中华神经科杂志
中華神經科雜誌
중화신경과잡지
Chinese Journal of Neurology
2013年
5期
300-303
,共4页
潘华%汤晓芙%崔丽英%王含%翦凡%丁则昱%陈娜%张磊%吴青
潘華%湯曉芙%崔麗英%王含%翦凡%丁則昱%陳娜%張磊%吳青
반화%탕효부%최려영%왕함%전범%정칙욱%진나%장뢰%오청
糖尿病神经病变%多系统萎缩%肛管%肌电描记术
糖尿病神經病變%多繫統萎縮%肛管%肌電描記術
당뇨병신경병변%다계통위축%항관%기전묘기술
Diabetic neuropathies%Multiple system atrophy%Anal canal%Electromyography
目的 为探讨周围神经病变对肛门括约肌的影响,将糖尿病多发性神经病与多系统萎缩患者的肛门括约肌肌电图进行比较.方法 分别对36例2型糖尿病多发性神经病患者以及58例多系统萎缩患者进行神经传导检测及针极肌电图检测,检测肌肉包括:肛门括约肌、伸指总肌、胫前肌.同时收集19名健康对照者相关检测的数据,并比较三组肛门括约肌肌电图的异同.结果 糖尿病多发性神经病组与健康对照组比较在运动单位电位波幅[(716.7 ±127.7) μV与(586.4 ±85.4)μV,=3.176,P=0.006]、时限[(12.4±2.1) ms与(9.2±0.5)ms,t=5.037,P=0.000]、多相波百分比(56.4％±22.4％与37.5％ ±21.8％,t=3.517,P=0.002)以及平均位相(5.5±1.4与4.4±1.1,t=3.567,P=0.002)上差异均有统计学意义,与多系统萎缩组比较在运动单位电位波幅[多系统萎缩组(829.2±167.6) μV,t=3.663,P=0.001]和时限[多系统萎缩组(15.9±2.6)ms,t=7.471,P=0.000]差异有统计学意义.糖尿病多发性神经病组的大于10 ms运动单位百分比及卫星电位百分比均高于健康对照组,且低于多系统萎缩组,差异均有统计学意义.结论 周围神经病变时肛门括约肌肌电图可出现神经源性损害,但糖尿病多发性神经病患者在时限、波幅、大于10 ms运动单位百分比及卫星电位百分比上均低于多系统萎缩患者,诊断及评估应密切结合临床.
目的 為探討週圍神經病變對肛門括約肌的影響,將糖尿病多髮性神經病與多繫統萎縮患者的肛門括約肌肌電圖進行比較.方法 分彆對36例2型糖尿病多髮性神經病患者以及58例多繫統萎縮患者進行神經傳導檢測及針極肌電圖檢測,檢測肌肉包括:肛門括約肌、伸指總肌、脛前肌.同時收集19名健康對照者相關檢測的數據,併比較三組肛門括約肌肌電圖的異同.結果 糖尿病多髮性神經病組與健康對照組比較在運動單位電位波幅[(716.7 ±127.7) μV與(586.4 ±85.4)μV,=3.176,P=0.006]、時限[(12.4±2.1) ms與(9.2±0.5)ms,t=5.037,P=0.000]、多相波百分比(56.4％±22.4％與37.5％ ±21.8％,t=3.517,P=0.002)以及平均位相(5.5±1.4與4.4±1.1,t=3.567,P=0.002)上差異均有統計學意義,與多繫統萎縮組比較在運動單位電位波幅[多繫統萎縮組(829.2±167.6) μV,t=3.663,P=0.001]和時限[多繫統萎縮組(15.9±2.6)ms,t=7.471,P=0.000]差異有統計學意義.糖尿病多髮性神經病組的大于10 ms運動單位百分比及衛星電位百分比均高于健康對照組,且低于多繫統萎縮組,差異均有統計學意義.結論 週圍神經病變時肛門括約肌肌電圖可齣現神經源性損害,但糖尿病多髮性神經病患者在時限、波幅、大于10 ms運動單位百分比及衛星電位百分比上均低于多繫統萎縮患者,診斷及評估應密切結閤臨床.
목적 위탐토주위신경병변대항문괄약기적영향,장당뇨병다발성신경병여다계통위축환자적항문괄약기기전도진행비교.방법 분별대36례2형당뇨병다발성신경병환자이급58례다계통위축환자진행신경전도검측급침겁기전도검측,검측기육포괄:항문괄약기、신지총기、경전기.동시수집19명건강대조자상관검측적수거,병비교삼조항문괄약기기전도적이동.결과 당뇨병다발성신경병조여건강대조조비교재운동단위전위파폭[(716.7 ±127.7) μV여(586.4 ±85.4)μV,=3.176,P=0.006]、시한[(12.4±2.1) ms여(9.2±0.5)ms,t=5.037,P=0.000]、다상파백분비(56.4％±22.4％여37.5％ ±21.8％,t=3.517,P=0.002)이급평균위상(5.5±1.4여4.4±1.1,t=3.567,P=0.002)상차이균유통계학의의,여다계통위축조비교재운동단위전위파폭[다계통위축조(829.2±167.6) μV,t=3.663,P=0.001]화시한[다계통위축조(15.9±2.6)ms,t=7.471,P=0.000]차이유통계학의의.당뇨병다발성신경병조적대우10 ms운동단위백분비급위성전위백분비균고우건강대조조,차저우다계통위축조,차이균유통계학의의.결론 주위신경병변시항문괄약기기전도가출현신경원성손해,단당뇨병다발성신경병환자재시한、파폭、대우10 ms운동단위백분비급위성전위백분비상균저우다계통위축환자,진단급평고응밀절결합림상.
Objective To investigate the impact of peripheral neuropathy on the external anal sphincter electromyography(EAS-EMG).Methods EAS-EMG was performed in 36 patients with diabetic polyneuropathy (DPN),58 patients with multiple systemic atrophy (MSA) and 19 healthy controls.The routine nerve conduction study was done and standard EMG was recorded from external anal sphincter,common digital muscle and anterior tibial muscle.Parameters studied included spontaneous activity (fibrillation potentials and positive sharp waves),duration,amplitude,percentage of polyphasic wave of motor unit action potential (MUAP),satellite potential and average phases.Results The EAS-EMG of DPN showed significant difference from the health controls:amplitude((716.7 ± 127.7) μV vs (586.4 ± 85.4) μV,t=3.176,P =0.006),duration ((12.4±2.1) ms vs (9.2 ±0.5) ms,t =5.037,P =0.000),percentage of polyphasic (56.4％ ±22.4％ vs 37.5％ ±21.8％,t =3.517,P =0.002),average phases (5.5 ± 1.4 vs 4.4 ± 1.1,t =3.567,P =0.002),respectively and also significant difference from those values in MSA patients:amplitude ((829.2 ± 167.6) μV,t =3.663,P =0.001) and duration ((15.9 ±2.6) ms,t =7.471,P =0.000).Besides,percentage of MUAP that duration more than 10 ms and percentage of satellite potential were significant higher than those of the controls and lower than MSA patients.Conclusions EAS-EMG discovers neurogenic changes in patients with DPN,however,their duration,amplitude and percentage of satellite potentials are significantly lower than those in patients with MSA.EAS-EMG diagnosis should be combined with clinical evidence.
