Kasius K M, Riphagen J H, Verhagen W I M, Meulstee J
Department of neurology and clinical neurophysiology, Saint-Lucas Andreas hospital, PO Box 9243, 1006 AE Amsterdam, Netherlands; Department of neurology and clinical neurophysiology, Canisius Wilhelmina hospital, Nijmegen, Netherlands.
Department of neurology, MC Zuiderzee, Lelystad, Netherlands.
Neurophysiol Clin. 2014 Apr;44(2):219-26. doi: 10.1016/j.neucli.2014.03.001. Epub 2014 Mar 28.
Warming cold limbs by hot water immersion prior to nerve conduction studies may be cumbersome in certain patients. The aim of the present study is to test whether application of hot packs would be as efficient as hot water immersion.
Cold limbs of 10 healthy volunteers were warmed: in half of subjects by hot packs and, after cooling down, by hot water immersion; vice versa in the other half. Motor and sensory nerve conduction studies of upper and lower extremities were performed before and after warming with two different methods.
There are no relevant differences in temperatures or nerve conduction velocities after warming with either hot packs or water.
Hot packs are as effective as hot water immersion for warming cold limbs prior to electrodiagnostic testing. Since hot packs are safer, cleaner, and easier to use, we prefer warming by hot packs instead of hot water immersion before performing nerve conduction studies.
在进行神经传导研究之前，通过热水浸泡来温暖冰冷的肢体对某些患者来说可能很麻烦。本研究的目的是测试使用热敷袋是否与热水浸泡一样有效。
对10名健康志愿者的冰冷肢体进行保暖：一半受试者先用热敷袋，冷却后再用热水浸泡；另一半则相反。在用两种不同方法保暖前后，对上下肢进行运动和感觉神经传导研究。
使用热敷袋或水保暖后，温度或神经传导速度没有显著差异。
在进行电诊断测试之前，热敷袋在温暖冰冷肢体方面与热水浸泡一样有效。由于热敷袋更安全、更清洁且使用更方便，我们在进行神经传导研究之前更倾向于使用热敷袋而不是热水浸泡来保暖。
