發(fā)布時間：2018-11-05 10:58

【摘要】：目的探討皮膚交感反射(SSR)和肛門括約肌肌電圖(EAS-EMG)對帕金森病(PD)患者的診斷價值。方法 45例PD患者作觀察組,另外選擇同期健康體檢者45例為對照組。兩組均采用PD自主神經(jīng)癥狀量表(SCOPA-AUT)對神經(jīng)功能進行評估,并實施SSR和EAS-EMG檢測,分析SSR與EAS-EMG對PD患者的診斷價值。結(jié)果觀察組SCOPA-AUT得分≥1分31例,1分14例,對照組SCOPA-AUT得分≥1分0例,1分45例,觀察組SCOPA-AUT得分顯著高于對照組(P0.05)。SSR顯示觀察組的上下肢潛伏期均明顯大于對照組,上下肢的波幅明顯少于對照組(P0.05)。EAS-EMG檢測顯示觀察組存在自主神經(jīng)功能障礙患者平均時限及多相波百分比明顯高于無自主神經(jīng)功能障礙患者(P0.05),兩組平均波幅比較無統(tǒng)計學差異(P0.05)。經(jīng)Pearson相關(guān)性分析顯示,觀察組的自主神經(jīng)功能障礙患者中SCOPA-AUT得分與上下肢的SSR波幅不相關(guān)(r=0.216,0.134;P=0.245,0.317),與上下肢的SSR潛伏期呈正相關(guān)(r=0.487,0.551;P=0.023,0.016)。SCOPA-AUT得分與EAS-EMG的運動單位電位(MUAP)平均波幅不相關(guān)(r=0.234,P=0.224),與MUAP的多相波百分比、平均時限呈正相關(guān)(r=0.514,0.547;P=0.013,0.011)。結(jié)論SSR及EAS-EMG可用于評估PD患者的自主神經(jīng)功能,能夠為PD患者的診斷提供依據(jù)。
[Abstract]:Objective to evaluate the diagnostic value of skin sympathetic reflex (SSR) and anal sphincter electromyography (EAS-EMG) in patients with Parkinson's disease (PD). Methods 45 patients with PD were selected as observation group and 45 healthy persons as control group. PD autonomic nervous symptom scale (SCOPA-AUT) was used to evaluate the neurological function and SSR and EAS-EMG were performed to analyze the diagnostic value of SSR and EAS-EMG in PD patients. Results there were 31 cases with SCOPA-AUT score 鈮，

本文編號：2311851