慢性酒精中毒患者的临床与电生理研究  

Clinic and electrophysiological study in patients with chronic alcohol Poisoning

作　　者：黄绍娴[1] 戚怡[1] 

机构地区：[1]广东医学院附属医院神经电生理检查室,广东湛江524001

出　　处：《临床神经电生理学杂志》2005年第2期75-78,共4页Journal of Clinical Electroneurophysiology

摘　　要：目的:观察电生理检测对慢性酒精中毒的诊断价值。方法:对36例慢性酒精中毒患者的临床特征进行了分析,并作脑电图(EEG)、脑干诱发电位(BAEP)、神经电图(NCV)及肌电图(EMG)的检测和分析。结果:36例慢性酒精中毒患者的EEG异常27例(75%),EEG改变以弥漫性慢波增多为主。患者的EEG异常程度与饮酒量、饮酒年限呈正比关系。BAEP异常26例(72.2%),EMG检查综合判断提示神经源性损害。MCV异常率为63.9%,SCV异常率为83.3%。结论:应用电生理检测能全面反映慢性酒精中毒引起的中枢和周围神经系统的弥漫性损害,为临床提供客观指标。Objective:To observe the value of the electrophysiology examination of patients with chronic alcohol poisoning.Methods:Analyzing the characteristics of 36 patients with chronic alcohol poisoning, and their EEG,BAEP and EMG examination.Results:Of all the 36 patients, 27 of them had abnormal EEG, accounted (taking up 75%). The most characteristic change of EEG was the increase of slow waves. The degree of the EEG abnormal changes showed direct ratio with the amount of alcoholic inhaled, the years of drinking. BAEP were found abnormal in 31 of the patients, accounted for 86%. EMG examination indicated neurogenic injure in general. The abnormality rate of MCV was 63.9% and that of SCV was 83.3%. Conclusion:The application of electroneurophysiological examination reflects the diffused injure of chronic alcohol inhaler. It provides the clinical with objective indicatrix.

关 键 词：慢性酒精中毒患者 电生理研究 脑电图(EEG) 电生理检测 脑干诱发电位 BAEP异常 神经源性损害 周围神经系统 检测和分析 EEG异常 EEG改变 诊断价值 临床特征 神经电图 异常程度 综合判断 客观指标 异常率 肌电图 弥漫性 

分 类 号：R595.6[医药卫生—内科学] R338.25[医药卫生—临床医学]