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[运动神经描记术:使用表面电极和针电极同步记录。近端和远端潜伏期以及运动神经传导速度的比较研究]

[Motor neurography: simultaneous recording using surface and needle electrodes. A comparative study of the proximal and distal latency together with the motor nerve conduction velocity].

作者信息

Amoiridis G, Haan J

机构信息

Neurologische Klinik der Ruhr-Universität, St. Josef-Hospital Bochum.

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1990 Mar;21(1):51-5.

PMID:2110889
Abstract

The generally accepted interpretation that the application of surface and concentric needle electrodes for the recording of evoked muscle action potential in motor nerve neurography showed the same results has been reconsidered, especially because until now, over 20 years after the introduction of this neurophysiological method in routine clinical work, no exact statistically verified examinations have been done on this subject. Proximal and distal latency as well as motor nerve conduction velocity were determined in the following nerves in 100 subjects (71 healthy subjects and 29 patients): tibial, peroneal, ulnar, median. All neurographic parameters were obtained by means of simultaneous recording with surface and concentric needle electrodes and compared with one another. Concerning the ulnar nerve no statistically significant differences could be found. In the remaining three nerves, statistically significant differences could be detected for distal and proximal latency but not for motor nerve conduction velocity.

摘要

在运动神经电图检查中,使用表面电极和同心针电极记录诱发肌肉动作电位得到相同结果,这一普遍接受的解释已被重新审视,特别是因为自这种神经生理学方法引入常规临床工作至今已有20多年,但尚未针对该主题进行确切的统计学验证检查。在100名受试者(71名健康受试者和29名患者)的以下神经中测定了近端和远端潜伏期以及运动神经传导速度:胫神经、腓神经、尺神经、正中神经。所有神经电图参数均通过表面电极和同心针电极同时记录获得,并相互比较。关于尺神经,未发现统计学上的显著差异。在其余三条神经中,可检测到远端和近端潜伏期存在统计学上的显著差异,但运动神经传导速度无差异。

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