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年龄、性别和人体测量因素对神经传导测量的影响。

Effects of age, sex, and anthropometric factors on nerve conduction measures.

作者信息

Stetson D S, Albers J W, Silverstein B A, Wolfe R A

机构信息

Department of Environmental and Industrial Health, School of Public Health, University of Michigan, Ann Arbor.

出版信息

Muscle Nerve. 1992 Oct;15(10):1095-104. doi: 10.1002/mus.880151007.

Abstract

Associations among measures of median, ulnar, and sural nerve conduction and age, skin temperature, sex, and anthropometric factors were evaluated in a population of 105 healthy, asymptomatic adults without occupational exposure to highly repetitive or forceful hand exertions. Height was negatively associated with sensory amplitude in all nerves tested (P less than 0.001), and positively associated with median and ulnar sensory distal latencies (P less than 0.01) and sural latency (P less than 0.001). Index finger circumference was negatively associated with median and ulnar sensory amplitudes (P less than 0.05). Sex, in isolation from highly correlated anthropometric factors such as height, was not found to be a significant predictor of median or ulnar nerve conduction measures. Equations using age, height, and finger circumference for prediction of normal values are presented. Failure to adjust normal nerve conduction values for these factors decreases the diagnostic specificity and sensitivity of the described measures, and may result in misclassification of individuals.

摘要

在105名无职业性高度重复性或强力手部用力暴露的健康无症状成年人中,评估了正中神经、尺神经和腓肠神经传导测量值与年龄、皮肤温度、性别和人体测量学因素之间的关联。身高与所有测试神经的感觉振幅呈负相关(P<0.001),与正中神经和尺神经感觉远端潜伏期呈正相关(P<0.01),与腓肠神经潜伏期呈正相关(P<0.001)。食指周长与正中神经和尺神经感觉振幅呈负相关(P<0.05)。未发现与身高高度相关的人体测量学因素无关的性别是正中神经或尺神经传导测量值的显著预测因素。给出了使用年龄、身高和手指周长预测正常值的方程。不针对这些因素调整正常神经传导值会降低所述测量方法的诊断特异性和敏感性,并可能导致个体分类错误。

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