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頁籤選單縮合
題名 | 男性頸脊髓損傷病患之膈神經傳導檢查=Phrenic Nerve Conduction Study in Male Patients with Cervical Spinal Cord Injury |
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作者 | 李嘉恩; 廖美雲; 鄭寶釵; 黃美涓; 鄧復旦; 林孟志; | 書刊名 | 復健醫學會雜誌 |
卷期 | 24:1 1996.06[民85.06] |
頁次 | 頁23-28 |
分類號 | 416.292 |
關鍵詞 | 膈神經; 頸神經叢; 脊髓損傷; 複合肌肉動作電位; Phrenic nerve; Cervical plexus; Spinal cord injury; Compound muscle action potential; |
語文 | 中文(Chinese) |
中文摘要 | 膈神經為頸神經叢的一分支,來自第三、四、五頸神經根,高位頸脊髓損傷者,常合伴膈神經受損,為探討不同脊髓神經損傷程度對膈神經傳導之影響,本研究共收集51例受測者,A組18人,為頸脊髓神經損傷部份C4(含)以上者;B組17人,為頸脊髓神經損傷部份C5(含)以下者;C組16人,為沒有頸脊髓神經損傷者,作為對照組。應用膈神經電刺激,比較不同部位之頸脊髓損傷病人其膈神經誘發複合肌肉動作電位。結果發現(1)A組之誘發複合肌肉動作電位振幅明顯低於B組及C組(均為P<0.05),而B組及C組之間未達顯著差異。(2)A、B、C、三組其平均最大振幅記錄位置都落在第七肋間(B組左側除外),但與第八肋間所得振幅相比,則未達統計之差異。(3)在潛期及間期方面,A、B、C、三組之間並未達統計學上之明顯差異。結論:(1)男性高位頸椎脊髓神經損傷合併膈神經受損者,其膈神經誘發複合動作電位振幅較低。(2)第七肋間是較佳之記錄電極位置。 |
英文摘要 | High cervical spinal cord injury (C-SCI) patients frequently combine with C3, C4 and C5 radiculopathies and induce phrenic nerve paralysis. For analysis influence of different level of C-SCI on phrenic nerve conduction study, we collected 51 cases including 35 cervical spinal cord injury (C-SCI) patients and 16 normal controls in this study. The patients were divided into the group A with C-SCI level above or at C4 (N=18), group B with C-SCI level below or at C5 (N=17) and group C with normal control subjects (N=16). The phrenic nerve was stimulated at the supramaximal level and the onset latency, amplitude and duration of compound muscle action potential (CMAP) were analyzed. The results are as followed: (1)The CMAP amplitude of group A is significantly less than group B and group C (P<0.05, respectively). (2)The mean maximal CMAP amplitude is on the 7th intercostals space/anterior axillary line (ICS/AXL) of all the three groups except left side of group B. (3)When comparing the subgroup divided according to the severity of injury, we find that CMAP amplitude is lower on the more severe injury subgroup. (4)There are no difference of CMAP latency and duration in all three groups. The conclusions are as follow: (1)The CMAP amplitude of group A (high CSCI combined with phrenic nerve injury) is significantly less than the other groups. (2)The best recording position is on the 7th intercostals space. |
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