Poza J J, Martí-Massó J F
Servicio de Neurología, Hospital Nuestra Señora de Aránzazu, San Sebastián.
Neurologia. 1997 Nov;12(9):389-94.
To determine the frequency and characteristics of neuropathy associated with chronic obstructive pulmonary disease (COPD). This prospective clinical and electrophysiological study enrolled 30 COPD patients (28 men and 2 women) in whom other causes of polyneuropathy had been excluded. Six patients reported slight paresthesias. Clinical examination revealed signs that clearly suggested polyneuropathy in 8 patients (27%) whereas signs were non specific in 14. The neurophysiological study was abnormal in 26 patients (87%), suggesting axonal polyneuropathy that was predominantly sensory. The presence of polyneuropathy was related to age, duration of disease and smoking, but not with sex or pO2 or pCO2 on the date of examination. Approximately one third of patients with COPD show clinical or electrophysiological signs that suggest axonal polyneuropathy that is predominantly sensory, with only slight or no clinical symptoms.
确定与慢性阻塞性肺疾病(COPD)相关的神经病变的频率和特征。这项前瞻性临床和电生理研究纳入了30例COPD患者(28例男性和2例女性),这些患者已排除其他多发性神经病变的病因。6例患者报告有轻微感觉异常。临床检查发现,8例患者(27%)有明确提示多发性神经病变的体征,而14例患者的体征不具有特异性。神经生理学研究显示,26例患者(87%)异常,提示为以感觉为主的轴索性多发性神经病变。多发性神经病变的存在与年龄、病程和吸烟有关,但与检查当日的性别、动脉血氧分压(pO2)或动脉血二氧化碳分压(pCO2)无关。约三分之一的COPD患者表现出提示以感觉为主的轴索性多发性神经病变的临床或电生理体征,仅有轻微临床症状或无临床症状。