CAJ | 학술논문

目的介绍一种检查病理反射的新方法——压甲反射,同时探讨压甲反射作为一种反映锥体系损伤的病理反射的诊断价值. 方法选择2011年9月1～3日广州市中西医结合医院普通外科和神经外科在院的62例患者作为研究对象,同时采用巴宾斯基法、夏道克氏法、戈登氏法及压甲反射法检查患者双下肢,所得结果以巴宾斯基征作为诊断的金标准分别汇入四格表中,计算出相关诊断指标. 结果以巴宾斯基征作为金标准,夏道克氏法的假阳性4例,假阴性0例；戈登氏法的假阳性4例,假阴性24例；压甲反射法的假阳性6例,假阴性6例.后3种检查方法的尤登指数分别是0.946,0.250,0.748. 结论压甲反射同样是一种病理反射,可作为神经系统检查病理反射的常规方法.
목적 개소일충검사병리반사적신방법——압갑반사,동시탐토압갑반사작위일충반영추체계손상적병리반사적진단개치. 방법 선택2011년9월1～3일엄주시중서의결합의원보통외과화신경외과재원적62례환자작위연구대상,동시채용파빈사기법、하도극씨법、과등씨법급압갑반사법검사환자쌍하지,소득결과이파빈사기정작위진단적금표준분별회입사격표중,계산출상관진단지표. 결과 이파빈사기정작위금표준,하도극씨법적가양성4례,가음성0례；과등씨법적가양성4례,가음성24례；압갑반사법적가양성6례,가음성6례.후3충검사방법적우등지수분별시0.946,0.250,0.748. 결론 압갑반사동양시일충병리반사,가작위신경계통검사병리반사적상규방법.
Objective To introduce a new method of checking the pathological reflex (press-nail reflex) and explore the possibility of press-nail reflex as a method of pathologic reflex that reflects the injure of pyramidal tract.Methods Sixty-two patients,admitted to the General Surgery and Neurosurgery Department in our hospital from 1-3,September 2011,were studied; and Babinski sign,Chadock sign,Gordon sign and press-nail reflex were examined at the same time.Babinski sign being regarded as the gold standard,the odds of above results were calculated.Results Babinski sign being regarded as the gold standard,4 patients showed false-positive and 0 false-negative in Chadock sign,4 patients showed false-positive and 24 false-negative in Gordon sign,and 6 showed false-positive and 6 false-negative in press-nail reflex; the Youden' s index of chadock sign,Gordon sign and press-nail reflex were 0.946,0.250 and 0.748,respectively.Conclusion Press-nail reflex,being a pathological reflex,can be a regular neurological examination method.