多发性周边神经病变患者前臂段之正中神经传导研究.PDFVIP

多發性周邊神經病變患者前臂段之正中神經傳導研究 Nerve Conduction Studies on the Median Nerve in the Forearm in Patients with Polyneuropathy 計劃編號 : NSC 87-2314-B-002-052 執行期限 : 86年8月1日 至 87年7月31 日 執行者 : 張楊全 國立臺灣大學醫學院神經科 Abstract chronic demyelinating polyneuropathy had a Careful nerve conduction studies in same pattern of NCV difference among patients with polyneuropathy can provide various electrodiagnostic techniques. useful information for differential diagnosis Keywords: polyneuropathy, nerve of the pathophysiological processes and in conduction study, nerve action potential, search of their underlying etiological factors. somatosensory evoked potential We systematically studied nerve conduction 摘要 velocities of the right median nerve with 　　多發性神經病變多為代謝障礙、營養 different techniques in 128 normal controls, 缺乏 、中毒、自體免疫失常、血中蛋白異 19 patients with acute demyelinating 常或癌症等全身性疾病之一種臨床表徵 。 polyneuropathy, 36 patients with chronic 若能仔細地分析神經傳導檢查之結果 ，當 demyelinating polyneuropathy, and 16 有助於探索多發性神經病變之可能病因 。 patients with diabetic polyneuropathy. 　本研究共收集128位正常人，19位急性 Techniques to study the nerve conduction of the median nerve included motor nerve 脫髓鞘性多發性神經病變（ADP）患者，36 conduction with measuring the latency of 位慢性脫髓鞘性多發性神經病變（CDP）患 evoked compound muscle action potentials;. 者及16位糖尿病神經病變患者 ，針對其右 sensory nerve conduction with measuring 側前臂段之正中神經施予不同之周邊神經 the latency of evoked sensory action 傳導評估 。所採用之檢查方法為： potentials; centripetal nerve conduction with 一 、刺激正中神經而在短外展姆肌記錄運 measuring the latency of the centripetally 動動作電位之運動神經傳導 。 recorded nerve action potential; centrifugal 二 、刺激正中神經而在食指記錄感覺動作 nerve