2型糖尿病患者肌电图变化及临床意义  

The change and clinical significance of electromyogram in type 2 diabetic patients.

作　　者：李玫玫[1] 

机构地区：[1]上海市静安区中心医院内分泌科,200040

出　　处：《中国实用内科杂志》2005年第3期263-264,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的　探讨肌电图对糖尿病患者周围神经测试的临床价值 ;并探讨周围神经病变的影响因素。方法　于 2 0 0 4 - 0 1～ 0 4上海市静安区医院 2 3例糖尿病患者空腹血糖、糖化血红蛋白和餐后 2h血糖 ,采用肌电图仪对腓总神经、腓浅神经进行测定。结果　肌电图测试结果与临床症状相符 ,具有神经症状的糖尿病患者轻收缩峰电压明显高于无神经症状的糖尿病患者 ,轻收缩峰平均时限延长 ,多相电位比数增大 (P <0 .0 0 1) ;病程明显较长 ,空腹血糖和餐后血糖控制不佳 ,差异有显著意义 (P <0 . 0 5 )。结论　高血糖的长期作用是造成糖尿病周围神经病变 (DPN)的基础因素 ,肌电图检测适用于临床检测糖尿病患者的神经功能。Objective To study the clinical ralue of electromyogram in te sting peripheral nerves in diabetic patients and study the factors affecting per ipheral nearopathy. Methods FBG, 2HBG, HbA1c and electromyogram of nerves peronaeus communis and superficialis were measured in 2 3 diabetic patients. Result The result of electromyogram accord ed with clinical symptoms. Diabetic patients with neurological symptoms had higher voltage, prolo nged time limit of light contract peak value, and increased multiphase electric p otential compared with those without neurological symptoms (p<0.001). They also had long course of disease and high level of FBG and 2HBG(0.02<p<0.05). Conclusion The long-term effect of high blood sugar is a basic factor for diabetic peripheral ne uropathy (DPN). The electromyogram is fit for reflecting the peripheral function in diabetic patients.

关 键 词：肌电图 糖尿病患者 空腹血糖 2型糖尿病 临床意义 餐后血糖 腓总神经 上海市静安区 结论 基础因素 

分 类 号：R587.1[医药卫生—内分泌] R743[医药卫生—内科学]