性别对发展中国家城市健康成人神经传导速度的影响

Wasim Rahaman, M. Ghosh, A. Chaudhuri, S. Majumdar, M. Ghar, A. Biswas
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引用次数: 2

摘要

背景:性别对运动和感觉神经传导的振幅、持续时间和潜伏期有重要影响。目的:比较性别对印度东部城市人群上肢和下肢正中神经和胫骨神经传导特性的影响。材料与方法:选择年龄在18 - 60岁之间,无明显系统性疾病的健康成人60例(男30例,女30例)作为研究对象。对上肢的左右正中神经和下肢的左右胫神经进行神经传导研究。使用SPSS version 16对结果进行分析。结果:男性右侧正中神经近端和远端潜伏期较多;近端和远端振幅在女性中较多;神经传导速度男性多;f波潜伏期在男性中更多。左正中神经近端和远端潜伏期男性多;近端和远端振幅在女性中较多;神经传导速度男性多;f波潜伏期在男性中更多。右胫神经远端潜伏期男性多;近端和远端振幅在女性中较多;神经传导速度男性多;f波潜伏期在女性中更多。左侧胫神经远端潜伏期男性明显多于左侧胫神经;近端和远端振幅在女性中较多;神经传导速度男性多;f波潜伏期在女性中明显更多。结论:神经传导研究参数因性别而异。这种差异是由于身高、肢体长度、体重、身体质量指数、皮下组织的厚度和密度、肌肉质量的差异。在神经传导研究中必须考虑性别的影响,建立规范的数据供不同人群的神经生理实验室参考仍是必要的。
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Influence of gender on nerve conduction velocity in healthy adults in urban population of a developing country
Background: Gender plays important role on amplitude, duration and latency of motor and sensory nerve conduction studies. Aims: To compare the effect of gender on nerve conduction properties of upper and lower limbs in Median and Tibial nerves in an urban population of eastern India. Materials and methods: 60 healthy adults (30 male and 30 female volunteers) in the age group of 18 to 60 years without any significant present or past systemic illness were selected for the study. Nerve Conduction Study of both Right and Left Median nerve in case of Upper Limbs and both Right and Left Tibial nerve in case of Lower Limb were performed. Results were analysed using SPSS version 16. Results: In right median nerve Proximal and Distal Latency were more in males; Proximal and Distal Amplitude were more in females; Nerve Conduction Velocity was more in males; F-Wave Latency was more in males.In left median nerve Proximal and Distal Latency were more in male; Proximal and Distal Amplitude were more in females; Nerve Conduction Velocity was more in males; F-Wave Latency was more in males. In right Tibial nerve Distal Latency was more in males; Proximal and Distal Amplitude were more in females; Nerve Conduction Velocity was more in males; F-Wave Latency was more in females.In left tibial nerve Distal Latency was significantly more in males; Proximal and Distal Amplitude were more in females; Nerve Conduction Velocity was more in males; F-Wave Latency was significantly more in females. Conclusions: The Nerve Conduction Study Parametersvaries according to gender. This variation is due to difference in Height, Limb Length, Weight, BMI, Thickness and Density of subcutaneous tissue, Muscle Mass. Influence of gender must be taken into consideration during Nerve Conduction Study and establishing normative data for reference value of Neurophysiological Laboratories for different population remains essential.
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