Mối tương quan giữa đặc điểm lâm sàng với hình ảnh điện sinh lý thần kinh trong tổn thương thần kinh trụ đơn độc=Correlation between clinical features and neuro electrophysiological features in the ulnar neuropathy

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Tác giả: Bá Tuấn Lê, Thị Định Nguyễn, Thị Hiền Nguyễn, Thị Quỳnh Mai Nguyễn, Văn Đan Nguyễn, Văn Hướng Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.111-120

Bộ sưu tập: Metadata

ID: 244814

Thêm vào giỏ

Nghiên cứu của chúng tôi được thực hiện với mục đích mô tả các đặc điểm lâm sàng và điện sinh lý thần kinh trong tổn thương thần kinh trụ đơn độc. Từ đó, phân tích mối liên quan giữa các đặc điểm lâm sàng với điện sinh lý thần kinh trong tổn thương dây thần kinh trụ đơn độc. Nghiên cứu mô tả cắt ngang trên 37 cánh tay bị bệnh của 32 người bệnh được chẩn đoán xác định tổn thương thần kinh trụ tại Bệnh viện Đại học Y Hà Nội và Bệnh viện Hữu Nghị từ tháng 7/20221 đến tháng 8/2022. Độ tuổi trung bình đối tượng nghiên cứu là 46,0 ± 16,2 (tuổi), chủ yếu là nam giới (65,6%), thời gian mắc bệnh trung bệnh 5,84 ± 8,06 (tháng), bệnh hay gặp nhất ở nhóm nghề nghiệp lao động chân tay (62,5%). Vị trí tổn thương hay gặp là tại rãnh thần kinh trụ với 24/37 trường hợp (64,9%). Theo phân loại Padua, mức độ tổn thương trên điện sinh lý hay gặp ở các nhóm rất nhẹ (32,4%), trung bình (29,7%) và nhóm nặng (29,7%). Có mối liên quan giữa mức độ tổn thương trên lâm sàng theo phân loại McGowan và phân độ điện sinh lý theo Padua với p <
0,001. Có sự liên quan rõ rệt giữa điểm trung bình DASH với phân độ điện sinh lý (p <
0,01). Có mối tương quan đồng biến giữa điểm trung bình DASH với phân độ điện sinh lý (mức độ tương quan cao với r = 0,612, p <
0,05).Our study was conducted to describe the clinical and neuroelectrophysiological data of ulnar neuropathy, and to analyze the correlation between clinical features and neuroelectrophysiological features in ulnar neuropathy. It was a cross-sectional study on 37 diseased arms of 32 patients diagnosed with ulnar neuropathy at Hanoi Medical University Hospital and Friendship Hospital from July 2021 to August 2022.The average age of the study subjects was 46.0 ± 16.2 years old, mainly male (65.6%), the average duration of the disease was 5.84 ± 8.06 months
the disease was most common in manual laborers (62.5%). The common lesion location was in the ulnar nerve groove with 24/37 cases (64.9%). According to the Padua classification, the degree of electrophysiological damage was common in the very mild (32.4%), moderate (29.7%) and severe (29.7%) groups. There was a correlation between the clinical damage level according to the McGowan classification and the Padua electrophysiological classification with p <
0.001. There was a significant correlation between the mean DASH score and the electrophysiological classification (p <
0.01). There was a positive correlation between the mean DASH score and the electrophysiological classification (high correlation with r = 0.612, p <
0.05).

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