床旁肌电图在危重患者周围神经检查中的应用  

The Application of Bedside EMG in Critical Patients' Peripheral Examinations

作　　者：王洋[1] 刘建祥[2] 饶明清[3] 余健华[1] 

机构地区：[1]韶关学院医学院内科 [2]韶关粤北人民医院神经内科 [3]韶关粤北人民医院重症医学科,广东韶关512026

出　　处：《辽宁医学院学报》2013年第6期53-55,共3页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的探讨床旁肌电图对危重患者周围神经检查的特点及其应用价值。方法 2010年6月至2013年3月,对我院83例危重患者分为受试组与对照组,均采用神经传导速度检测、F波检查,并将其检测结果与临床症状相结合,进行综合分析。结果受试组较对照组所检神经传导速度比较:两组中神经运动潜伏期比较差异均有统计学意义(P<0.05);两组中腋神经运动波幅比较,差异有统计学意义(P<0.05);两组中正中神经的感觉波幅比较,变化有统计学差异(P<0.05)。结论将床旁肌电图应用于危重患者周围神经检查中,它能够有效地检测患者病情,缩短医生诊断时间。对于疑诊为神经肌肉的危重症患者具重要的诊断与运用价值,值得推广。Objective To discuss the features and application value of bedside EMG in peripheral nerve examination of critically ill patients. Methods From June, 2010 to March, 2013, 83 cases diagnosed as critically ill patients in our hospital were divided into the test group and the control group. All those patients were given the nerve conduction velocity detection and examined by F wave. Then the test results were comprehensively analyzed with the combination of the clinical symptoms. Results Comparison in terms of the nerve conduction velocity showed the nerve motor latency of the control group and the test group had statistical significance （ P 〈 0. 05 ） , the difference of the amplitude of axillary nerve motion of the two groups was also statistically significant （ P 〈 0. 05 ） , the difference in the sensory amplitude of central nerves had statistical significance （ P 〈 0. 05 ）. Conclusion The application of bedside EMG in critical patients＇ peripheral examina- tions is effective for detecting the disease and shortening doctors＇ diagnosis time. For those suspected critically ill patients with neuromuscular disorder, it has important diagnosis and clinical value and it is worthy of promotion.

关 键 词：危重患者 肌电图检查 特点 应用价值 

分 类 号：R444[医药卫生—诊断学]