2型糖尿病周围神经的电生理改变及其影响因素  

The Electrophysiological Manifestation of the Peripheral Nerves in NIDDM Patients and Possible Risk Factors

作　　者：郭思颖[1] 丁晶[1] 董继宏[1] 汪昕[1] 朱一皓[2] 韩荣[1] 

机构地区：[1]复旦大学附属中山医院神经内科,上海200032 [2]复旦大学附属中山医院肌电图室,上海200032

出　　处：《中国临床医学》2001年第1期64-66,共3页Chinese Journal of Clinical Medicine

摘　　要：目的 :观察 2型糖尿病周围神经的电生理改变及其影响因素。方法 :回顾分析了 6 0例 2型糖尿病患者的临床、电生理及实验室检查资料。结果 :周围神经有电生理改变的患者占糖尿病患者的 71.6 % ,分别比较所检神经的各项电生理测定值与患者病程和果糖胺及糖化血红蛋白发现 :和患者病程显著相关的是正中神经运动支的潜伏期延长和腓总神经的传导速度减慢。结论 :病程和糖尿病性微血管病是影响患者出现周围神经病变的危险因素之一 ,电生理检查中正中神经和腓总神经的检测意义较大。Objective: To detect the electrophysiological manifestation of the peripheral nerves in NIDDM (non-insulin-dependent diabetes mellitus)patients and their possible risk factors. Methods: The clinical records of 60 NIDDM patients in Zhongshan Hospital were analyzed retrospectively. Results: Among the 60 patients, 43 (71.67%) had an abnormal electrophysioligical changes of the peripheral nerves. Conclusion: The chronic course of DM and the concommitant diabetic microvessel disease may be significantly associated with the electrophysiological abnormalities.

关 键 词：周围神经 患者 2型糖尿病 病程 腓总神经 电生理改变 正中神经 目的 影响 资料 

分 类 号：R587.1[医药卫生—内分泌] R746.4[医药卫生—内科学]