558 Journal of Ningxia Medical University 33 6 2011 6 1674-6309 2011 06-0558 - 04 1 2 3 3 1. 750004 2. 750004 3. 750004 39 CTS 40 20 40 CSA P < 0. 05 CSA MNCV r = - 0. 933 P < 0. 01 R445. 1 A cubital tunnel syndrome CTS 34 4 1 20 1-2 40 2 19 ~ 66 30. 6 ± 11. 2 3 1. 2 1. 2. 1 GE LOGIQ9 4 12L 9 ~ 14MHz 1. 2. 2 10cm 1 1. 1 2009 2-2010 5 CSA / 39 27 12 CSA / CSA 18 ~ 71 49 ± 1340 CSA 18 10 cm 10 cm 11 10 CSA CSA CSA 2010-12 - 07 XM 200949 1982 - E - mail YXF 58121 @Yahoo. cm. cn 1. 3 SPSS 11. 5
6. 559 CSA ± x 珋 ± s t P < 0. 05 Pearson 2 2. 1 1 4 2. 2 16 3 38 CTS CSA MNCV 2 2. 5 4 39 30 5 10 6 10 7 7 9 3 7 4 7 4 7 3 3 3 CTS 4 2. 3 CSA P < 0. 05 1 1 CSA / /% CSA /% 40 197. 01 ± 52. 12 238. 05 ± 63. 64 40 99. 03 ± 13. 21 * 113. 78 ± 21. 02 * P < 0. 05 2. 4 CTS CSA motor nerve conductionvelocity MNCV 3 MNCV CSA r = - 0. 933 P < 7 0. 01 4 3
560 33 23 7 1069-1071. 3 2 ~ 5 cm 2 ~ CTS 5cm 5-7 CTS CSA CSA 1 Dell PC Sforzo CR. Ulnar intrinsic anatomy and dysfunction J. Hand Ther 2005 18 2 198-207. 2 Mondelli M Giannini F Ballerini M et al. Incidence of CSA 197. 01 ± 52. 12 % 238. 05 ± 63. 64 % 99. 03 ± 13. 21 % ulnar neuropathy at the elbow in the province of Siena 113. 78 ± 21. 02 % J. Neurol Sci 2005 234 2 5-10. 3. J. 2002 42 12 55-56. 8 4. J. 2007 5 Weisler ER Chloros GD Cartwright MS. Ultrasound in 39 1 the diagnosis of ulnar neuropathy at the cubital tunnel J. Hand Surg Am 2006 31 7 1088-1093. 6 Beekman R Van Der Plas JP et al. Clinical electrodiagnostic and sonographic studies in ulnar neuropathy at 38 the elbow J. Muscle Nerve 2004 30 2 202-208. MNCV 7 Beekman R Schoemaker MC Van Der Plas JP et al. CSA MNCV Diagnostic value of high - resolution sonography in ulnar CSA neuropathy at the elbow J. Neurology 2004 62 5 767-773. 8. J. 2007 23 2 98-100. High Frequency Ultrasonographic in Diagnosis of Cubital Tunnel Syndrome HUANG Rui - na 1 YE Xiu - fang 2 LIU Nan - ping 3 ZHOU Li - min 3 1. Ningxia Medical Univercity Yinchuan 750004 2. Department of Ultrasound the General Hospital of Ningxia Medical University Yinchuan 750004 3. Department of Electrophysiology the General Hospital of Ningxia Medical University Yinchuan 750004 Abstract Objective To explore the value of high - resolution ultrasonography US in diagnosis of cubital tunnel syndrome. Methods 39 patients with cubital tunnel syndrome CTS 40 elbows were selected as
6. 561 limb group and 15 healthy volunteers were selected as normal control group. All subjects underwent Ultrasound US of the ulnar nerve. The findings of US measurement were compared with those of intra - operative and pre - operative electromyography. Results Detection of ulnar nerve compression with High - frequency ultrasound was high in both of limb group and control group. The thickness swelling rate of the ulnar nerve and the cross - sectional area CSA showed a significant difference between two groups P < 0. 05. The CSA and the ulnar nerve motor conduction velocity MNCV in group Limb showed significantly negative correlation r = - 0. 933 P < 0. 01. Conclusion High - frequency ultrasound is a painless non - invasive convenient way in dynamic real - time observation of signs of ulnar nerve compression. It has important reference value for diagnosis of cubital tunnel syndrome. Key words ulnar neuropathy cubital tunnel syndrome ultrasound entrapment neuropathy 546 Clinical Efficacy and Prognostic Value of Atorvastatin on Patients with Acute Cerebral Infarction YANG Ping 1 ZHANG Li - fang 2 GU Shu e 1 MA Da - wei 1 CHENG Jiang 3 DU Yan - hui 3 1. Ningxia Medical University Yinchuan 750004 2. Department of Neurology the General Hospital of Ningxia Medical University Yinchuan 750004 3. The Department of Neurophysiology the General Hospital of Ningxia Medical University Ningxia 750004 Abstract Objective To investigate the clinical efficacy and early prognostic value of atorvastatin in patients with acute cerebral infarction. Methods 70 patients with acute cerebral infarction were randomly divided into control group and atorvastatin group. The patients in the control group received conventional therapy while those in the atorvastatin group was administrated orally with 20mg of Atorvastatin. The indices of total cholesterol TC triglyceride TG lowerdensity lipoprotein - cholesterol LDL - C high density lipoprotein - cholesterol HDL - C C - reactive protein CRP carotid artery ultrasound and the carotid artery intima - media thickness IMT were compared respectively in the groups before and after treatment of the first month and the third month. Plaque area and plaque Crouse points were detected in patients with cerebral infarction. All patients were followed up for 6 months. Results 1 After 1 month treatment LDL - C and CRP levels in atorvastatin group significantly reduced compared with those before treatment P < 0. 01 and CRP also decreased in the control group P < 0. 05. After 3 months treatment in the atorvastatin group TC and LDL - C and CRP significantly reduced compared with those before treatment and after 1 month treatment P < 0. 05. 2 There was no significant difference on IMT between the two groups before treatment P > 0. 05 and after 1 month treatment the above was also no significant difference P > 0. 05. After 3 months treatment in the atorvastatin group the IMT significantly decreased P < 0. 01 Plaque area was no significant difference between the two groups P > 0. 05 Crouse score in the atorvastatin group were significantly lower than that in the control group P < 0. 05. 3 ADL score significantly increased in patients of atorvastatin group after six months treatment P < 0. 05. Conclusion Atorvastatin had early lipid - lowering and antiinflammatory effects on patients with acute cerebral infarction. It could stabilize or reverse the carotid artery plaque and improve the early prognosis. Key words acute cerebral infarction atorvastatin carotid artery ultrasound prognosis