118例糖尿病患者的体感诱发电位研究  

Study on Somatosenso, ry Evoked Potential in 118 Diabetic Patients

作　　者：杨邦兰[1] 张幸运[1] 林延德 王国华[1] 

机构地区：[1]广州军区广州总医院,510010

出　　处：《中华物理医学杂志》1997年第1期10-12,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：方法:对已确诊Ⅱ型(非胰岛素依赖型)糖尿病的118例患者进行了体感诱发电位(SEP)观察。结果:SEP正常28例(23.7%),异常90例(76.3%)。其异常发生率与年龄、病程、血糖控制情况有显著相关性。即年龄大、病程长及长期血糖控制差的患者SEP异常率高。结果还显示,有神经系统症状的患者SEP多为异常,而临床尚未出现神经系统症状者SEP也可出现异常改变。结论:该检查对糖尿病性神经病变的早期诊断有一定价值。Methods: The somatosensory evoked potential(SEP) of 118 patients diagnosed as non-insulin dependent diabetic mellitus was observed. Results: Normal SEP cases were 28(23.7%), and abnormal SEP cases were 90(76.3%). The abnormal rate had obvious relation with the patients' age, course of disease, control of blood glucose. The abnormality increased in the patients with high age, long course and poor longterm control of blood glucose. The result also showed that SEP was mostly abnormal in the patients with nervous system symptoms, and SEP of the patients without clinical nervous system symptoms could also have abnormal changes. Conclusion: SEP examination had a certain value in early diagnosis of diabetic neuropathies.

关 键 词：糖尿病 糖尿病性神经病 诊断 诱发电位 

分 类 号：R587.204[医药卫生—内分泌]