Sperschneider H, Matthes R, Stein G, Wessel G
Klinik und Poliklinik für Innere Medizin, Bereiche Medizin der Friedrich-Schiller-Universität Jena.
Z Urol Nephrol. 1988 Jun;81(6):387-93.
In 68 patients suffering from chronic renal insufficiency in the stage of compensated retention (36 male, 32 female, 46.9 +/- 12.1 years, Serum creatinine level 250-1350 mumol/l) and in 28 patients treated by chronic hemodialysis (13 male, 15 female, 39.5 +/- 14.1 years) the H-index from the H-reflex arc latency was calculated in comparison with the motoric nerve line velocity. The H-index was a sensitive electroneurographical parameter and better suited for the early diagnosis of an uremic polyneuropathy than the estimation of the motoric nerve line velocity. In 51 patients suffering from chronic renal insufficiency and in 64% of the dialysis patients a pathological H-index was found.
对68例处于代偿性潴留期的慢性肾功能不全患者(男36例,女32例,年龄46.9±12.1岁,血清肌酐水平250 - 1350μmol/l)和28例接受慢性血液透析治疗的患者(男13例,女15例,年龄39.5±14.1岁),计算H反射弧潜伏期的H指数,并与运动神经线速度进行比较。H指数是一个敏感的神经电生理参数,比运动神经线速度的评估更适合于尿毒症性多发性神经病的早期诊断。在51例慢性肾功能不全患者和64%的透析患者中发现了病理性H指数。