慢性酒精中毒性周围神经病患者的神经电生理特征分析  

Analysis of electrophysiological feature in chronic alcoholic peripheral neuropathy

作　　者：李芳华[1] 丰化微[1] 惠凯[1] 吕艳玲[1] 

机构地区：[1]大庆龙南医院神经内科,黑龙江大庆163453

出　　处：《癫痫与神经电生理学杂志》2015年第2期93-95,共3页Journal of Epileptology and Electroneurophysiology(China)

摘　　要：目的：探讨慢性酒精中毒性周围神经病（CAPN）患者的神经电生理特征及其诊断价值。方法：对32例慢性酒精中毒患者进行运动神经传导速度、感觉神经传导速度、肌电图和 F波检测。结果：四肢运动、感觉传导速度及电位波幅明显低于正常对照组，感觉神经异常率高于运动神经，下肢异常率高于上肢；肌电图检查可见不同程度的神经原性损害；F波检测可见不同程度的出现率降低，潜伏期延长。结论：神经电生理检查能敏感地评价慢性酒精中毒患者的周围神经受损程度，为临床诊断特别是早期诊断提供了客观依据。Objective：To explore the electrophysiological characteristics and the early diagnostic value of Electrophysiology in patients with chronic alcoholism .Methods：The electrophysiological charar‐actenistics of 32 patients with Chronic Alcoholism and theier changes of electromyogram（EMG） ,Motor nerve conduction velocity（MCV） ,Sensory nerve conduction velocity（SCV） and F waves were detected . Results：The limbs ,movement sensory conduction velocity and potential amplitude were significantly lower than that in the normal control group .The abnormal rate of sensory nerves were higher than that of motor nerves .The abnormal rate of legs was higher than that of the upper limbs .Muscle examination showed different degrees of neurogenic damage .F wave detection showed different degrees of decrease and latency was prolonged .Conclusion：Electrophysiological examination provides objective basis for its diagnosis of peripheral neuropathy lamage caused by chronic alcoholism ,especially for the early diegnosis .

关 键 词：慢性酒精中毒性周围神经病(CAPN) 周围神经病 肌电图 神经传导速度 

分 类 号：R745[医药卫生—神经病学与精神病学] R741.044[医药卫生—临床医学]