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[慢性肾功能不全中的脑电图(作者译)]

[The EEG in chronic renal insufficiency (author's transl)].

作者信息

Neundörfer B, Kayser-Gatchalian C, Huber W, Werner W

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1976 Dec;7(4):193-7.

PMID:829066
Abstract

In a strictly selected material of 80 patients, who were all outpatients of a special nephrological clinic, with chronic renal insufficiency with retention values of 1.4-14.5 mg% serum creatinine, an EEG was done besides thorough neurological and internal examinations. In 21 cases (26.2%) a pathological EEG in the form of background slowing and general dysrhythmia. There was a tendency to increase in pathological EEG findings in correlation with increase of the retention values. The patients with pathological EEG had on the average a creatinine value of 5.89 mg%, those without EEG findings had an average creatinine value of 3.98 mg%. The difference is statistically significant (alpha less than or equal to 0.015). It is notable that there is a statistical correlation (alpha less than or equal to 0.005) between the presence of pathological EEG and the motor conduction velocity of the peroneal nerve: only 12% of the patients with a conduction velocity of less than 43 m/sec had a pathological EEG while 60% of the patients with a conduction velocity of more than 43 m/sec had EEG findings. No statistical correlation were found between the EEG changes and other neurological and internal signs and symptoms, including cardiovascular findings like the blood pressure.

摘要

在严格挑选的80例患者中,这些患者均为一家特殊肾病诊所的门诊患者,患有慢性肾功能不全,血清肌酐潴留值为1.4 - 14.5mg%,除了进行全面的神经学和内科检查外,还进行了脑电图检查。21例(26.2%)患者脑电图异常,表现为背景减慢和普遍节律失调。脑电图异常结果有随着潴留值增加而增多的趋势。脑电图异常的患者血清肌酐平均为5.89mg%,脑电图无异常发现的患者血清肌酐平均为3.98mg%。差异具有统计学意义(α≤0.015)。值得注意的是,脑电图异常与腓总神经运动传导速度之间存在统计学相关性(α≤0.005):传导速度低于43m/秒的患者中只有12%脑电图异常,而传导速度高于43m/秒的患者中有60%脑电图有异常发现。未发现脑电图变化与其他神经学和内科体征及症状之间存在统计学相关性,包括心血管方面的体征如血压。

相似文献

1
[The EEG in chronic renal insufficiency (author's transl)].[慢性肾功能不全中的脑电图(作者译)]
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1976 Dec;7(4):193-7.
2
[EEG and ENG findings in patients with chronic renal insufficiency and in hemodialysis patients].[慢性肾功能不全患者及血液透析患者的脑电图和眼震电图检查结果]
Z Gesamte Inn Med. 1980 Jan 1;35(1):25-8.
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[EEG-changes during haemodialysis in chronic renal insufficiancy (author's transl)].慢性肾功能不全患者血液透析期间的脑电图变化(作者译)
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1980 Mar;11(1):51-7.
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[Motor nerve conduction velocity in uraemic polyneuropathy: correlation with metabolic factors (author's transl)].尿毒症性多发性神经病的运动神经传导速度:与代谢因素的相关性(作者译)
Wien Klin Wochenschr. 1976 Dec 10;88(23):770-4.
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[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.
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Neuropsychiatric symptomatology with chronic renal insufficiency in the stage of compensated and decompensated retention. I. CNS disturbances.代偿期和失代偿期潴留阶段慢性肾功能不全的神经精神症状学。I. 中枢神经系统障碍。
J Neurol. 1976 Feb 13;211(3):253-61. doi: 10.1007/BF00313235.
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Central sensory motor pathways are less affected than peripheral in chronic renal failure.在慢性肾衰竭中,中枢感觉运动通路比外周感觉运动通路受影响更小。
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[EEG dynamics in patients with renal failure during treatment with hemodialysis and following kidney transplantation].[肾衰竭患者在血液透析治疗期间及肾移植后的脑电图动态变化]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(8):1156-9.
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[Elevated plasma levels and heterogeneity of human atrial natriuretic peptide in patients with progressive chronic renal failure].[进展性慢性肾衰竭患者血浆心房利钠肽水平升高及异质性]
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引用本文的文献

1
Dynamics of electroencephalogram (EEG) in different stages of chronic kidney disease.慢性肾脏病不同阶段的脑电图(EEG)动态变化
J Clin Diagn Res. 2015 Mar;9(3):OC25-7. doi: 10.7860/JCDR/2015/11257.5705. Epub 2015 Mar 1.
2
The blink reflex in chronic renal failure.慢性肾衰竭中的瞬目反射
J Neurol. 1980 Jan;222(3):204-14. doi: 10.1007/BF00313119.