吉林大学学报（医学版）Issue(6)：1247-1251,5.DOI:10.13481/j.1671-587x.20140625
肌电图在糖尿病性周围神经病和酒精中毒性周围神经病诊断及鉴别诊断中的应用价值
Application values of electromyography in diagnosis and differential diagnosis of diabetic polyneuropathy and alcoholic peripheral neuropathy
摘要
Abstract
Objective To study the features and differences of electromyography of diabetic polyneuropathy (DPN) and alcoholic peripheral neuropathy (APN ), and to provide reference basis for the clinical application of electromyography.Methods 58 patients with DPN and 30 patients with APN were used as subjects. Nerve conduction studies (NCS)and sympathetic skin response (SSR)were performed in the patients, all data were analyzed.Results In the patients with DPN, the abnormalities of NCS and SSR were increased with the prolongation of the time diabetes,and the abnormality of SSR was higher than that of NCS(P<0.05).In the patients with APN, both demyelination and axonal loss in motor and sensory nerves were significantly involved, and the abnomalities of NCS and SSR were higher than those of the DPN patients (P<0.05 or P<0.01);but the proximal nerves were just involoved mildly. Conclusion Both DPN and APN have characteristic electrophysiological features.Early electromyography is useful for the early diagnosis of DPN and APN.According to the electrophysiological features of DPN and APN,the reason of peripheral neuropathy in the patients who have diabetes mellitus and alcoholism could be differentiated.关键词
肌电图/糖尿病性周围神经病/酒精中毒性周围神经病/神经传导检测/交感神经皮肤反应Key words
electromyography/diabetic polyneuropathy/alcoholism peripheral neuropathy/nerve conduction studies/sympathetic skin response分类
医药卫生引用本文复制引用
逄紫千,叶玉琴,李秋明..肌电图在糖尿病性周围神经病和酒精中毒性周围神经病诊断及鉴别诊断中的应用价值[J].吉林大学学报（医学版）,2014,(6):1247-1251,5.基金项目
吉林省科技厅自然科学基金资助课题 （）
