健康青年人四肢远端神经F波特征  

F-wave characteristics of distal limbs nerves in healthy young people

作　　者：黄勋 金春玉[1] Huang Xun;Jin Chunyu(Department of Traditional Chinese Medicine,Yanbian University Medical College,Yanji City,Jilin Province,133002,China)

机构地区：[1]延边大学医学院,吉林省延吉市133002

出　　处：《现代电生理学杂志》2021年第1期3-8,共6页Journal of Modern Electrophysiology

基　　金：国家自然科学基金项目(81760903);吉林省科技发展计划项目(20180101304JC)。

摘　　要：目的:观察健康青年志愿者的正中、尺、腓、胫神经F波最短潜伏期以及出现率与年龄、性别的关系。方法:选择延边大学医学院健康志愿者996名为研究对象,采用美国NICOLET公司出产的Portabook肌电图诱发电位仪,检测正中神经、尺神经、腓神经和胫神经F波,比较分析男18~21岁组、女18~21岁组与男22~25岁组、女22~25岁组的F波最短潜伏期、F波平均出现数及F波“≤50%”和“>50%”出现率。结果:(1)尺、腓、胫神经的F波最短潜伏期,左、右侧男组较女组延长(P均<0.01)。(2)F波平均出现数:正中神经左侧男22~25岁组小于女22~25岁组,右侧男22~25岁组大于女22~25岁组(P均<0.01),女18~21岁组左侧小于右侧(P<0.01),女22~25岁组左侧大于右侧(P<0.01);尺、胫神经F波平均出现数,男组大于女组(P均<0.01),22~25岁组大于18~21岁组(P均<0.05);腓神经F波平均出现数,男组大于女组(P<0.01),女22~25岁组大于女18~21岁组(P<0.05),男18~21岁组左侧小于右侧(P<0.05)。F波出现数“>50%”(5~8个)的比例,左侧腓神经女18~21岁组低于女22~25岁组(P<0.01);左侧胫神经男18~21岁组低于男22~25岁组(P<0.05)。结论:F波最短潜伏期:尺、腓、胫神经存在男女差异;F波出现数:正中神经存在性别、年龄差异,胫神经存在左右差异;F波出现率与年龄关系密切。Objective:To observe the shortest latency and occurrence rates of F-wave of median,ulnar,peroneal and tibial nerves in healthy young volunteers,and to discuss the influence rule of nerve,age,sex,side and other factors to guide clinical practice.Methods:Nine hundred and ninety-six healthy volunteers from the Medical College of Yanbian University were selected as study subjects.The F-waves of median nerve,ulnar nerve,peroneal nerve and tibial nerve were detected by Portabook EMG evoked potential instrument produced by NICOLET company in the United States and the shortest latency,the average number of F waves and the occurrence rates of F waves"≤50%"and">50%"in male 18-21 years old group,female 18-21 years old group,male 22-25 years old group and female 22-25 years old group were compared and analyzed.Results:(1)The shortest F-wave latency of ulnar,peroneal and tibial nerves was longer in male groups than that in female group on both sides(all P<0.01).(2)The average number of median nerve F wave on the left was fewer in male 22-25 year old group than that in female 22-25 year old group,while that was more on the right(all P<0.01);that was fewer in female 18-21 year old group on the left than that on the right(P<0.01),more than right side in female 22-25 year old group(P<0.01).The number of F-waves of ulnar and tibial nerves in male group was more than that in female group(P<0.01),and that in 22-25 years old group was more than that in 18-21 years old group(P<0.05).The number of F-waves of peroneal nerve in male group was more than that in female group(P<0.01),that in female 22-25 year old group more than that in female 18-21 years old group(P<0.05),and fewer on the left than that on the right in male 18-21 years old group(P<0.05).The proportion of F-wave occurrence">50%"(5-8)in female 18-21 year old group was lower than that in female 22-25 year old group for the left side peroneal nerve(P<0.01);that was lower in male 18-21 year old group than that in male 22-25 year old group for the left side tibial nerve(P<0.05

关 键 词：正中神经 尺神经 腓神经 胫神经 神经传导 F波 性别因素 年龄因素 

分 类 号：R338[医药卫生—人体生理学]