摘要
目的比较综合治疗前后手臂振动病患者神经电生理变化情况,观察其治疗效果。方法对初次诊断及经过3个月综合治疗的32例轻度手臂振动病患者,进行神经电生理检查结果对比分析。结果治疗后神经肌电生理基本恢复正常19例(59.38%);正中神经、尺神经运动传导远端潜伏期延长发生率从治疗前的90.63%和35.94%下降至治疗后的23.44%和1.56%(P<0.01);远端感觉神经传导速度(SCV)减慢发生率从治疗前的29.69%和23.44%下降至治疗后的3.13%和4.69%(P<0.01)。结论手臂振动病早期神经电生理主要表现为正中神经、尺神经运动传导远端潜伏期延长和SCV减慢,综合治疗后各指标可明显改善,提示对于手臂振动病早期治疗效果是显著的。
Objective To compare the changes of the electroneurophysiological on comprehensive therapy in mild occupational hand-arm vibration disease,and to observe the therapeutic effect.Methods The result of electroneurophysiological of 32 patients with mild occupational hand-arm vibration disease in 3-month comprehensive therapy was analyzed.Results After the therapy,the electroneurophysiological of 19 cases recovered to normal.The incidence rate of distal latency in median nerve and ulnar nerve was decreased form 90.63% to 23.44% and 35.94% to 1.56% respectively（P0.01）.The distal sensor nerve conduction velocity（SCV） was decreased form 29.69% to 3.13% and 23.44% to 4.69% respectively（P0.01）.Conclusion The early symptom of electroneurophysiological was the distal latency prolonged and the SCV slowed of the median nerve and ulnar nerve.The comprehensive therapy can obviously improve all indexes.It＇s suggested that the therapy should have a remarkable effect for patient with hand-arm vibration disease at the early stage.
出处
《中国职业医学》
CAS
北大核心
2011年第2期126-128,共3页
China Occupational Medicine
基金
广东省医学科研基金立项课题(A2010049)
关键词
手臂振动病
综合治疗
神经电生理
Hand-arm vibration disease
Comprehensive therapy
Electroneurophysiological
