Phillips L H, Williams F H
Department of Neurology, University of Virginia School of Medicine, Charlottesville 22908.
Muscle Nerve. 1993 Sep;16(9):970-4. doi: 10.1002/mus.880160914.
When hemodialysis was first used clinically, a peripheral neuropathy frequently emerged. The discovery that sufficient dialysis time would prevent the emergence of symptomatic neuropathy led to the routine use of nerve conduction studies (NCS) to monitor the "adequacy" of dialysis. Modern dialysis practice has evolved since then, and the patient population is markedly different. This report addresses the question of whether there is evidence to indicate that routine use of NCS is helpful to monitor the adequacy of present-day dialysis. A critical review of the available literature reveals that there is insufficient evidence to allow one to answer the question.
当血液透析首次应用于临床时，周围神经病变经常出现。充分的透析时间可预防症状性神经病变出现这一发现，导致了常规使用神经传导研究（NCS）来监测透析的“充分性”。从那时起，现代透析实践不断发展，患者群体也显著不同。本报告探讨了是否有证据表明常规使用NCS有助于监测当今透析的充分性这一问题。对现有文献的批判性综述表明，没有足够的证据来回答这个问题。
