- 期刊
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
摘要
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 intercostal 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 C- SCI combined with phrenic nerve injury) is significantly less than the other groups. (2) The best recording position is on the 7th intercostal space.
並列摘要
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 intercostal 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 C- SCI combined with phrenic nerve injury) is significantly less than the other groups. (2) The best recording position is on the 7th intercostal space.
延伸閱讀
- 林曜男、許意璇、陳宜伶、蔡一如（2021）。【論文摘要】橫膈膜徒手放鬆對慢性頸痛患者之疼痛失能與橫膈移動性效應。物理治療，46(4)，335-335。https://doi.org/10.6215/FJPT.202112.P57
- 楊孟玲、鄭雅芩、洪淑雲、梁宇峰（2022）。【論文摘要】探討頸椎壓迫行椎間盤切除術後合併急性呼吸道阻塞之呼吸照護經驗。呼吸治療，21(2)，173-173。https://doi.org/10.6269/JRT.202207_21(2).0063
- 余孟蓉、葉惠玲、楊曜蓮（2023）。一位頸部僵直性脊椎炎行椎弓根減法截骨術之全期護理。馬偕護理雜誌，17(1)，61-71。https://doi.org/10.29415/JMKN.202301_17(1).0006
- 杜沅諰、莊淇源（2014）。The Mechanical Ventilator Weaning Experience of a Patient with Cervical Spinal Cord Injury。呼吸治療，13(2)，35-47。https://doi.org/10.6269/JRT.2014.13.2.04
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