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当用吡哆醇和安慰剂进行双盲治疗时,肌电图数据可区分患有腕管综合征的患者。

Electromyographic data differentiate patients with the carpal tunnel syndrome when double blindly treated with pyridoxine and placebo.

作者信息

Wolaniuk A, Vadhanavikit S, Folkers K

出版信息

Res Commun Chem Pathol Pharmacol. 1983 Sep;41(3):501-11.

PMID:6635331
Abstract

Six typical patients with the carpal tunnel syndrome in a neurological practice were double blindly treated with pyridoxine and placebo to determine whether electromyographic data alone could identify without mistake those patients receiving pyridoxine or placebo. All six patients had a significant deficiency of vitamin B6 by the data on the erythrocyte glutamic oxaloacetic transaminase. Multiple measurements for statistical significance of EMG functions were made on temperature-controlled hands over periods of 15 to 27 days for control and final evaluation. There were significant changes in criteria of amplitude on placebo which ruled out these criteria for a double blind trial. There was no statistically significant change in any criterion of latency and conduction velocity for patients on placebo, indicating these criteria could serve for differentiation. Criteria of latency and conduction velocity showed significant changes for three patients on pyridoxine, and the extent of changes indicated a relationship to compliance. By data on latency and conduction velocity, no mistake was made in blindly identifying patients receiving pyridoxine or placebo; p less than 0.0156.

摘要

在一家神经科诊所,对6名典型的腕管综合征患者进行了吡哆醇和安慰剂的双盲治疗,以确定仅靠肌电图数据能否无误地识别出接受吡哆醇或安慰剂治疗的患者。根据红细胞谷草转氨酶的数据,所有6名患者都存在明显的维生素B6缺乏。在温度控制的手上,对肌电图功能进行了多次测量,测量时间为15至27天,用于对照和最终评估。安慰剂组的振幅标准有显著变化,这排除了这些标准用于双盲试验的可能性。安慰剂组患者的潜伏期和传导速度的任何标准均无统计学上的显著变化,表明这些标准可用于区分。接受吡哆醇治疗的3名患者的潜伏期和传导速度标准有显著变化,变化程度表明与依从性有关。根据潜伏期和传导速度的数据,在盲目识别接受吡哆醇或安慰剂治疗的患者时没有出错;p小于0.0156。

相似文献

1
Electromyographic data differentiate patients with the carpal tunnel syndrome when double blindly treated with pyridoxine and placebo.当用吡哆醇和安慰剂进行双盲治疗时,肌电图数据可区分患有腕管综合征的患者。
Res Commun Chem Pathol Pharmacol. 1983 Sep;41(3):501-11.
2
Using pyridoxine to treat carpal tunnel syndrome. Randomized control trial.使用维生素B6治疗腕管综合征。随机对照试验。
Can Fam Physician. 1993 Oct;39:2122-7.
3
Vitamin B6 deficiency in patients with a clinical syndrome including the carpal tunnel defect. Biochemical and clinical response to therapy with pyridoxine.
Res Commun Chem Pathol Pharmacol. 1976 Apr;13(4):743-57.
4
Therapy with vitamin B6 with and without surgery for treatment of patients having the idiopathic carpal tunnel syndrome.
Res Commun Chem Pathol Pharmacol. 1981 Aug;33(2):331-44.
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Clinical results of a cross-over treatment with pyridoxine and placebo of the carpal tunnel syndrome.
Am J Clin Nutr. 1979 Oct;32(10):2040-6. doi: 10.1093/ajcn/32.10.2040.
6
Biochemical studies of pyridoxal and pyridoxal phosphate status and therapeutic trial of pyridoxine in patients with carpal tunnel syndrome.腕管综合征患者的吡哆醛及磷酸吡哆醛状态的生化研究和吡哆醇治疗试验
Ann Neurol. 1984 Jan;15(1):104-7. doi: 10.1002/ana.410150120.
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Survey and new data on treatment with pyridoxine of patients having a clinical syndrome including the carpal tunnel and other defects.
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Comparison of sensitivity of transcarpal median motor conduction velocity and conventional conduction techniques in electrodiagnosis of carpal tunnel syndrome.经腕部正中神经运动传导速度与传统传导技术在腕管综合征电诊断中的敏感性比较。
Clin Neurophysiol. 2006 May;117(5):984-91. doi: 10.1016/j.clinph.2006.01.015. Epub 2006 Mar 23.
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The role of forearm mixed nerve conduction study in the evaluation of proximal conduction slowing in carpal tunnel syndrome.前臂混合神经传导研究在评估腕管综合征近端传导减慢中的作用。
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[Study on the latency difference between compound muscle and sensory nerve action potentials].[复合肌肉动作电位与感觉神经动作电位潜伏期差异的研究]
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引用本文的文献

1
What can family physicians offer patients with carpal tunnel syndrome other than surgery? A systematic review of nonsurgical management.除了手术之外,家庭医生能为腕管综合征患者提供什么?非手术治疗的系统评价。
Ann Fam Med. 2004 May-Jun;2(3):267-73. doi: 10.1370/afm.21.
2
Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome.腕管综合征的非手术治疗(类固醇注射除外)
Cochrane Database Syst Rev. 2003;2003(1):CD003219. doi: 10.1002/14651858.CD003219.
3
Using pyridoxine to treat carpal tunnel syndrome. Randomized control trial.
使用维生素B6治疗腕管综合征。随机对照试验。
Can Fam Physician. 1993 Oct;39:2122-7.