Neundörfer B, Kayser-Gatchalian C, Huber W, Werner W
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1976 Dec;7(4):193-7.
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.
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。