糖尿病颈动脉超声狭窄程度与神经电生理肌电图参数的相关性  

Correlation Between Ultrasonic Stenosis Degree of Carotid Artery and Neurophysiological Electromyography Parameters in Diabetic Patients

作　　者：赵秀芹 黄雷军[2] 曾维晨 邬军锋 ZHAO Xiu-qin;HUANG Lei-jun;ZENG Wei-chen;WU Jun-feng(Department of Neurology,Jinshan Hospital Affiliated to Fudan University,Shanghai 201508;Department of Ultrasound Medicine,Jinshan Hospital Affiliated to Fudan University,Shanghai 201508)

机构地区：[1]复旦大学附属金山医院神经内科,上海201508 [2]复旦大学附属金山医院超声医学科,上海201508

出　　处：《中国医疗器械信息》2022年第12期17-19,共3页China Medical Device Information

摘　　要：目的:探究糖尿病颈动脉超声狭窄程度与神经肌电图参数的相关性。方法:选取2020年4月~2021年12月在复旦大学附属金山医院就诊的115例糖尿病患者作为研究对象。根据患者超声颈动脉狭窄程度分为颈动脉狭窄<50%组(n=59)和颈动脉狭窄≥50%组(n=56)。所有入试者均进行颈动脉超声检查和肌电图检查,分析颈动脉超声狭窄程度与肌电图参数正中神经、尺神经、腓总神经感觉神经电位波幅(sensory nerve action potential,SNAP)间的相关性。结果:两组肌电图数据比较结果显示,两组间正中神经感觉神经波幅(SNAP)差异有统计学意义(P<0.05);两组间尺神经感觉神经波幅(SNAP)差异有统计学意义(P<0.001);两组间腓总神经感觉神经波幅(SNAP)差异有统计学意义(P<0.001)。结论:超声颈动脉狭窄程度与肌电图参数具有一定的相关性,当颈动脉狭窄程度≥50%时,应早期进行神经电生理肌电图检查。Objective:To explore the correlation between ultrasonic stenosis degree of carotid artery and neurophysiological electromyography parameters in diabetic patients.Methods:A total of 115 diabetic patients who visited to the Jinshan Hospital,Fudan University from April 2020 to December 2021 were selected as the research subjects.According to the degree of carotid artery stenosis on ultrasound,patients were divided into groups with carotid artery stenosis degree<50%group(n=59)and carotid artery stenosis degree≥50%group(n=56).All participants underwent carotid ultrasound and electromyography to analyze the correlation between the degree of carotid ultrasound stenosis and the electromyographic parameters of the median nerve,ulnar nerve,and common peroneal nerve sensory nerve action potentials(SNAP).Results:The comparison of electromyography data between the two groups showed that the difference in median nerve sensory nerve amplitude(SNAP)between the two groups was statistically significant(P<0.05);The difference in ulnar nerve sensory nerve amplitude(SNAP)between the two groups was statistically significant(P<0.001);There also had a statistically significant difference in the sensory nerve amplitude(SNAP)of the common peroneal nerve between the two groups(P<0.001).Conclusion:There is a certain correlation between the degree of carotid artery stenosis on ultrasound and neurophysiological electromyography parameters.When the degree of carotid artery stenosis is greater than 50%,neurophysiological electromyography parameters should be performed early.

关 键 词：糖尿病 神经电生理肌电图参数 颈动脉超声 

分 类 号：R587.2[医药卫生—内分泌]