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健康人群阴部神经和正中神经感觉阈的变异性

Variability of pudendal and median nerve sensory perception thresholds in healthy persons.

作者信息

Quaghebeur Jörgen, Wyndaele Jean-Jacques

机构信息

University Hospital Antwerp and University Antwerp, Antwerpen, Belgium.

出版信息

Neurourol Urodyn. 2015 Apr;34(4):327-31. doi: 10.1002/nau.22565. Epub 2014 Jan 25.

Abstract

BACKGROUND

Normative current perception thresholds (CPTs) are used for the evaluation of sensory function in a variety of diseases.

AIMS

To evaluate the reproducibility of CPT measurements with sinusoidal current in healthy volunteers.

METHODS

Neuroselective CPT evaluations of the median and pudendal nerve in healthy volunteers were repeated with 1 week interval (T1 and T2).

RESULTS

In the study group (N = 41) no difference between genders for age (MW-U: P = 0.91) and BMI (t-test: P = 0.18) were found. No significant difference between T1 and T2 was found (Paired t-test: all P-values > 0.05), although the intraclass correlation for each person was low. The variability of measures for the pudendal nerve was: ICC 2 kHz: 0.41; 250 Hz: 0.30; 5 Hz: 0.38, and for the median nerve respectively: 0.58; 0.46; 0.40. Normal CPTs were shown for the pudendal nerve: 2 kHz: 51%; 250 Hz: 76%; 5 Hz: 71%, and median nerve respectively: 78%; 98%; 80%. The pudendal nerve showed more deviating values compared to the median nerve.

CONCLUSION

Both nerves showed deviating values. CPT values with sinusoidal current assessed with 1 week interval, showed a weak intraclass correlation. This finding limits the use of CPT values with this current for longitudinal studies.

摘要

背景

规范的电流感觉阈值(CPT)用于评估多种疾病中的感觉功能。

目的

评估健康志愿者中正弦电流CPT测量的可重复性。

方法

对健康志愿者的正中神经和阴部神经进行神经选择性CPT评估,间隔1周重复进行(T1和T2)。

结果

在研究组(N = 41)中,未发现性别在年龄(MW-U:P = 0.91)和BMI(t检验:P = 0.18)方面存在差异。虽然每个人的组内相关性较低,但T1和T2之间未发现显著差异(配对t检验:所有P值> 0.05)。阴部神经测量值的变异性为:ICC 2 kHz:0.41;250 Hz:0.30;5 Hz:0.38,正中神经分别为:0.58;0.46;0.40。阴部神经的正常CPT显示为:2 kHz:51%;250 Hz:76%;5 Hz:71%,正中神经分别为:78%;98%;80%。与正中神经相比,阴部神经显示出更多偏离值。

结论

两条神经均显示出偏离值。间隔1周评估的正弦电流CPT值显示组内相关性较弱。这一发现限制了该电流CPT值在纵向研究中的应用。

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