神经电生理检查对慢性酒精中毒的诊断价值

Diagnostic value of neuro-electrophysiological examination in the application of chronic alcoholism

目的探讨神经电生理检查对慢性酒精中毒的诊断价值。方法随机选取2017年1月至2017年12月慢性酒精中毒患者40例为病例组,选取同期无慢性周围神经疾病的健康人40例为健康组。80例受试者均进行神经电生理检查,包括脑干听觉诱发电位(BAEP)、四肢神经传导速度及针极肌电图(EMG)检测。分析受试者神经电生理检查结果。结果 40例慢性酒精中毒患者中,BAEP异常29例(72. 5%);周围神经运动传导及感觉传导均有不同程度的异常,EMG提示患者存在神经轴索损伤,其中表现出自发电位改变36例(90%)。结论神经电生理检查可反映慢性酒精中毒者神经损害的部位及程度,可为临床诊断及治疗提供参考依据。

Objective To investigate the diagnostic value of neuro-electrophysiological examination in the application of chronic alcoholism. Methods Forty patients with chronic alcoholism were randomly selected from January 2017 to December 2017,and 40 healthy subjects with no chronic peripheral nerve disease were selected as health group. All of the 80 subjects were subjected to electrophysiological examination,including brainstem auditory evoked potentials（ BAEP）,nerve conduction velocity of extremities and the detection of needle-electrode electromyography（ EMG）. The results of electrophysiological examination was analyzed among the subjects. Results Among the 40 patients with chronic alcoholism,there were 29 cases（ 72. 5%） of BAEP abnormality. The movement conduction and sensory conduction of peripheral nerves had different degrees of abnormality,EMG suggested that there was nerve axonal injury in the patients,which were 36（ 90%） and showed spontaneous potential change. Conclusions Electrophysiological examination can reflect the location and degree of nerve damage in patients with chronic alcoholism,and can provide reference for clinical diagnosis and treatment.