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血液透析治疗对尿毒症性多发性神经病的影响。一项临床及电生理随访研究。

Effects of hemodialytic treatment on uremic polyneuropathy. A clinical and electrophysiological follow-up study.

作者信息

Caccia M R, Mangili A, Mecca G, Ubiali E, Zanoni P

出版信息

J Neurol. 1977 Dec 13;217(2):123-31. doi: 10.1007/BF00312925.

DOI:10.1007/BF00312925
PMID:75258
Abstract

The involvement of peripheral motor and sensory nerve, at least on a subclinical level, is nearly constant event with chronic renal failure. The study of the motor and sensory propagation velocity indicates that a widespread functional lesion of the axon with a peripheral point of attack and secondary demyelination, may be the basic pathogenetic event of uremic polyneuropathy. Prolonged hemodialytic treatment is substantially unable to influence the evolution of uremic polyneuropathy. The electrophysiological follow-up study of the peripheral nerve does not seem to be an index of adequate dialysis.

摘要

外周运动和感觉神经受累,至少在亚临床水平上,是慢性肾衰竭几乎持续存在的情况。运动和感觉神经传导速度的研究表明,轴突存在广泛的功能性病变,起始于外周并继发脱髓鞘,可能是尿毒症性多发性神经病的基本发病机制。长期血液透析治疗基本上无法影响尿毒症性多发性神经病的进展。外周神经的电生理随访研究似乎并不是充分透析的指标。

相似文献

1
Effects of hemodialytic treatment on uremic polyneuropathy. A clinical and electrophysiological follow-up study.血液透析治疗对尿毒症性多发性神经病的影响。一项临床及电生理随访研究。
J Neurol. 1977 Dec 13;217(2):123-31. doi: 10.1007/BF00312925.
2
[Uremic polyneuropathy in hemodialytic treatment (clinical and serial electrophysiological study of 43 cases)].
Acta Neurol (Napoli). 1977 Sep-Oct;32(5):535-50.
3
[Uremic polyneuropathy: clinico-electroneurographic study of 36 cases].[尿毒症性多发性神经病:36例临床神经电生理研究]
Arq Neuropsiquiatr. 1979 Dec;37(4):356-72. doi: 10.1590/s0004-282x1979000400002.
4
[Uremic neuropathy. Study of the motor conduction rate in patients treated with maintenance hemodialysis and peritoneal dialysis].[尿毒症性神经病变。维持性血液透析和腹膜透析治疗患者的运动传导速度研究]
Riv Neurol. 1977 Jan-Feb;47(1):83-104.
5
[Neuroelectrophysiological study in patients on long-term hemodialysis].
Gaoxiong Yi Xue Ke Xue Za Zhi. 1990 Apr;6(4):194-200.
6
[Evaluation of polyneuropathy severity in chronic renal failure patients on continuous ambulatory peritoneal dialysis or on maintenance hemodialysis].[持续性非卧床腹膜透析或维持性血液透析的慢性肾衰竭患者多发性神经病变严重程度的评估]
Przegl Lek. 2007;64(6):423-30.
7
The effect of high-tone external muscle stimulation on symptoms and electrophysiological parameters of uremic peripheral neuropathy.高频外部肌肉刺激对尿毒症性周围神经病变症状及电生理参数的影响
Clin Nephrol. 2013 Jan;79 Suppl 1:S24-7.
8
H reflexes as a measure for uremic polyneuropathy. A longitudinal study in patients treated with dialysis or renal transplantation.
Electroencephalogr Clin Neurophysiol. 1994 Aug;93(4):276-80. doi: 10.1016/0168-5597(94)90029-9.
9
Sensory nerve conduction in chronic uremic patients during the first six months of hemodialysis.
Can J Neurol Sci. 1984 May;11(2):269-71. doi: 10.1017/s0317167100045522.
10
[Uremic neuropathy and the type of dialysis].
Riv Patol Nerv Ment. 1982 Nov-Dec;103(6):271-6.

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1
Rapid reversal of uremic neuropathy following renal transplantation in an adolescent.一名青少年肾移植后尿毒症神经病变的快速逆转
Pediatr Transplant. 2012 Nov;16(7):E296-300. doi: 10.1111/j.1399-3046.2011.01630.x. Epub 2011 Dec 21.
2
Refractory period, sensory conduction velocity and visual evoked potentials before and after haemodialysis.血液透析前后的不应期、感觉传导速度和视觉诱发电位。
J Neurol Neurosurg Psychiatry. 1981 Feb;44(2):121-8. doi: 10.1136/jnnp.44.2.121.
3
Central and peripheral involvement in hemodialysed subjects: neurophysiological and nephrological relationships.

本文引用的文献

1
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Riv Patol Nerv Ment. 1968 Aug;89(4):348-72.
2
The peripheral nerve function in chronic renal failure. II. Intercorrelation of clinical symptoms and signs and clinical grading of neuropathy.慢性肾衰竭中的周围神经功能。II. 临床症状和体征的相互关系及神经病变的临床分级。
Acta Med Scand. 1971 Jul-Aug;190(1-2):113-7.
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The peripheral nerve function in chronic renal failure. I. Clinical symptoms and signs.慢性肾衰竭中的周围神经功能。I. 临床症状与体征。
血液透析患者的中枢和外周受累情况:神经生理学与肾脏病学的关系
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The peripheral nerve function in chronic renal failure. V. Sensory and motor conduction velocity.慢性肾衰竭中的周围神经功能。V. 感觉和运动传导速度。
Acta Med Scand. 1973 Nov;194(5):445-54. doi: 10.1111/j.0954-6820.1973.tb19470.x.
5
The peripheral nerve function in chronic renal failure. VII. Longitudinal course during terminal renal failure and regular hemodialysis.慢性肾衰竭患者的周围神经功能。VII. 终末期肾衰竭及规律血液透析期间的纵向病程
Acta Med Scand. 1974 Mar;195(3):155-62.
6
Natural history of uremic polyneuropathy and effects of dialysis.尿毒症性多发性神经病的自然病史及透析的影响
N Engl J Med. 1967 Aug 17;277(7):327-33. doi: 10.1056/NEJM196708172770702.
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[Early uremic polyneuropathy: clinical and electromyographic study of subjects with and without treatment with extracorporeal dialysis].
Riv Neurobiol. 1971 Jan-Mar;17(1):67-95.
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Effect of periodic dialysis on the peripheral neuropathy of end-stage renal failure.定期透析对终末期肾衰竭周围神经病变的影响。
Br Med J. 1965 Nov 20;2(5472):1212-5. doi: 10.1136/bmj.2.5472.1212.
9
[Uremic neuropathy. Study of the motor conduction rate in patients treated with maintenance hemodialysis and peritoneal dialysis].[尿毒症性神经病变。维持性血液透析和腹膜透析治疗患者的运动传导速度研究]
Riv Neurol. 1977 Jan-Feb;47(1):83-104.