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114例糖尿病患者神经电生理特征与相关因素分析

黄开梅 刘兵 赵中

中国实用神经疾病杂志Issue(3):17-18,2.
中国实用神经疾病杂志Issue(3):17-18,2.

114例糖尿病患者神经电生理特征与相关因素分析

Analysis of electroneurophysiological and correlation factor in 114 patients with type 2 diabetes

黄开梅 1刘兵 1赵中1

作者信息

  • 1. 南京医科大学附属苏州医院 苏州市立医院东区 神经内科苏州 215001
  • 折叠

摘要

Abstract

Objective To observe the characteristics of electroneurography in type 2 diabetic patients ,and the related risk factors of diabetic peripheral neuropathy. Methods Nerve conduction velocity was measured in 114 patients with type 2 diabe-tes. The age ,course of disease ,fasting blood sugar ,glycosylated hemoglobin ,low-density lipoprotein ,blood pressure and blood homocysteine between patients with diabetic peripheral neuropathy and diabetic patients with normal nerve conduction were compared. Results Ninety-four diabetic peripheral neuropathy and 20 normal nerve conduction in 114 diabetic patients. Motor nerve fibers damage:the erro ratio of median nerve on the right was 31% ,which was 19% on the left ;the erro ratio of ulnar nerve on the right was 9% ,which was 9% on the left;the erro ratio of posterior tibialr nerve on the right was 16% ,which was 23% on the left ;the erro ratio of common peroneal nerve on the right was 28% ,which was 29% on the left. Sensory nerve fi-bers damage:the erro ratio of median nerve on the right was 63% ,which was 49% on the left ;the erro ratio of ulnar nerve on the right was 26% ,which was 27% on the left ;the erro ratio of posterior tibialr nerve on the right was 70% ,which was 67%on the left ;the erro ratio of superfical peroneal nerve on the right was 67% ,which was 61% on the left ;the erro ratio of sural nerve on the right was 50% ,which was 47% on the left. The course of disease ,fasting blood sugar ,glycosylated hemoglobin , low-density lipoprotein ,blood homocysteine in patients of diabetic peripheral neuropathy were higher than normal nerve con-duction diabetic patients. Conclusion The main nervous lesion are sensory fiber ,lower limbs nerve fibers damaged heavier ;course of disease ,fasting blood sugar ,glycosylated hemoglobin ,low-density lipoprotein and blood homocysteine are related risk factors of diabetic peripheral neuropathy.

关键词

糖尿病/周围神经病变/肌电图/危险因素

Key words

Diabetes/Peripheral neuropathy/Nerve conduction/Danger factor

分类

医药卫生

引用本文复制引用

黄开梅,刘兵,赵中..114例糖尿病患者神经电生理特征与相关因素分析[J].中国实用神经疾病杂志,2016,(3):17-18,2.

中国实用神经疾病杂志

1673-5110

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