Zhao Bing, Diao Hong-Mei, Wen Qing-Xian, Sui Ke-Xv, Zhang Yong-Qing
Qilu Hospital of Shandong University (Qingdao), Qingdao.
Tengzhou Central People's Hospital, Tengzhou.
Medicine (Baltimore). 2020 Apr;99(17):e19558. doi: 10.1097/MD.0000000000019558.
This 2-group study was carried out to determine the inter-practitioner difference of nerve conduction studies with standardized techniques.56 normal subjects of 19 to 49 year-old were recruited, 29, and 27 in the 2 labs respectively. Tests were carried out unilaterally on: 5 motor nerve distal latency, conduction velocities (MNCV) and minimum latency of F wave, 3 sensory nerves with negative amplitude, onset, and peak distal latency, sensory nerve distal latency.T-test disclosed 4(15.4%) attributes with statistical significance (P < .05). They were 2 of 4 (50%) compound motor action potentials, which were ulnar and tibial nerve, and 2 of 6 (33.3%) MNCVs, which were elbow-to-wrist MNCV of median nerve and cross-fibula MNCV of peroneal nerve. No differences were disclosed in motor nerve distal latencys, minimum latency of F waves and all sensory attributes.Inconsistency pattern of certain attributes were found. This could be explained with the insufficient definition of related techniques.
这项双组研究旨在确定采用标准化技术进行神经传导研究时从业者之间的差异。招募了56名年龄在19至49岁之间的正常受试者,两个实验室分别有29名和27名。对以下项目进行单侧测试:5项运动神经远端潜伏期、传导速度(运动神经传导速度)和F波最小潜伏期,3项感觉神经的负波幅、起始和峰值远端潜伏期、感觉神经远端潜伏期。T检验显示4项(15.4%)指标具有统计学意义(P<0.05)。它们是4项复合运动动作电位中的2项(50%),即尺神经和胫神经,以及6项运动神经传导速度中的2项(33.3%),即正中神经从肘部到腕部的运动神经传导速度和腓总神经跨腓骨的运动神经传导速度。运动神经远端潜伏期、F波最小潜伏期和所有感觉指标均未发现差异。发现某些指标存在不一致模式。这可以用相关技术定义不充分来解释。