肌电图的概述
- Author
- Steven H Horowitz, MD
Steven H Horowitz, MD
- Adjunct Clinical Professor of Neurology
- Tufts University School of Medicine
- Section Editor
- Jeremy M Shefner, MD, PhD
Jeremy M Shefner, MD, PhD
- Section Editor — Neuromuscular Disease
- Professor and Chair of Neurology, Barrow Neurological Institute
- Professor of Neurology, University of Arizona, Phoenix
- Clinical Professor of Neurology, Creighton University
- Deputy Editor
- John F Dashe, MD, PhD
John F Dashe, MD, PhD
- Deputy Editor — Neurology
- Translators
- 黄旭升, 主任医师,教授
黄旭升, 主任医师,教授
- 中国人民解放军总医院神经内科
引言
肌电图(electromyography, EMG)是记录单根或多根肌纤维电活动的临床检查。这些电活动可通过表面电极或针电极记录,针电极在临床上更常用。在插入针电极时、静息状态时(自发活动)和肌肉自主收缩时对肌纤维电活动进行评估[1]。
本专题将总结EMG的基本原理。有关EMG临床应用的详细讨论参见关于各具体疾病的其他专题综述。神经传导研究将在别处讨论。 (参见“神经传导检查概述”和“神经传导检查:晚反应”)
针电极
针电极可测定两点间的电位差,常用的有单极针电极或同心针电极[1]。
●使用单极针电极时,针电极作为电活动的记录点,一定距离外的一个表面电极作为参考电极
●同心针电极的外观很像皮下注射针头,其中心的一根细金属丝作为记录电极,针套管作为参考电极
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To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:Literature review current through: 2017-06 . | This topic last updated: 2017-01-24.The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2017 UpToDate, Inc.References- Daube JR, Rubin DI. Needle electromyography. Muscle Nerve 2009; 39:244.
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