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[趾短伸肌的Hoffmann反射:对正常受试者和潜在酒精性神经病患者的研究]

[H-reflex in the extensor digitorum brevis muscle: study in the normal subject and in latent alcoholic neuropathies].

作者信息

Dehen H, Willer J C, Cambier J

出版信息

Rev Neurol (Paris). 1976 Dec;132(12):859-67.

PMID:1013571
Abstract

A comparative electromyographic study was carried out in normal subjects (group I) and in alcoholics without clinical evidence of polyneuropathy (group II). -The H reflex of the extensor digitorum brevis muscle (E.D.B.), the electromyogram of EDB, the conduction velocity of the fasted motor fibers of the peroneal nerve (PN), the sensory conduction velocity and amplitude of the evoked potential of the cutaneous fibers of PN, the H reflex of the soleus muscle. -Two kinds of changes were observed in group II: --a significant increase in the latent period of H respones in EDB, in particular the latent period of responses provoked by distal stimulation of PN (+25 PER CENT); --A SIGNIFICANT DECREASE IN THE AMPLITUDe of the sensory potential of the PN(--46 per cent). The other parameters studied in group II did not show any significant difference in comparison with the control group. These results indicate that PN is involved early in a complex fashion in latent alcoholic neuropathies. They confirm that the distinction between axonal neuropathy and segmental demyelination is rarely absolute.

摘要

对正常受试者(第一组)和无临床多发性神经病证据的酗酒者(第二组)进行了一项比较肌电图研究。- 趾短伸肌(EDB)的H反射、EDB的肌电图、腓总神经(PN)快肌纤维的传导速度、PN皮纤维诱发电位的感觉传导速度和波幅、比目鱼肌的H反射。- 在第二组中观察到两种变化:-- EDB中H反应潜伏期显著延长,特别是PN远端刺激引发的反应潜伏期(增加25%);-- PN感觉电位波幅显著降低(降低46%)。第二组中研究的其他参数与对照组相比未显示任何显著差异。这些结果表明,PN以复杂的方式早期参与潜在的酒精性神经病。它们证实轴索性神经病和节段性脱髓鞘之间的区别很少是绝对的。

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Rev Neurol (Paris). 1976 Dec;132(12):859-67.
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