论文部分内容阅读
为探讨肌电图(EMG)和神经传导速度对格林——巴利综合征(GBS)的应用,对本院神经内科病房收治的GBS患者的EMG和神经传导速度资料,加以整理分析。1.临床资料 20例是经过临床确诊的GBS患者,其中急性18例,慢性4例;年龄5～57岁,平均24.5岁。有肌萎缩7例,腱反射消失者5例,减弱者8例。肌力0级者2例,Ⅰ级1例,Ⅱ级8例,Ⅲ级8例,Ⅳ级1例。2.EMG资料 20例共检查肌肉35块,有自发电位20块(18％),MGV测定86条神经(其中上肢44条、下肢42条),减慢57条(66％),末端潜伏期延长36条(42％),未引出诱发电位6条,波幅降低45条(53％);
To investigate the application of electromyogram (EMG) and nerve conduction velocity to GBS, the data of EMG and nerve conduction velocity in GBS patients admitted to neurology ward of our hospital were analyzed. 1. Clinical data 20 cases of clinically diagnosed GBS patients, including 18 cases of acute and chronic in 4 cases; aged 5 to 57 years, mean 24.5 years old. There were 7 cases of muscle atrophy, 5 cases of disappearance of tendon reflex and 8 cases of weakening. Muscle strength 0 in 2 cases, Ⅰ in 1 case, Ⅱ in 8 cases, Ⅲ in 8 cases, Ⅳ in 1 case. There were 35 muscles (18%) with 20 spontaneous potentials in EMG data, 86 nerves in MGV (44 in upper limbs, 42 in lower limbs), 57 (66%) slowed down, and the terminal latency was prolonged 36 (42%) did not induce evoked potentials (6), amplitude decreased by 45 (53%);