Chan K M, Brown W F
Department of Neurology, New England Medical Center, Boston, Massachusetts 02111, USA.
Can J Neurol Sci. 1998 Feb;25(1):S27-31. doi: 10.1017/s0317167100034697.
The neuromuscular system may be affected by disorders of the central nervous system as well as other disorders affecting motoneurons, axons, neuromuscular transmission, the sarcolemmal membrane, the contractile elements and other components of the muscle fibers themselves. One or a combination of these possibilities can present in patients in the critical care unit. This paper reviews various qualitative and quantitative methods for assessing the various components of the peripheral contributions to the electrical and force output as well as the central motor drive to motoneurons. These methods all have their own strengths and weaknesses but many are complementary and together, can provide important diagnostic and prognostic information to guide management.
神经肌肉系统可能受到中枢神经系统疾病以及其他影响运动神经元、轴突、神经肌肉传递、肌膜、收缩元件和肌纤维本身其他成分的疾病的影响。这些可能性中的一种或多种组合可能出现在重症监护病房的患者中。本文综述了评估外周对电输出和力输出的各种成分以及对运动神经元的中枢运动驱动的各种定性和定量方法。这些方法都有各自的优缺点，但许多方法是互补的，共同可以提供重要的诊断和预后信息以指导治疗。
