CAJ | 학술논문

目的：探讨神经电生理分析对运动神经元病(MND)诊断的临床价值。方法应用肌电图检测对23例MND患者神经电生理数据资料进行研究，并与对照组健康人40例进行比较分析。结果该院23例患者中，静息时出现纤颤电位19例(82.61%)，正锐波17例(73.91%)，肌肉轻收缩时运动电位的时限延长18例(78.26%)，多相波波幅增高11例(47.83%)，大力收缩时的电压增高22例(95.65%)。四肢肌肉的异常情况为71.33%，拇短展肌的异常情况为71.43%，胸锁乳突肌的异常情况为92.11%，MND组与对照组四肢MEP中枢运动传导时间，差异有统计学意义(P<0.05)，MND组MEP值显著高于对照组。结论神经电生理技术的应用和推广，对诊断运动神经元病(MND)具有重要的临床价值，其中肌电图检测是诊断MND的重要手段。
목적：탐토신경전생리분석대운동신경원병(MND)진단적림상개치。방법응용기전도검측대23례MND환자신경전생리수거자료진행연구，병여대조조건강인40례진행비교분석。결과해원23례환자중，정식시출현섬전전위19례(82.61%)，정예파17례(73.91%)，기육경수축시운동전위적시한연장18례(78.26%)，다상파파폭증고11례(47.83%)，대력수축시적전압증고22례(95.65%)。사지기육적이상정황위71.33%，무단전기적이상정황위71.43%，흉쇄유돌기적이상정황위92.11%，MND조여대조조사지MEP중추운동전도시간，차이유통계학의의(P<0.05)，MND조MEP치현저고우대조조。결론신경전생리기술적응용화추엄，대진단운동신경원병(MND)구유중요적림상개치，기중기전도검측시진단MND적중요수단。
Objective To investigate the Diagnostic value of electrophysiological for patients with motor neuron disease(MND. Methods The data of 23 patients with MND who had received electromyography test was studied and compared with that of the 40 healthy persons in the control group. Results 23 patients in hospital, resting fibrillation potentials was 19 cases(82.61%), positive sharp wave was 17 cases(73.91%),prolonged duration of motor unit potentials was 18 cases(78.26%), multiphase wave amplitude increased was 11 cases(47.83%), Voltage increased in strong contraction was 22 cases(95.65%). The abnormal rate of limb mus-cles, abductor pollicis brevis, sternocleidomastoid uscle were separately 71.33%, 71.43%and 92.11%. And nerve conduction: mo-tor nerve conduc-tion velocity(MCV)and sensory nerve conduction velocity(SCV), etc. Conclusion The application and promo-tion of neurophysiological techniques in the diagnosis of motor neuron disease (MND) has important clinical value, in which EMG detection is an important means..