腦中風病人表面溫度 ，神經傳導和肌電波之研究

Surface Temperature, Nerve Conduction and Electromyography Studies in Hemiplegia

鍾進燈(Chinn-Dong Chung) ； 周崇頌(Chorng-Song Chou) ； 徐道昌(Tao-Chang Hsu)

《中華民國復健醫學會雜誌》 17期 (1989/12) Pp. 25-28

https://doi.org/10.6315/JRMA.198912.0007

摘要

上運動神經原損傷是否會造成下運動神經原病變，這個問題長久以來一直沒有定論，自1965年以來開始有學者利用腦中風（以下簡稱中風）病人做研究，結果亦不儘相同，本研究用30位中風病人，測量兩側上肢表面溫度，正中神經和尺神經之神經傳導速度，遠端潛期。振幅，和加電波變化，利用電腦分析，結果顯示中風早期，患側溫度較高，但是晚期溫度較低。神經傳導速度，兩側均較同年齡正常人減緩，患側較健側差，尺神經較正中神經顯著，兩側遠端潛期無明顯差異，患側之運動和感覺振幅均較健側低，肌電波顯示中風發病期間小於三個月者，約53%產生顫波或正向尖波，發病期間超過6個月者約33%產生顫波或正向尖波。

並列摘要

In 30 hemiplegic patients due to cerebrovascular accident, surface, motor nerve conduction velocity (MNCV), distal latency and amplitude of median and ulnar nerves were determined. After computer analysis, the data revealed that the surface temperatures of the affected side are lower than those of the unaffected side (32.2 ±0.6℃ ,33.8 ±0.9℃,P＜ 0.05), the MNCV is significantly lower in the affected side than in the unaffected side (Median:53.3±5.4m/sec,55.16.1 m/sec, P＜ 0.038.
Ulnar:53.7±4.9 m/sec.56.65.6 m/sec, P＜ 0.007),both motor and sensory amplitudes of median and ulnar nerves are lower in the affected side than in the unaffected side but no significant difference in sensory and motor distal latencies of both median and ulnar nerves are present. According to the finding of electromyographic study, about 53% of hemiplegic patients whose on set were less than 3 months had fibrillation or positive sharp waves. However only about 33% of patients whose on set were more than 6 months hand fibillation or positive waves. The findings suggest that the spastic wrist flexion may not produce carpal tunnel syndrome but the existence of a lower motor neuron abnormality can be induced by upper motor neuron lesion.

並列關鍵字

CVA ； NCV ； EMG ； surface temperature