摘要
目的探讨腕管综合征合并神经根型颈椎病患者神经传导测定特点并进行临床分析,为治疗提供可靠的依据。方法选取该院2010年12月—2012年12月收治的腕管综合征合并神经根型颈椎病患者30例,并选择同期健康体检者30例作为对照研究。测定正中神经和尺神经的感觉传导末端潜伏期(DSL)、感觉神经动作电位(SNAP)、跨腕关节感觉传导速度(SCV)、运动传导末端潜伏期(DML)及复合肌肉动作电位(CMAP)。从感觉传导到运动传导逐一测量。正中神经压迫试验5min后再重复测量上述指标。结果观察组正中神经DSL较对照组显著延长,差异有统计学意义(P<0.05);DML虽有延长,但与对照组相比,差异无统计学意义(P>0.05)。而观察组尺神经和对照组正中神经及尺神经的各参数均无显著改变(P>0.05)。观察组正中神经DSL和DML均明显延长,与对照组相比(P<0.05),两组尺神经DSL和DML均无显著改变(P>0.05)。结论腕管综合征合并神经根型颈椎病患者因正中神经的受压使腕管综合征患者正中神经的感觉传导末端潜伏时间明显延长,通过神经传导测定有助于对早期腕管综合征的诊断率。
Objective To analyze the nerve conduction characteristics of carpal tunnel syndrome patients with cervical spondylotic radiculopathy , and to provide a better way to treat carpal tunnel syndrome. Methods Thirty patients of carpal tunnel syndrome with cervical spondylotic radiculopathy admitted to hospital from December 2011 to December 2012 were studied. And 30 healthy people were chosen as the control group. Distal sensory latency （DSL）, sensory nerve action potentials （SNAP） ,cross-wrist sensory conduction velocity （SCV）, distal motor latency （DML） and compound muscle action potential （CMAP）of the median nerve and ulnar nerve were measured . We first tested sensory conduction, and then measured motor conduction. These indicators were measured again 5 minutes after median nerve compression test. Results Median nerve DSL of observation group was significantly longer than that of control group. The difference was statistically significant （ P 〈 0.05 ） ; Although extended, DML had no statistically significant difference （ P 〉 0.05 ）. Parameters of median nerve and ulnar nerve in both observation group and control group were not significantly changed （ P 〉 0.05 ）. Compared with control group, DSL and DML of median nerve in observation group were significantly prolonged （P 〈 0.05） ,yet had no significant change （P 〉 0. 05）. Conclusions DSL of carpal tunnel syndrome patients with cervical spondylotic radiculopathy was significantly prolonged due to pressure on the median nerve, therefore, nerve conduction measurement contributes to the early diagnosis of carpal tunnel syndrome.
出处
《安徽医药》
CAS
2014年第9期1705-1707,共3页
Anhui Medical and Pharmaceutical Journal
关键词
腕管综合征
神经根型颈椎病
神经传导
carpal tunnel syndrome
cervical spondylotic radiculopathy
nerve conduction
