Werneck L C, Mulinari A S, Laffitte A, Kesikowski L J
Arq Neuropsiquiatr. 1984 Sep;42(3):215-20. doi: 10.1590/s0004-282x1984000300004.
A vibratory perception threshold study was done in 19 patients with uremic polyneuropathy, using a palesthesiometer. Three patients were maintained in conservative treatment (controls), 7 patients maintained with hemodialysis and 9 patients with peritoneal dialysis, during a period of 4 to 72 months. Abnormal vibratory perception threshold was found in 94.73% when the first toe was studied, 36.84% with the fifth finger and 52.63% with the second finger. The statistical analysis between the hemodialysis, peritoneal dialysis and control group was non significant. It was not found any correlation between the severity and duration of neuropathy with the low perception threshold. The authors conclude that this is a simple method, easy to be done and very useful in the quantification of the vibratory perception threshold in the uremic patient, but lack specificity regarding severity of the illness.
使用触觉测量仪对19例尿毒症性多发性神经病患者进行了振动觉阈值研究。在4至72个月期间,3例患者接受保守治疗(对照组),7例患者接受血液透析,9例患者接受腹膜透析。研究发现,在研究大脚趾时,94.73%的患者振动觉阈值异常;研究小指时为36.84%;研究食指时为52.63%。血液透析组、腹膜透析组和对照组之间的统计学分析无显著差异。未发现神经病变的严重程度和持续时间与低阈值之间存在相关性。作者得出结论,这是一种简单易行的方法,在量化尿毒症患者的振动觉阈值方面非常有用,但在疾病严重程度方面缺乏特异性。