4种表面肌电图指标的统计学意义分析

Gleb O. Bondarenko
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摘要

在严重创伤性脑损伤、脑卒中和任何急性脑功能不全患者的床边进行强化神经监测对于预防继发性缺血性和缺氧损伤至关重要。多位作者估计,创伤性脑损伤(TBI)是35岁以下人群死亡和严重残疾的最常见原因。此外,男性患创伤性脑损伤的可能性是女性的2到3倍。创伤性脑损伤可导致继发性损伤,造成长期的神经和神经精神后果,这是一个全球性的重大公共卫生问题。一些研究已经证明了与帕金森病(PD)相关的正常和异常肌肉电活动之间的差异。一些方法已经发展到使用肌电图(EMG)作为诊断PD相关运动症状的工具,如僵硬、步态障碍和震颤。由于中枢神经系统多巴胺缺乏引起肌肉活动的变化,PD患者的肌电图信号与正常人不同。在重症监护病房治疗急性(TBI,中风等)和各种病因的慢性脑功能不全(CCI)期间,以及在神经外科,耳鼻喉科和其他干预术中,直接在床边使用表面和刺激肌电图是迫切的,但由于使用现代设备和检查时间长,困难重重。在神经外科、耳鼻喉科和其他干预过程中,对各种病因的CCI,在救护车团队的床边直接使用表面肌电图和刺激肌电图也是迫切需要的,但由于使用现代设备和检查时间长,这种方法很困难。
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Analysis of statistically significant indicators for the 4 types of surface electromyography
Intensive neuromonitoring at the bedside of patients with severe traumatic brain injury, cerebral stroke, and any acute cerebral insufficiency is crucial for preventing secondary ischemic and hypoxic damage. Multiple authors estimate that traumatic brain injury (TBI) is the most common cause of death and severe disability in people under the age of 35. In addition, men are 2 to 3 times more likely to suffer from TBI than women. TBI can lead to a process of secondary damage that causes long-term neurological and neuropsychiatric consequences, which is a significant public health issue globally. Some studies have demonstrated differences between normal and abnormal muscle electrical activity associated with Parkinson's disease (PD). Some methods have been developed to use electromyography (EMG) as a tool to diagnose motor symptoms associated with PD, such as stiffness, gait disturbance, and tremor. Due to changes in muscle activity caused by a lack of dopamine in the central nervous system, the EMG signal in PD patients shows a different pattern than in a normal person. The use of surface and stimulation EMG directly at the bedside in the intensive care unit during the treatment of acute (TBI, stroke, etc.) and chronic cerebral insufficiency (CCI) of various etiologies, as well as intraoperatively during neurosurgical, otolaryngological, and other interventions, is urgent but difficult due to the use of modern equipment and the length of the examination. The use of surface and stimulation EMG directly at the bedside of the ambulance team in the case of CCI of various etiologies during neurosurgical, otorhinolaryngological, and other interventions is also urgent but difficult due to the use of modern equipment and the length of the examination.
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