糖尿病患者小腿肌肉SWE硬度测量值与MNSI评分的相关性研究  

Study on correlation between SWE hardness measurement of calf muscle and MNSI score in patients with diabetes mellitus

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作  者:霍中元 赵红艳[1] 张莹[1] 张丹丹 田卫[2] HUO Zhongyuan;ZHAO Hongyan;ZHANG ying;ZHANG Dandan;TIAN wei(Department of Ultrasound,Lianyungang Hospital of Traditional Chinese Medicine,Lianyungang 222004,Jiangsu,China;Department of Diabetes Mellitus,Lianyungang Hospital of Traditional Chinese Medicine,Lianyungang 222004,Jiangsu,China)

机构地区:[1]连云港市中医院超声科,江苏连云港222004 [2]连云港市中医院糖尿病科,江苏连云港222004

出  处:《中国现代医生》2024年第19期50-53,共4页China Modern Doctor

基  金:南京医科大学康达学院2020年度科研发展基金(KD2020KYJJYB077)。

摘  要:目的 分析糖尿病患者小腿骨骼肌剪切波弹性成像(shear wave elastography,SWE)硬度测量值与密歇根神经筛查量表(Michigan neuropathy screening instrument,MNSI)评分的相关性。方法 选取2020年8月至2022年2月于连云港市中医院住院治疗的102例糖尿病患者为研究对象,根据MNSI评分将糖尿病患者分为A组(0分≤MNSI评分≤1分,20例)、B组(1分<MNSI评分≤2分,32例)、C组(2分<MNSI评分≤3分,26例)和D组(3分<MNSI评分≤4分,24例);选取同期30例志愿者为对照组。采用SWE检测受检者的小腿腓肠肌、胫骨前肌、腓骨肌不同张力状态下杨氏模量值并比较。采用Spearman等级相关检验MNSI评分与小腿肌肉杨氏模量值的关系。结果 随着MNSI评分的增加,各组受检者各小腿肌肉剪切波的杨氏模量值下降,组间比较差异均有统计学意义(P<0.05)。糖尿病患者的腓肠肌最大跖屈位、腓肠肌最大背屈位、胫骨前肌最大跖屈位及腓骨肌足内翻位的杨氏模量值均与MNSI评分呈负相关(P<0.05),其相关系数分别为-0.74、-0.73、-0.72、-0.75。结论 随着糖尿病患者周围神经病变加重,小腿肌肉剪切波硬度降低,SWE可协同MNSI评分综合评价糖尿病周围神经病变程度。Objective To analyze the correlation between shear wave elastography(SWE) hardness measurements of calf muscle in diabetic mellitus patients and Michigan neuropathy screening instrument(MNSI) score.Methods A total of 102 patients with diabetes mellitus who were hospitalized in Lianyungang Hospital of Traditional Chinese Medicine from August 2020 to February 2022 were selected as study object.According to MNSI score,diabetes mellitus patients were divided into group A(0 points ≤MNSI score ≤1 point,20 cases),group B(1 point < MNSI score≤2 points,32 cases),group C(2 points < MNSI score≤3 points,26 cases) and group D(3 points < MNSI score≤4 points,24 cases).Thirty normal volunteers were selected as control group.The values of Young modulus of calf gastrocnemius,tibialis anterior and peroneus were measured by SWE and compared under different tension states.Spearman correlation test was used to examine the relationship between MNSI score and Young modulus of calf muscle.Results With the increase of MNSI score,the Young modulus of each calf muscle shear wave decreased in all groups,and the differences between groups were statistically significant(P<0.05).Young modulus of maximum plantar flexion of gastrocnemius,maximum dorsiflexion of gastrocnemius,maximum plantar flexion of tibialis anterior and peroneus foot varus in diabetic patients were negatively correlated with MNSI score(P<0.05),and the correlation coefficients were -0.74,-0.73,-0.72 and -0.75,respectively.Conclusion With the aggravation of peripheral neuropathy in diabetes mellitus patients and the decrease of shear wave hardness of calf muscle,SWE can comprehensively evaluate diabetic peripheral neuropathy with MNSI score.

关 键 词:糖尿病 剪切波弹性成像 小腿肌肉 密歇根神经筛查量表 

分 类 号:R587.2[医药卫生—内分泌]

 

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