肌电图在糖尿病周围神经病变诊断中的临床应用  

Clinical application of EMG in diabetic peripheral neuropathy diagnosis

作　　者：史琤莉[1] 田小平[2] 蒋军林[3] 

机构地区：[1]中南大学湘雅二医院肌电图室,湖南长沙410011 [2]湘西自治州吉首大学医院内科,湖南吉首416000 [3]湖南省中医药研究院附属医院脑病科,湖南长沙410006

出　　处：《中国现代医学杂志》2009年第6期888-889,893,共3页China Journal of Modern Medicine

摘　　要：目的探讨电生理检查对糖尿病周围神经病变的早期诊断价值。方法运用神经肌电图诱发电位仪检测144例糖尿病患者四肢运动神经传导速度(mcv),感觉神经传导速度(scv)。结果临床诊断为糖尿病周围神经病63例,经肌电图检查增加至99例,确诊率由43.75%上升到68.75%;在无症状的81例中经神经肌电图诊断异常为36例,异常率为44.44%。结论神经肌电图检查有利于提高糖尿病周围神经病的早期诊断。[Objective] To discuss electrophysiology on diabetic peripheral neuropathy in the value of early diagnosis. [Method] EMG nerve evoked potential equipment were used to detect 144 eases of diabetes patients with limb motor nerve conduction velocity （mcv）, sensory nerve conduction velocity （scv）. [Results] Clinical diagnosed 63 cases of diabetes peripheral neuropathy,the EMG made the number of diabetes patients increased to 99 eases. Diagnostic accurate rate rise from 43.75 percent to 68.75 percent. The diagnosis of 36 cases abnormal EMG in the 81 cases of asymptomatic. [ Conclusion] EMG will help improve the early diagnosis of diabetic peripheral neuropathy.

关 键 词：糖尿病周围神经病变 肌电图 

分 类 号：R587.1[医药卫生—内分泌]