摘要
目的分析36例吉兰-巴雷综合征(Guillian-Barre syndrome,GBS)患者早期肌电图(electromyography,EMG)检查结果,为临床工作提供参考。方法回顾性分析36例GBS患者EMG结果,结合复习文献、总结早期GBS特点。结果运动纤维神经传导检测波幅降低9例,传导速度减慢36例,末端潜伏期延长36例;感觉纤维神经传导检测波幅降低8例,传导速度减慢7例;2例见波形离散和传导阻滞现象;所检108条神经F反应出现率降低38条,潜伏期延长45条。所检108块肌肉中可见自发电位18块,未见运动单位动作电位时限明显增宽。结论肌电图尤其是神经传导检测技术对于早期GBS的诊断具有重要意义。
Objective To analyze electromyography(EMG) data in 36 cases of earlyGuillian-Barre syndrome(GBS) to provide references of clinical practice.Methods Aretrospective analysis and literature reviews were conducted on EMG data of 36 cases of earlyGBS to sum up its characteristics. Results The motor nerve conduction amplitude decreased in9 cases; conduction velocity decreased in 36 cases; distal latency was prolonged in 36 cases.Sensory nerve conduction amplitude decreased in 8 cases; conduction velocity decreased in7 cases, and discrete waveform and conduction block occurred in 2 cases. The F reaction ratedecreased in 38 cases, the latent period was prolonged in 45 cases. Eighteen of the 108 detectedmuscles had spontaneous potentials, and there was no significant increase in the duration of theMUAP. Conclusion EMG, especially the nerve conduction detection technique is very importantfor the early diagnosis of GBS .
作者
谢忞之
周瑞玲
陈名峰
陈昂
李宏伟
XIE Min-zhi;ZHOU Rui-ling;CHEN Ming-feng;CHEN Ang;LI Hong-wei(Department of Neurology, Fujian Provincial Hospital,Fuzhou 350001, China)
出处
《创伤与急诊电子杂志》
2016年第4期200-203,共4页
Journal of Trauma and Emergency(Electronic Version)
关键词
吉兰-
巴雷综合征
肌电图
Guillian-Barre syndrome
Electromyography
