肌电图检测对糖尿病周围神经病的诊断价值  

The Value of Electromyogram in the Diagnoses of Diabetic Complication-neurophathy

作　　者：沈静[1] 王晓玲[1] 谢向东[1] 杨光瑞[1] 符赛琼[1] 

机构地区：[1]昆明市中医医院功能科,昆明650011

出　　处：《昆明医学院学报》2003年第2期84-86,共3页Journal of Kunming Medical College

摘　　要：目的 :探讨肌电图检测对糖尿病周围神经病的诊断价值 .方法 :对 10 5例糖尿病患者进行肌电图检测并与 45例健康人进行对照 .结果 :糖尿病组之运动神经传导速度 (MCV)、感觉神经传导速度 (SCV)与健康人组比较均存在显著差异 (P <0 0 1) ,正中神经、尺神经、腓总神经及胫神经之MCV的远端潜伏期及正中神经、尺神经之SCV的波幅与健康人之间也存在显著性差异 (P <0 0 1) ;SCV与临床症状比较 :有症状肢体SCV异常率高于无症状肢体 (P <0 0 5 ) .结论 :神经传导速度的减慢为糖尿病周围神经病确实可靠的指标 ,并且提出MCV的远端潜伏期及SCV的波幅也应作为测定指标之一 。Objective: To explore the value of electromyogram in the diagnoses of the diabetic complication-neuropathy. Data sources and Approaches: Based on examination of 105 diabetes patients with electromyogram and a comparison with 45 people in the normal control group. Results: The comparison indicated that a striking difference exists between diabetes patients and people in the normal control group in terms of the MCV of motor nerve and the SCV (P<0.01) of sensory nerve, the distal part incubation period of the MCV of median nerve, ulnar nerve, sural nerve and tibial nerve as well as the SCV amplitude (P<0.01). The comparison indicates a higher rate of SCV abnormity in patients with limb symptoms than those without (P<0.05). Conclusion: The slow-down of MCV provides not only a reliable evidence of the diabetic complication-neuropathy, but also a basis for the measurement of the distal part incubation period of the MCV and the SCV amplitude. A strengthened examination of limb symptoms is of great help to the diagnosis of the diabetic complication-neuropathy.

关 键 词：糖尿病周围神经病 诊断 肌电图 检测 神经传导速度 远端潜伏期 波幅 

分 类 号：R587.2[医药卫生—内分泌] R741.044[医药卫生—内科学]