小儿吉兰-巴雷综合征神经电生理分析  

Neuroelectrophysiologic Analysis of Guillian-Barre Syndrome in Children

作　　者：陈传群[1] 陈静[1] 刘晓林[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院肌电图室,233004

出　　处：《实用全科医学》2008年第5期460-461,共2页Applied Journal Of General Practice

摘　　要：目的探讨小儿吉兰-巴雷综合征(GBS)神经电生理特征和临床意义。方法对41例GBS患儿动态神经传导和肌电图进行检测。结果运动神经异常率79%,其中神经传导速度(NCV)69%下降,波幅(AMP)15%下降,末端潜伏期(DL)41%延长。感觉神经异常率29%,其中感觉神经传导速度(SCV)25%下降,波幅17%下降。F波异常占90%。肌电图(EMG)检查87块肌肉中表现神经源性损害的占48%。结论小儿GBS存在广泛的周围神经损害,神经电生理检查在小儿GBS诊断等方面有重要临床意义。Objective To investigate the neuroeletrophysiologic feature and clinic significance of Guillian-Barre＇ s syndrome （GBS） in children. Methods Routine examinations of never conductions velocity and electromyography were applied on various nerves and muscles of 41 GBS children. Results 79% patients appeared abnormal nerves, thereinto 69% was abnormal nerve conduction velocity（ NCV）, 15% had the decrease of amplitude （AMP） , the delay of distal latency （DL） was 41%, 29% patients＇ sensory nerves were abnormal. The rate of abnormal sensory nerves conduction velocity（ SCV） was 25% ,the rate of decrease amplitude was 17%. Abnormal F wave was 90%. Among the 87 muscles checked by electromyogram（ EMG）, 48% was neurogenic. Conclusions Guillian-Barre＇ syndrome（GBS） of children results in wide peripheral nerve damage. Neuroeletrophysiologic examination is a reliable diagnosis of GBS in children.

关 键 词：吉兰-巴雷综合征 小儿 神经电生理表现 临床意义 

分 类 号：R744.5[医药卫生—神经病学与精神病学]