神经电生理检测对糖尿病性周围神经病变的早期诊断价值  

Early diagnostic value of neuro-electrophysiology in Diabetic Peripheral Neuropathy

作　　者：张英慧[1] 何冬若[1] 

机构地区：[1]齐齐哈尔医学院第二附属医院神经电生理科,161000

出　　处：《中国医疗前沿》2010年第13期80-81,共2页China Healthcare Innovation

摘　　要：目的探讨神经电生理检测指标对糖尿病性周围神经病变的早期诊断价值。方法应用肌电图仪检测无临床神经症状2型糖尿病患者组75例和正常对照组60例,记录四肢感觉神经传导速度(SCV)和运动神经传导速度(MCV),同时记录皮肤交感反应(SSR)神经传导速度。结果糖尿病组中SCV异常率为38.7%～52%,MCV异常率为19%～25%;糖尿病组SCV平均数38.13m/s,MCV平均数45.36m/s;糖尿病组的SSR潜伏期延长,分别与对照组相比差异有统计学意义(p<0.01)。结论神经电生理检测(SCV、MCV、SSR)为糖尿病患者周围神经病变的早期诊断提供了客观依据。Objective To discussion on early diagnostic value of neuro-electrophysiology in Diabetic Peripheral Neuropathy.Methods The measurement of nervous electric physiological instrument was used to detect NCV and SSR,in order to compare the differences in 75 diabetic patients without clinical neurological symptoms and 60 normal group.Results Compared with the normal group,SCV and MCV and SSR was found to be significantly increased in DM group（p〈0.01）.The abnormality rate of SCV was 38.7%-52%.The abnormality rate of MCV was 19%-25%.The average of SCV was 38.13m/s,the average of MCV was 45.36m/s.Conclusion Neuro-electrophysiological examination might provide the objective basis in diagnostic measures of early diabetic neuropathy.

关 键 词：糖尿病 周围神经病变 神经传导速度 交感反应神经传导速度 

分 类 号：R741.044[医药卫生—神经病学与精神病学] R745[医药卫生—临床医学]