CAJ | 학술논문

目的：观察Semmes-Weinstein单丝检查法与国际标准的脊髓损伤轻触觉检查法的相关性。方法住院脊髓损伤患者84例，分别采用Semmes-Weinstein单丝检查法与国际标准的脊髓损伤轻触觉检查法判断损伤平面，按身体左侧和右侧分别记录检查结果。结果以单侧正常轻触觉平面计算，两种方法的一致率为36%。对于脊髓损伤残损分级A级患者，采用单丝检查法检查，损伤平面以下感觉关键点71%触觉消失，采用国际标准轻触觉检查法84%消失。结论脊髓损伤单丝检查与轻触觉检查的一致率较低，可能与脊髓损伤后触觉敏化有关。建议在临床上联合应用两种检查方法。
목적：관찰Semmes-Weinstein단사검사법여국제표준적척수손상경촉각검사법적상관성。방법주원척수손상환자84례，분별채용Semmes-Weinstein단사검사법여국제표준적척수손상경촉각검사법판단손상평면，안신체좌측화우측분별기록검사결과。결과이단측정상경촉각평면계산，량충방법적일치솔위36%。대우척수손상잔손분급A급환자，채용단사검사법검사，손상평면이하감각관건점71%촉각소실，채용국제표준경촉각검사법84%소실。결론척수손상단사검사여경촉각검사적일치솔교저，가능여척수손상후촉각민화유관。건의재림상상연합응용량충검사방법。
Objective To investigate the correlation between Semmes-Weinstein monofilament test and light touch exam of international standard for spinal cord injury (SCI). Methods 84 inpatients with SCI were assessed with Semmes-Weinstein monofilament test and light touch exam of international standard to determine the SCI level. The results were recorded as right-side and left-side of the body respective-ly. Results The normal tactual level of monofilament test and the normal light touch level of International Standard of Spinal Cord Injury (ISSCI) was consistent in 36%result to the unilateral level of SCI. For the 45 cases with ASIA A injury, 71%of the key points below the SCI level lost the tactual sensation in monofilament test, and 84%lost in light touch exam of ISSCI. Conclusion The result of monofilament test is poorly consistent with light touch exam of SCI, which may result from tactile sensitization after SCI. It is recommended to combine these exam in practices.