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采用平均技术测定腓总神经和胫后神经的感觉传导。

Sensory conduction in peroneal and posterior tibial nerves using averaging techniques.

作者信息

Lovelace R E, Myers S J, Zablow L

出版信息

J Neurol Neurosurg Psychiatry. 1973 Dec;36(6):942-50. doi: 10.1136/jnnp.36.6.942.

DOI:10.1136/jnnp.36.6.942
PMID:4359163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1083594/
Abstract

A method of obtaining pure sensory nerve conduction velocities in the lower extremities is described. This involves the use of electronic summation (signal averaging). Potentials were obtained and velocities calculated from all normal subjects examined. In patients with peripheral neuropathies it was often possible to obtain nerve velocities with signal amplitudes as low as 0·1 μV and these were often slower than those obtained from the normal subjects. The advantages and disadvantages of this method are discussed. It is of significant clinical value in that pure sensory nerve conduction velocities can be measured in the legs when this may be the only valuable parameter in the absence of motor involvement. In addition, investigation of neuropathies at an earlier stage of development and recovery may be facilitated. It is hoped that in the future this technique of obtaining low amplitude responses with an analogue averager can be incorporated with the more routine aspects of nerve conduction testing when clinically indicated.

摘要

本文描述了一种获取下肢纯感觉神经传导速度的方法。该方法涉及使用电子求和(信号平均)技术。对所有接受检查的正常受试者均记录了电位并计算了速度。在患有周围神经病变的患者中,通常能够获得信号幅度低至0.1微伏的神经速度,且这些速度往往比正常受试者的速度慢。本文讨论了该方法的优缺点。该方法具有重要的临床价值,因为当腿部可能是唯一有价值的参数(在无运动受累的情况下)时,可以测量纯感觉神经传导速度。此外,该方法可能有助于在神经病变发展和恢复的早期阶段进行研究。希望在未来,当临床需要时,这种使用模拟平均器获取低幅度反应的技术能够与神经传导测试的更常规方面相结合。

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Sensory conduction in peroneal and posterior tibial nerves using averaging techniques.采用平均技术测定腓总神经和胫后神经的感觉传导。
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2
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引用本文的文献

1
The diabetic leg.糖尿病足
Diabetologia. 1982 Mar;22(3):141-7. doi: 10.1007/BF00283741.
2
Electrophysical study of peroneal palsy.腓总神经麻痹的电生理研究。
J Neurol Neurosurg Psychiatry. 1974 Nov;37(11):1202-13. doi: 10.1136/jnnp.37.11.1202.
3
[Correlation between sensory action potentials and vibratory perception in uremic polyneuropathy (author's transl)].尿毒症性多发性神经病中感觉动作电位与振动觉的相关性(作者译)
J Neurol. 1975 Aug 1;209(4):243-53. doi: 10.1007/BF00314364.

本文引用的文献

1
SUBCLINICAL POLYNEUROPATHY IN RENAL INSUFFICIENCY.肾功能不全中的亚临床多发性神经病
Lancet. 1964 Oct 3;2(7362):731-2. doi: 10.1016/s0140-6736(64)92548-6.
2
Sensory nerve conduction in patients with diabetes mellitus and controls.糖尿病患者与对照组的感觉神经传导
Neurology. 1961 Oct;11:876-82. doi: 10.1212/wnl.11.10.876.
3
Posterior tibial nerve conduction. Velocity of sensory and motor fibers.胫后神经传导。感觉和运动纤维的速度。
Arch Neurol. 1966 Jun;14(6):661-9. doi: 10.1001/archneur.1966.00470120093012.
4
Comparison of conduction velocities of motor and sensory fibers determined by different methods.不同方法测定的运动和感觉纤维传导速度的比较。
Arch Phys Med Rehabil. 1966 Jan;47(1):17-23.
5
In vivo human sural nerve action potentials.体内人体腓肠神经动作电位。
J Appl Physiol. 1969 May;26(5):623-9. doi: 10.1152/jappl.1969.26.5.623.
6
Normal sensory conduction in the nerves of the leg in man.人类腿部神经的正常感觉传导。
J Neurol Neurosurg Psychiatry. 1971 Aug;34(4):404-14. doi: 10.1136/jnnp.34.4.404.
7
Sensory nerve action potentials of the peroneal, sural and tibial nerves.腓总神经、腓肠神经和胫神经的感觉神经动作电位。
Am J Phys Med. 1971 Oct;50(5):220-9.
8
Sensory nerve conduction in lower extremities.下肢感觉神经传导
Arch Phys Med Rehabil. 1970 May;51(5):253-8 passim.