摘要
目的探讨吉兰-巴雷综合征(GBS)患者的神经电生理特点及其临床诊断意义。方法对65例GBS患者进行运动神经传导速度(MCV)、感觉神经传导速度(SCV)、F波、H反射及肌电图(EMG)检测,共检测228条运动神经、195条感觉神经及182块肌肉,并分析结果。结果MCV减慢67.5%,SCV减慢38.5%,上、下肢运动神经远端潜伏期(DML)延长49.1%,F波异常86.1%,H反射异常75.4%,EMG提示神经源性损害占43.1%。结论GBS为广泛的周围神经损害,存在以脱髓鞘为主伴有轴突变性的神经电生理改变,神经电生理检测对GBS的诊断、治疗和预后判断可提供重要参考。
Objective To study the electrophysiological characteristics of Guillain-Barre syndrome(GBS)patients and the significance in clinical diagnosis.Methods The motor Conduction Velocity(MCV),sensory nerve conduction velocity(SCV),F wave,H-reflex,electromyography(EMG)in 65 patients with GBS were detected.There were 228 motor nerves,195 sensory nerves,and 182 muscles which were detected and analyzed.Results MCV slowed by 67.5%,SCV slowed by 38.5%,upper and lower extremity of distal motorial latency(DML)was prolonged by 49.1%,F wave was above normal by 86.1%,and H-reflex was above normal by 75.4%.At the same time,EMG showed that neurogenic damage accounted for 43.1%.Conclusion GBS does a wide range of damage to peripheral nerve,and there is demyelination together with axonal degeneration of neural electrophysiological changes.Neurophysiological testing can provide important value for the diagnosis,treatment and prognosis of GBS.
作者
王丽
任何茂
王芳
Wang Li;Ren Hemao;Wang Fang(The People's Hospital of Zezhou County,Zezhou,Shanxi 048000)
出处
《基层医学论坛》
2020年第35期5073-5075,共3页
The Medical Forum
关键词
吉兰-巴雷综合征
运动神经传导速度
感觉神经传导速度
F波
肌电图
Guillain-Barre syndrome(GBS)
Motor conduction velocity(MCV)
Sensory conduction velocity(SCV)
F wave
Electromyogram(EMG)
