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健康亚洲马来人的神经传导研究:年龄对正中神经、尺神经和腓肠神经的影响。

Nerve conduction study of healthy Asian Malays: the influence of age on median, ulnar, and sural nerves.

作者信息

Awang Mohamed Saufi, Abdullah Jafri Malin, Abdullah Mohd Rusli, Tahir Adnan, Tharakan John, Prasad Atul, Razak Salmi Abdul

机构信息

Department of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Malaysia.

出版信息

Med Sci Monit. 2007 Jul;13(7):CR330-2.

Abstract

BACKGROUND

Nerve conduction study is essential in the diagnosis of focal neuropathies and diffuse polyneuropathies. There are many factors that can affect nerve conduction velocity, and age is one of them. Most of the many studies of this effect, and the values from them, were on Caucasian subjects. Therefore, this study was designed to investigate the effect of age on conduction velocity among healthy Asian Malay subjects by analyzing its influence on the median, ulnar, and sural nerves.

MATERIAL/METHODS: A total of 250 healthy subjects were recruited. The subjects were divided into four age groups. The nerves tested were the median, ulnar, and sural nerves. Surface electrodes were used and the temperature was kept constant. The nerves were stimulated and recorded at specific sites both for motor and sensory conduction velocities.

RESULTS

The mean velocities for the median and ulnar nerves, both motor and sensory, were 54.71+/-5.69 m/s (motor) and 54.04+/-7.02 m/s for the median nerve and 60.57+/-5.00 m/s (motor) and 52.92+/-5.89 m/s for the ulnar nerve. The mean velocity for the sural nerve was 47.97+/-4.48 m/s. Only median motor conduction velocity showed a significant reduction with increasing age (p=0.000).

CONCLUSIONS

This study did not show any significant effect of age on nerve conduction velocities except for median motor conduction velocity. For future research it is planned to extend the recruitment to subjects who are much older (over 60 years of age) and study the effect of other personal factors such as height and body mass index on NCV.

摘要

背景

神经传导研究在局灶性神经病变和弥漫性多发性神经病变的诊断中至关重要。有许多因素会影响神经传导速度,年龄就是其中之一。关于这种影响的众多研究以及从中得出的值大多来自白种人受试者。因此,本研究旨在通过分析年龄对正中神经、尺神经和腓肠神经的影响,来探讨其对健康亚洲马来受试者神经传导速度的影响。

材料/方法:共招募了250名健康受试者。受试者被分为四个年龄组。所测试的神经为正中神经、尺神经和腓肠神经。使用表面电极并保持温度恒定。在特定部位对神经进行刺激并记录运动和感觉传导速度。

结果

正中神经和尺神经的运动和感觉平均速度,正中神经运动速度为54.71±5.69米/秒,感觉速度为54.04±7.02米/秒;尺神经运动速度为60.57±5.00米/秒,感觉速度为52.92±5.89米/秒。腓肠神经的平均速度为47.97±4.48米/秒。只有正中神经运动传导速度随年龄增长显著降低(p = 0.000)。

结论

本研究表明,除正中神经运动传导速度外,年龄对神经传导速度没有显著影响。未来的研究计划将招募范围扩大到年龄更大(60岁以上)的受试者,并研究身高和体重指数等其他个人因素对神经传导速度的影响。

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