正常人手部神经感觉定量测定.docVIP

正常人手部神经感觉定量测定[摘要] 目的：研究正常人手部定量感觉测试(QST)的阈值及意义。方法：检测230例正常人左手大小鱼际肌的冷觉、温觉、冷痛觉、热痛觉，对其中28例右手做相同测试，对其中21例2周后做重复测试。结果：本组正常人QST测试的重复性较好, 左右手QST阈值左右侧之间差异无显著性。各年龄段温度觉阈值存在显著性差异。结论：年龄对定量感觉检查影响显著，应该按年龄段制定正常参考值。定量感觉检查具有可重复性。身体两侧同一部位定量感觉检查具有对称性。 [关键词] 定量感觉测试；温度觉；阈值；重复性；对称性 [中图分类号] R741[文献标识码]B [文章编号]1673-7210（2008）05（b）-025-03 Study of the nervous quantitative sensory testing of hands in normal subjects WANG-Lu, HONG Xiao-jun, TAO Ding-bo (Department of Neurology，Dalian Municipal Center Hospital, Dalian 116000, China) [Abstract] Objective:To test the threshold and significance of quantitative sensory testing (QST) of hands in normal subjects. Methods:Separately test the threshold values such as sense of cold, sensation of warmth, cold pain sensation and sense of heat pain of the testees on the left thenar eminence and left hypothenar eminence. Of the tests 28 persons were simultaneously tested of the identical left and right lateral positions and 21 persons were repeatedly tested two weeks later .Results:A good repeatability was shown in normal subject. Thresholds of QST of 21 subjects did not significantly differ between left and right side. Thresholds of QST were differed remarkably among different age groups. Conclusion:Age produces significant influence over the quantitative sensation examination. Therefore, the normal reference values must be drawn up in accordance with the different age groups. The quantitative sensation testing is possessed of the repeatability. The quantitative sensation testing on the identical positions of both sides of the body is possessed of the symmetry. [Key words] Quantitative sensation testing; Thermal sensation; Threshold; Repeatability；Symmetry 定量温度觉检查可测量冷觉、热觉、冷痛觉、热痛觉的阈值，主要反映细小神经纤维的功能，而且具有操作简单、无创、可以量化的优点，因此，应用于临床后得到了广泛重视与研究。本实验对正常人群进行手部温度阈值检查，以确定正常参考值，同时探讨其可重复性、左右侧同一部位感觉定量相关性，现将结果报道如下。 1资料与方法 1.1测查对象及实验入组标准 共测查230例正常人，其中，男性106例，女性124例。每10岁分为一个年龄段,10、50岁年龄组各40例，20、30、40岁年龄组各50例。全部入选对象符合下列条件：年龄为10~59岁、无感觉异常、无精神症状、