长期接触低浓度二硫化碳者正中神经损害的电生理研究  

Electrophysiological research on medial nerve injuries of patients with long term exposure to lowconcentration of CS_2

作　　者：张承洁[1] 封苏新 管青山[1] 陈惠玲[1] 隆凤丹 

机构地区：[1]南京医科大学附属脑科医院,江苏南京210029 [2]南京市职业病防治所,江苏南京210042 [3]张家港市中医院,江苏张家港215600

出　　处：《江苏预防医学》2008年第2期6-8,共3页Jiangsu Journal of Preventive Medicine

摘　　要：目的:探讨CS2接触者和腕管综合征患者正中神经损害的区别。方法:接触组为40例长期接触CS2的患者,对照组为30例腕管综合征患者(未接触CS2),两组进行临床及正中神经电生理检测观察。结果:运动神经检测显示接触组与对照组无显著差异(P>0.05),感觉神经和F波检测显示有显著性差异(P<0.05)。神经传导各检测项目可见:两组SCV有极显著差异(P<0.01);DML、F-CV、F波出现率有显著差异(P<0.05);SNAPA和dCMAPA则无显著差异(P>0.05)。结论:尽管接触组与对照组均有正中神经损害,但病因和临床表现不同,神经电生理检测,尤其是SCV的差异表现可为二者的鉴别诊断提供较客观的依据。To investigate the different manifestations of the medial nerve injuries of patients with carpal tunnel syndrome and those exposed to CS2. Method：Asstudy group,40 patients with long term exposure to CS2 ,and 30 patients with carpal tunnel syndrome as control were assesed clinically and electrophysiologically. Result： Compared to the control, patients exposed to CS2 failed to show significant difference on motor nerves while varieties were observed on sensory nerves. SCV was found extremely different in the two groups; DMI., F-CV, F-waves appeared fairly various; however, no significant difference on SNAPA and dCMAPA were found between these two groups. Conclusions： Medial nerve injuries may exist in both groups, while the causes , clinical as well as the electrophysiological manifestations may be significantly different ,among which the SCV test may be helpful in dif- ferential diagnosis between these two groups.

关 键 词：二硫化碳 腕管综合征 正中神经 电生理 

分 类 号：R135.1[医药卫生—劳动卫生]