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肾移植后神经传导速度迅速改善。

Rapid improvement in nerve conduction velocity following renal transplantation.

作者信息

Oh S J, Clements R S, Lee Y W, Diethelm A G

出版信息

Ann Neurol. 1978 Oct;4(4):369-73. doi: 10.1002/ana.410040413.

DOI:10.1002/ana.410040413
PMID:365077
Abstract

In 12 patients with chronic renal failure who received kidney transplants from either cadavers (6) or related living donors (6), rapid improvement in median sensory and motor nerve conduction velocities (NCVs) was observed within a few days after transplantation. The postoperative improvement in median sensory NCV was found to bear a statistically significant negative correlation with creatinine and myo-inositol concentrations. We suggest that metabolic phenomena are responsible for the rapid improvement in median sensory NCV following renal transplantation. The close relationship between myo-inositol and the median sensory NCV following transplantation suggests that elevated plasma myo-inositol concentrations may be related to nerve conduction abnormalities in uremic polyneuropathy.

摘要

在12例接受尸体(6例)或亲属活体供肾移植的慢性肾衰竭患者中,移植后数天内观察到正中神经感觉和运动神经传导速度(NCV)中位数迅速改善。发现术后正中神经感觉NCV的改善与肌酐和肌醇浓度呈统计学显著负相关。我们认为,代谢现象是肾移植后正中神经感觉NCV迅速改善的原因。移植后肌醇与正中神经感觉NCV之间的密切关系表明,血浆肌醇浓度升高可能与尿毒症性多发性神经病的神经传导异常有关。

相似文献

1
Rapid improvement in nerve conduction velocity following renal transplantation.肾移植后神经传导速度迅速改善。
Ann Neurol. 1978 Oct;4(4):369-73. doi: 10.1002/ana.410040413.
2
[Evaluation of polyneuropathy severity in chronic renal failure patients on continuous ambulatory peritoneal dialysis or on maintenance hemodialysis].[持续性非卧床腹膜透析或维持性血液透析的慢性肾衰竭患者多发性神经病变严重程度的评估]
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3
Peripheral motor and sensory nerve conduction studies in haemodialysis patients. A study of 54 patients.血液透析患者的外周运动和感觉神经传导研究。一项对54名患者的研究。
Electromyogr Clin Neurophysiol. 1998 Dec;38(8):467-74.
4
The peripheral nerve function in chronic renal failure. IX. Recovery after renal transplantation. Electrophysiological aspects (sensory and motor nerve conduction).慢性肾衰竭中的周围神经功能。IX. 肾移植后的恢复。电生理方面(感觉和运动神经传导)
Acta Med Scand. 1974 Mar;195(3):171-80.
5
Effect of chronic renal failure, dialysis and transplantation on motor nerve conduction velocity in children.慢性肾功能衰竭、透析及移植对儿童运动神经传导速度的影响。
Can Med Assoc J. 1975 Sep 20;113(6):517-20.
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Effect of erythropoietin therapy on polyneuropathy in predialytic patients.促红细胞生成素治疗对透析前患者多发性神经病的影响。
J Nephrol. 2003 Jan-Feb;16(1):121-5.
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Central sensory motor pathways are less affected than peripheral in chronic renal failure.在慢性肾衰竭中,中枢感觉运动通路比外周感觉运动通路受影响更小。
Electromyogr Clin Neurophysiol. 2004 Jan-Feb;44(1):7-10.
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Motor nerve conduction indicators in uremic neuropathy.尿毒症神经病变中的运动神经传导指标
Arch Phys Med Rehabil. 1980 Jan;61(1):45-8.
10
Comparison of motor and sensory nerve conduction velocity in early uremic polyneuropathy.
Arch Phys Med Rehabil. 1969 Mar;50(3):124-6.

引用本文的文献

1
Neurological complications of chronic kidney disease.慢性肾脏病的神经并发症
Nat Rev Neurol. 2009 Oct;5(10):542-51. doi: 10.1038/nrneurol.2009.138. Epub 2009 Sep 1.