摘要
目的探讨神经电生理检测对慢性酒精中毒性周围神经病的诊断价值。方法对35例慢性酒精中毒患者进行电生理检查,观察肌电图(EMG)、运动神经传导速度(MCV)和感觉传导速度(SCV)的变化情况。结果35例患者EMG检查综合判断提示神经源性损害,上下肢EMG异常差异无显著性(P>0.05),年龄与EMG异常无明显相关性。SCV较对照组有不同程度的减慢(P<0.01),而MCV改变不明显(P>0.05);SCV异常率为81.43%,且异常程度与饮酒年限呈正相关系(r=0.54,P<0.01);15例双上肢无临床症状的患者中10例(66.67%)尺神经SCV有改变。结论神经电生理检测为慢性酒精中毒性周围神经病的临床诊断特别是早期诊断提供了客观依据。
Objective This paper has explored the diagnosis value of electrephysiological examination into peripheral neuropathy resulting from chronic alcoholism. Methods Through electrophysiological examination into 35 patients who suffered from chronic alcoholism, the changes of their electromyogram （EMG）, motorius conduction velocity （MCV） and sense conduction velocity （SCV） were observed. Results The EMG of the 35 patients indicated that their neurone weve harmed. There weve no obvious differences in EMG of both upper and lower limbs （ P 〉 0. 05 ） . There was no obvious relation between age and the differences in EMG. In comparison with the control group, and SCV was slowed down in some degree （ P 〈 0. 01 ）, yet the change of MCV was not evident （ P 〉0.05） ; the rate of abnormity was 81.43%, and the degree of abnormity was proportional to the length of drinking history （ r =0. 54, P 〈0. 01 ） ; among the 15 patients, both of their upper limbs hade no clinical symptoms and there were 10 patients whose SCV of the ulnar nerves had some changes. Conclusions Neure - electrophysiological examination provides objective basis for the diagnosis of peripheral neuropathy due to chronic alcoholism, especially for the early one.
出处
《辽宁医学院学报》
CAS
2007年第1期46-48,共3页
Journal of Liaoning Medical University (LNMU) Bimonthly
关键词
慢性酒精中毒
周围神经病
神经电生理
chronic alcoholism
peripheral neuropathy
neuro - electrophysiology
