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长期血液滤过治疗对周围神经功能的影响

Changes in peripheral nerve function with long-term hemofiltration treatment.

作者信息

Beckmann H, Ossenkop C, Quellhorst E

出版信息

J Dial. 1977;1(6):585-94. doi: 10.3109/08860227709037654.

DOI:10.3109/08860227709037654
PMID:204667
Abstract

The changes in the peripheral nerve function of three patients with chronic renal failure who were treated over a period of 1-1/2 to 2 years by hemofiltration have been analyzed in the form of a longitudinal study by quantitative measurements of vibratory perception threshold and nerve conduction velocity. Changes in vibratory perception threshold were measured in six patients both before and after treatment. Despite increased values of creatinine and BUN, an improvement in the peripheral nerve function of all patients undergoing hemofiltration could be observed, although vibratory perception and nerve conduction velocity did not return to normal. All of the vibratory perception threshold measurements made directly after hemofiltration showed an improved vibratory perception in comparison to the original values. A comparison of the measurement methods showed a good correlation and clearly indicated the advantage of vibratory perception threshold measurements as a means for the routine diagnosis of nephrogenic polyneuropathy.

摘要

通过对振动觉阈值和神经传导速度进行定量测量,以纵向研究的形式分析了3例慢性肾衰竭患者在1.5至2年期间接受血液滤过治疗时外周神经功能的变化。在6例患者治疗前后均测量了振动觉阈值。尽管肌酐和尿素氮值升高,但所有接受血液滤过治疗的患者外周神经功能均有改善,尽管振动觉和神经传导速度未恢复正常。与原始值相比,血液滤过治疗后直接进行的所有振动觉阈值测量均显示振动觉有所改善。测量方法的比较显示出良好的相关性,并清楚地表明了振动觉阈值测量作为肾源性多发性神经病常规诊断手段的优势。

相似文献

1
Changes in peripheral nerve function with long-term hemofiltration treatment.长期血液滤过治疗对周围神经功能的影响
J Dial. 1977;1(6):585-94. doi: 10.3109/08860227709037654.
2
The peripheral nerve function in chronic renal failure. IV. An analysis of the vibratory perception threshold.
Acta Med Scand. 1972 Apr;191(4):287-96.
3
Vibratory perception threshold compared with nerve conduction velocity in the evaluation of uremic neuropathy.在尿毒症性神经病变评估中振动觉阈值与神经传导速度的比较
Acta Neurol Scand. 1985 Apr;71(4):284-9. doi: 10.1111/j.1600-0404.1985.tb03201.x.
4
[Uremic polyneuropathy: a study of vibratory perception threshold in 19 patients].[尿毒症性多发性神经病:19例患者的振动觉阈值研究]
Arq Neuropsiquiatr. 1984 Sep;42(3):215-20. doi: 10.1590/s0004-282x1984000300004.
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[Correlation between sensory action potentials and vibratory perception in uremic polyneuropathy (author's transl)].尿毒症性多发性神经病中感觉动作电位与振动觉的相关性(作者译)
J Neurol. 1975 Aug 1;209(4):243-53. doi: 10.1007/BF00314364.
6
Vibration sensory threshold: a guide to adequacy of dialysis?振动感觉阈值:透析充分性的一项指标?
Proc Eur Dial Transplant Assoc. 1983;19:253-7.
7
Peripheral nerve function in children with end-stage renal failure.终末期肾衰竭患儿的周围神经功能
Pediatr Nephrol. 1989 Apr;3(2):175-8. doi: 10.1007/BF00852903.
8
[Peripheral nephrogenic neuropathy. Significance of sensory neural conduction speed and vibration sensitivity].[周围性肾源性神经病变。感觉神经传导速度和振动觉敏感性的意义]
MMW Munch Med Wochenschr. 1979 May 18;121(20):701-2.
9
Thermal sensitivity in uremic neuropathy.
Acta Neurol Scand. 1985 Apr;71(4):290-4. doi: 10.1111/j.1600-0404.1985.tb03202.x.
10
Improvement in peripheral nerve function immediately after haemodialysis.血液透析后外周神经功能立即改善。
Acta Neurol Belg. 1976;76(5-6):320-4.

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