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[振动病的神经系统病理学]

[Pathology of the nervous system in vibration disease].

作者信息

Asadullaev M M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(5):701-4.

PMID:3739482
Abstract

Along with study of the working conditions and physiological parameters in operators of excavators and drilling rigs the author conducted clinico-physiological examination of 42 patients with vibration disease (VD) developing as a result of exposure to general vibration. Findings were obtained indicative of damage to various components of the central and peripheral nervous system characteristic of angiodystonic syndromes of the cerebroperipheral form and the syndrome of vegetative-sensory polyneuropathy with polyradicular disorders or the syndrome of neurasthenia. EEG revealed irregularity and disorganization of alpha-rhythm, as well as the absence of the zonal distribution of rhythms. REG revealed reduced pulse blood filling of the major cerebral vessels and impairment of their elastic-tonic properties. EMG showed both a low amplitude of oscillations and an interfering nature of the bioelectrical activity of muscles. The data obtained have helped to specify the clinical picture of VD in operators of excavators and drilling rigs which may help to improve the differential diagnosis.

摘要

在对挖掘机和钻机操作员的工作条件及生理参数进行研究的同时,作者对42名因全身振动暴露而患振动病(VD)的患者进行了临床生理检查。检查结果表明,患者的中枢和外周神经系统的各个组成部分受到了损害,其特征为脑外周型血管张力障碍综合征、伴有多神经根病变的植物神经感觉性多神经病综合征或神经衰弱综合征。脑电图显示α节律不规则且紊乱,节律缺乏区域分布。脑电阻图显示大脑主要血管的脉冲血液充盈减少,其弹性张力特性受损。肌电图显示肌肉生物电活动的振荡幅度低且具有干扰性。所获得的数据有助于明确挖掘机和钻机操作员中VD的临床症状,这可能有助于改善鉴别诊断。

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1
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