组A）；有大鱼际肌畏缩者60 例，并选取平均年龄相近的60 例正常人作为对照（组B）。A、B组均经行神经电图检查，握力测定
和两点辨别觉测定，分析神经传导速度改变与感觉、运动功能减退程度的关系。结果：A、B 两组患者均有不同程度的神经传导改
变：在A组患者神经传导改变中，运动和感觉传导速度（MCV 和SCV）轻度下降，运动和感觉电位波幅（CMAP 和SNAP)轻度下
降，潜伏期(ML)轻度延长；在B 组患者神经传导中，运动和感觉传导速度（MCV 和SCV）明显下降，运动和感觉电位波幅（CMAP
和SNAP)明显下降，潜伏期明显延长。结论：腕管综合征患者不同的临床表现有不同程度的神经电图表现，因此神经电图对神经
传导的测定结果对腕管综合征患者的病情有良好的评估价值，值得临床推广。 |
| 英文摘要: |
| Objective:The incidence of carpal tunnel syndrome is increasing in recent years, but it is chronic and secretive, so the
carpal tunnel syndrome is hard to cause the attention of people. carpal tunnel syndrome also tends to have larger damage when found.
This article is to discuss the clinical value of nerve conduction measurement technology for the carpal tunnel syndrome, and to provide
further clinical data for the early detection of carpal tunnel syndrome and the follow-up treatment.Methods:124 patients with carpal
tunnel syndrome who were diagnosed in our hospital were selected and divided into two groups (group A and group B) .Group A: 64
cases of the patients with no big thenar muscle atrophy, select 64 cases of normal people who have the same average age as control;
Group B:60 cases of the patients have big thenar muscle atrophy, select 60 cases of normal people who have the same average age as
control. All the patients were detected by the nervous electrical diagram, grip strength and the sense of two-point discrimination to
analyze the relationships of the nerve conduction velocity, the sensory and the motor functions.Results:The two groups have varying
degrees of nerve conduction. For the nerve conduction of group A: The motor conduction velocity and sensory conduction velocity have
mild decline, the compound muscle action potential amplitude and sensory nerve action potential amplitude have mild decline, and the
incubation period extended slightly; For the nerve conduction of group B: The motor conduction velocity and sensory conduction velocity
have dramatic decline, the compound muscle action potential amplitude and sensory nerve action potential amplitude have dramatic
decline, and the incubation period extended dramatically.Conclusion:Patients who have different clinical manifestations also have
different degrees of neural electrical performance. Nervous electrical diagram for the nerve conduction measurement have a great
assessment value for the patients with carpal tunnel syndrome, it is worthy of clinical promotion. |
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