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目的探讨格林-巴利综合征(GBS)肌电图表现对患者预后的判断价值。方法选取2014年1月—2015年6月濮阳市油田总医院收治的GBS患者31例,采用肌电图仪测定神经传导速度、肌电图和F波。结果31例患者中检测到感觉神经110条,传导速度下降61条(55.5%);运动神经140条,传导速度下降128条(91.4%);F波检测异常率为83.9%;共检测肌肉170块,其中肌肉与神经源性损害有关101块(59.4%),肌肉出现电压增高89块(52.4%),肌肉检测时出现病理性的静息电位23块(13.5%),肌肉出现肌肉纤颤电位11块(6.5%)。结论 GBS患者进行肌电图检测可对患者病情进行早期诊断,对患者预后具有一定判断价值。
Objective To investigate the prognostic value of GBS EMG performance in patients with glioma. Methods 31 patients with GBS admitted to Puyang Oilfield General Hospital from January 2014 to June 2015 were selected. The nerve conduction velocity, EMG and F wave were measured by electromyography. Results 110 sensory nerves were detected in 31 patients, and the conduction velocity decreased by 61 (55.5%). The number of motor nerves decreased by 128 (91.4%). The abnormal rate of F wave detection was 83.9% Among them, 101 (59.4%) were associated with neurogenic damage in muscle, 89 (52.4%) in muscle with increased voltage, 23 (13.5%) with pathologic resting potential in muscle, and muscle fibrillation Potential 11 (6.5%). Conclusion Electromyography (EMG) detection in patients with GBS can make early diagnosis of the patient’s condition and have certain value in judging the prognosis of the patients.