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[血液透析患者的神经传导速度]

[Neural conduction velocity in patients on hemodialysis].

作者信息

Domańska M, Rudkowska A, Kuźniar J, Kuźniar J

出版信息

Neurol Neurochir Pol. 1979 Nov-Dec;13(6):631-8.

PMID:514440
Abstract

Fourteen patients with chronic glomerulonephritis and with Alport's syndrome were treated. Haemodialysis was performed 2--3 times weekly. The duration of treatment was from 10 months to 9 years. Serum levels of electrolytes, urea and creatinine were determined, the neurological condition was examined and nerve conduction velocity was measured in the lower and upper extremities. The determinations were done before and after haemodialysis. Subclinical manifestations of polyneuropathy were demonstrated with reduced motor-nerve conduction velocity in the lower extremities. A direct effect of single haemodialysis was far from uniform: usually the conduction velocity increased after haemodialysis and in some cases it decreased. There was no correlation between the serum levels of electrolytes, urea and creatinine and motor-nerve conduction velocity.

摘要

对14例慢性肾小球肾炎合并阿尔波特综合征患者进行了治疗。每周进行2至3次血液透析。治疗时间为10个月至9年。测定了电解质、尿素和肌酐的血清水平,检查了神经状况,并测量了上下肢的神经传导速度。这些测定在血液透析前后进行。下肢运动神经传导速度降低证明了多发性神经病的亚临床症状。单次血液透析的直接效果远非一致:通常血液透析后传导速度增加,在某些情况下则降低。电解质、尿素和肌酐的血清水平与运动神经传导速度之间没有相关性。

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