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慢性酒精中毒患者的电诊断研究。

An electrodiagnostic study in chronic alcoholic subjects.

作者信息

Shankar K, Maloney F P, Thompson C

机构信息

John L. McClellan Memorial Veterans' Hospital, Little Rock, AR 72205.

出版信息

Arch Phys Med Rehabil. 1987 Nov;68(11):803-5.

PMID:2823742
Abstract

Electrodiagnostic tests were performed on 16 alcoholic subjects and 15 age-matched controls. The tests were done to determine whether nerve conduction parameters differentiate between healthy and alcoholic subjects, and if so, which of these are most useful. Significant differences between alcoholic subjects and controls were found in the following variables: median nerve motor velocity; median nerve sensory latency, amplitude and velocity; ulnar nerve motor amplitude and velocity; ulnar nerve sensory amplitude, latency and velocity; sural nerve sensory amplitude and velocity; and peroneal motor amplitude and velocity. The combination of ulnar and sural sensory conduction velocity tests identified 85% of the chronic alcoholic subjects by stepwise discriminant analysis. Tibial nerve H-reflex latencies were either absent or prolonged in 63% of the subjects. Bilateral facial nerve amplitudes and latencies were normal. The ulnar sensory amplitude and ulnar sensory velocity inversely correlated with the duration of excessive alcohol drinking.

摘要

对16名酗酒者和15名年龄匹配的对照者进行了电诊断测试。进行这些测试是为了确定神经传导参数是否能区分健康人和酗酒者,如果可以,哪些参数最有用。在以下变量中发现酗酒者与对照者之间存在显著差异:正中神经运动速度;正中神经感觉潜伏期、波幅和速度;尺神经运动波幅和速度;尺神经感觉波幅、潜伏期和速度;腓肠神经感觉波幅和速度;以及腓总神经运动波幅和速度。通过逐步判别分析,尺神经和腓肠神经感觉传导速度测试的组合能识别出85%的慢性酗酒者。63%的受试者胫神经H反射潜伏期缺失或延长。双侧面神经波幅和潜伏期正常。尺神经感觉波幅和尺神经感觉速度与过量饮酒的持续时间呈负相关。

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