641例麻风患者上肢神经损害的分析  

Analysis on nerve impairment of the upper limb in 641 leprosy patients

作　　者：潘恕 潘晓峰 刘同奎 

机构地区：[1]兴化市皮肤病防治所,江苏兴化225700

出　　处：《临床皮肤科杂志》2002年第7期424-425,共2页Journal of Clinical Dermatology

摘　　要：为了解麻风患者上肢神经损害的状况,选择兴化市存活的麻风治愈者及现症患者1575人为调查对象。结果显示麻风患者上肢神经损害的发生率为40.7%,单侧损害(23.17%)高于双侧(17.52%),现症及复发病人(69.23%)高于治愈者(40.46%),多菌型(55.94%)高于少菌型(38.46%)。尺神经损害为36.63%,正中神经为16.95%,桡神经为2.35%,爪形指继发关节强直为73.03%,神经损害与麻风反应有关的为43.37%。兴化市麻风上肢神经损害多见于现症及复发病人以单侧损害为主,尺神经损害第一,其次为正中神经、桡神经,2/3的神经损害是不可逆的。因麻风诊断的延迟、麻风反应及麻风型别的不同,上肢神经损害的差异非常明显。In order to understand the nerve impairment of the upper limb in leprosy cases, we studied 1575 leprosy cases of non-active and active who are living in Xinghua city. The result showed that about 40.7%of the upper limb in all cases developed nerve impairment. The lateral nerve impairment was 23.17%. It is higher than that of bilateral nerve impairment (17.52%). The nerve impairment among active and relapsed cases was 69.23%. It is higher than that of non active cases (40.46%). The MB cases developed more nerve impairment (55.94%)which is higher than that of PB cases(38.46%). We also find that 36.63%of the ulna nerve developed nerve impairment, the medium nerve, 16.95% and the radial nerve, 2.35%. The claw hand with the stiff fingers was seen in 73.03% of cases. The nerve impairment has relationship with leprosy reaction counted for 43.37%. Most of active and relapsed leprosy cases have the single nerve impairment. The frequency of nerve impairment developed is as following, the first is in ulna nerve, the second, medium nerve and radial nerve. Two thirds of nerve impairment is irreversible. The nerve impairment in upper limbs is significantly different due to delay of diagnosis, leprosy reaction and different clinical types.

关 键 词：麻风 上肢神经损害 流行病学 无痛性神经炎 预防 

分 类 号：R755[医药卫生—皮肤病学与性病学]