糖尿病足溃疡患者肌电图腓神经传导速度的差异及其影响因素分析  

Difference of Electromyography Phrenic Nerve Conduction Velocity and Its Influencing Factors in Patients with Diabetic Foot Ulcer

作　　者：杨琼 YANG Qiong(Department of Endocrinology,Dehong People's Hospital,Mangshi,Yunnan Province,678400 China)

机构地区：[1]德宏州人民医院内分泌科,云南芒市678400

出　　处：《糖尿病新世界》2020年第2期10-11,共2页Diabetes New World Magazine

摘　　要：目的分析糖尿病足溃疡患者和未出现足部溃疡的糖尿病患者其肌电图检查腓神经传导速度的差异及影响因素。方法选取2016年1月—2019年1月该院100例糖尿病患者进行回顾性分析,其中50例糖尿病足溃疡患者为观察组,另50例糖尿病但未出现足部溃疡的患者为对照组,对比其腓神经传导速度的差异并分析其原因。结果观察组的腓神经传导速度慢于对照组,两组患者在白细胞计数、中性粒细胞比例、血红蛋白、白蛋白、踝肱指数(ABI)方面差异有统计学意义(P<0.05)。结论糖尿病患者出现足部溃疡的主要因素是周围神经出现病变,导致糖尿病患者周围神经病变的因素有血糖控制程度不好、胰岛功能较差、贫血等。因此,要想预防或改善糖尿病足溃疡,就要控制好血糖指标,增强患者的胰岛功能。Objective To analyze the differences and influencing factors of sacral nerve conduction velocity in patients with diabetic foot ulcer and diabetic patients without foot ulcer.Methods A retrospective analysis was performed in 100 patients with diabetes mellitus from January 2016 to January 2019 in the hospital.Among them,50 patients with diabetic foot ulcers were in the observation group,and 50 patients with diabetes mellitus but no foot ulcers were used as the control group.The differences in sacral nerve conduction velocity were compared and analyzed.Results The phrenic nerve conduction velocity of the observation group was slower than that of the control group.There were statistically significant differences in white blood cell count,neutrophil ratio,hemoglobin,albumin and sputum index(ABI)between the two groups(P<0.05).Conclusion The main cause of foot ulcer in diabetic patients is the peripheral nerve lesions,which lead to peripheral neuropathy in diabetic patients,such as poor glycemic control,poor islet function,and anemia.Therefore,in order to prevent or improve diabetic foot ulcers,it is necessary to control the blood glucose index and enhance the patient's islet function.

关 键 词：糖尿病足 肌电图 腓神经 传导速度 差异 

分 类 号：R587.2[医药卫生—内分泌]