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[老年受试者跟腱反射消失的电生理研究]

[Electrophysiologic study of Achilles areflexia of aged subjects].

作者信息

Schmidt J M, Penin F, Cuny G, Brichet B, Weber M, Gehin P

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1982 Dec;12(4):357-60. doi: 10.1016/s0370-4475(82)80026-9.

Abstract

The elderly often presents loss of Achilles tendon reflex. In this electrophysiological study the authors examined 19 patients with loss of the ankle jerk and with no known etiology of peripheral neuropathy. They compared them with 24 subjects who had no areflexia. The study included measurement of the H reflex, of the tendon reflex, of the conduction velocity of Ia fibers and of motor conduction velocity of the tibial nerve. Amplitude of H and tendon response and H/M ratio are diminished in the areflexic group. In 4 cases the H reflex is preserved while the tendon reflex is abolished. The meaning of these impairments is discussed.

摘要

老年人常出现跟腱反射消失。在这项电生理研究中,作者检查了19例踝关节反射消失且无已知周围神经病变病因的患者。他们将这些患者与24例无反射消失的受试者进行了比较。该研究包括对H反射、腱反射、Ia纤维传导速度和胫神经运动传导速度的测量。无反射组中H反射和腱反射的波幅以及H/M比值均降低。在4例患者中,H反射保留而腱反射消失。文中讨论了这些损害的意义。

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