中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2013年
12期
1171-1173
,共3页
余青云%刘爱群%洪铭范%程静%彭忠兴%危智盛
餘青雲%劉愛群%洪銘範%程靜%彭忠興%危智盛
여청운%류애군%홍명범%정정%팽충흥%위지성
脑卒中%肩-手综合征%正中神经
腦卒中%肩-手綜閤徵%正中神經
뇌졸중%견-수종합정%정중신경
stroke%shoulder-hand syndrome%median nerve
目的:观察脑卒中后肩-手综合征(SHS)急性期正中神经传导的变化。方法50例脑卒中并发SHS急性期患者(SHS组)、50例脑卒中无SHS患者(N-SHS组)和50例无脑卒中无SHS者(N-S组)均行双侧正中神经传导检测(包括感觉、运动神经传导及F波)。结果 SHS组患侧正中神经感觉动作电位波幅(SNAP)、复合肌肉动作电位波幅(CMAP)与自身健侧比较均降低(P<0.05);患侧感觉传导速度(SCV)、末端运动潜伏期(DML)、F波潜伏期(FL)与健侧比较无显著性差异(P>0.05);与N-SHS组、N-S组比较, SHS组患侧正中神经SCV减慢、SNAP及CMAP减低(P<0.05);DML、FL无显著性差异(P>0.05)。结论脑卒中后SHS急性期患侧正中神经受损,以轴索为主,其损伤部位主要在远端,提示正中神经远端的轴索损伤是SHS的一项指标。
目的:觀察腦卒中後肩-手綜閤徵(SHS)急性期正中神經傳導的變化。方法50例腦卒中併髮SHS急性期患者(SHS組)、50例腦卒中無SHS患者(N-SHS組)和50例無腦卒中無SHS者(N-S組)均行雙側正中神經傳導檢測(包括感覺、運動神經傳導及F波)。結果 SHS組患側正中神經感覺動作電位波幅(SNAP)、複閤肌肉動作電位波幅(CMAP)與自身健側比較均降低(P<0.05);患側感覺傳導速度(SCV)、末耑運動潛伏期(DML)、F波潛伏期(FL)與健側比較無顯著性差異(P>0.05);與N-SHS組、N-S組比較, SHS組患側正中神經SCV減慢、SNAP及CMAP減低(P<0.05);DML、FL無顯著性差異(P>0.05)。結論腦卒中後SHS急性期患側正中神經受損,以軸索為主,其損傷部位主要在遠耑,提示正中神經遠耑的軸索損傷是SHS的一項指標。
목적:관찰뇌졸중후견-수종합정(SHS)급성기정중신경전도적변화。방법50례뇌졸중병발SHS급성기환자(SHS조)、50례뇌졸중무SHS환자(N-SHS조)화50례무뇌졸중무SHS자(N-S조)균행쌍측정중신경전도검측(포괄감각、운동신경전도급F파)。결과 SHS조환측정중신경감각동작전위파폭(SNAP)、복합기육동작전위파폭(CMAP)여자신건측비교균강저(P<0.05);환측감각전도속도(SCV)、말단운동잠복기(DML)、F파잠복기(FL)여건측비교무현저성차이(P>0.05);여N-SHS조、N-S조비교, SHS조환측정중신경SCV감만、SNAP급CMAP감저(P<0.05);DML、FL무현저성차이(P>0.05)。결론뇌졸중후SHS급성기환측정중신경수손,이축색위주,기손상부위주요재원단,제시정중신경원단적축색손상시SHS적일항지표。
Objective To analyze the changes of nerve conduction of median nerves in acute stage of shoulder-hand syndrome (SHS) af-ter stroke. Methods 50 stroke patients with SHS in the acute stage were selected as SHS group, 50 stroke patients without SHS was selected as N-SHS group, and 50 non-stroke and without SHS patients were selected as N-S group. The detection of bilateral nerve conduction of me-dian nerve included sensory and motor nerve conduction, and F wave. Results In SHS group, the sensory nerve action potential amplitude (SNAP) and compound muscle action potential amplitude (CMAP) of median nerve of the affected hand were lower than that of the unaf-fected hand (P<0.05). There was no significant difference in sensory conduction velocity (SCV), distal motor latency (DML) and F wave la-tency of the median nerve between the affected and the unaffected hand in SHS group (P>0.05). The SCV of median nerve was slower, the SNAP and CMAP were lower in SHS group than in N-SHS group and N-S group (P<0.05). There was no significant difference in DML and F wave latency among 3 groups (P>0.05). Conclusion The median nerve on the affected hand is impaired in acute stage of SHS after stroke. The lesion is mostly located in the distal end of median nerve, and is mainly the dystrophy of axonal neuropathy, which indicates that the le-sion in the distal segment of median nerve is an essential expression of SHS after stroke.