【摘要】：目的分析36例吉蘭-巴雷綜合征(Guillian-Barre syndrome,GBS)患者早期肌電圖(electromyography,EMG)檢查結(jié)果,為臨床工作提供參考。方法回顧性分析36例GBS患者EMG結(jié)果,結(jié)合復(fù)習(xí)文獻(xiàn)、總結(jié)早期GBS特點。結(jié)果運(yùn)動纖維神經(jīng)傳導(dǎo)檢測波幅降低9例,傳導(dǎo)速度減慢36例,末端潛伏期延長36例;感覺纖維神經(jīng)傳導(dǎo)檢測波幅降低8例,傳導(dǎo)速度減慢7例;2例見波形離散和傳導(dǎo)阻滯現(xiàn)象;所檢108條神經(jīng)F反應(yīng)出現(xiàn)率降低38條,潛伏期延長45條。所檢108塊肌肉中可見自發(fā)電位18塊,未見運(yùn)動單位動作電位時限明顯增寬。結(jié)論肌電圖尤其是神經(jīng)傳導(dǎo)檢測技術(shù)對于早期GBS的診斷具有重要意義。
[Abstract]:Objective to analyze the results of early electromyography (electromyography,EMG) in 36 patients with Guillain-Barre syndrome (Guillian-Barre syndrome,GBS). Methods the results of EMG in 36 patients with GBS were analyzed retrospectively and the characteristics of early GBS were summarized. Results the amplitude of motor fiber nerve conduction decreased in 9 cases, the conduction velocity in 36 cases and the terminal latency prolonged in 36 cases, the amplitude of sensory nerve conduction decreased in 8 cases, and the conduction velocity decreased in 7 cases. The frequency of F response in 108 nerves was decreased by 38 and the latency was prolonged by 45. Spontaneous potential was observed in 18 of 108 muscles, and no significant widening of motor unit action potential duration was observed. Conclusion Electromyography, especially nerve conduction detection is of great significance for early diagnosis of GBS.
【作者單位】： 福建省立醫(yī)院神經(jīng)內(nèi)科;
【分類號】：R745.43

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