Avtor/Urednik     Hojs-Fabjan, Tanja
Naslov     Polineuropatija u bolesnika s kroničnim zatajenjem bubrega liječenih dugotrajnom hemodijalizom
Tip     monografija
Kraj izdaje     Zagreb
Založnik     Sveučilište u Zagrebu, Medicinski fakultet
Leto izdaje     2001
Obseg     str. 104
Jezik     cro
Abstrakt     Polyneuropathy (PNP) is one of the most common complication in the patients with chronic renal failure treated with maintenance hemodialysis (HD). The presence of PNP is influenced by age and gender, about the role of HD treatment duration on the presence of PNP controversial data are reported. The presence of PNP, its pathogenesis (axonal, demyelinating), the fibbers primary affected and the course of the disease are determined with electrophysiological parameters. The electrophysiological parameters present the quantitative index of PNP severity. Patients and methods. In our study 84 HD patients were included, 50 (59,3%) were men and 34 (40,5%) were female. Average age was 47,32 +- 14,4 years and average duration of HD treatment was 62,56 +- 55,9 months. 20 subjects with normal renal function represented the control group. There was no difference in age and gender between HD patients and control subjects. HD patients were divided into 3 groups (28 patients in each) according to the different duration of HD treatment. In group I were HD patients treated with maintenance HD up to 2 years, in group II patients treated between 2 to 7 years and in group III patients treated over 7 years. Each group was divided into 2 subgroups according to the age (cut-off: 47 years). The electrophysiological evaluations were performed with Medelec Saphire Premiere device. In the study we included electrophysiological parameters for evaluation of motor nerve functions (the distal latency and the amplitude of M wave, the shortest latency of F wave and the motor conduction velocity of median, ulnar, peroneal and tibial nerves) and for evaluation of sensory nerve functions (the latency and the amplitude of the ortodromic sensory action potentials and the sensory conduction velocity of median, ulnar and sural nerves). The electrophysiological evaluations were performed with surface electrodes. (Abstract truncated at 2000 characters).
Deskriptorji     KIDNEY FAILURE, CHRONIC
HEMODIALYSIS
POLYNEURITIS
UREMIA
ELECTROMYOGRAPHY
MEDIAN NERVE
ULNAR NERVE
PERONEAL NERVE
TIBIAL NERVE
SYNAPTIC TRANSMISSION