452例2型糖尿病合并神经病变的临床特点  

The Clinical Characteristics of 452 Cases of Type 2 Diabetic Patients with Diabetic Neuropathy

作　　者：张军[1] 雷闽湘[1] 刘泽灏[1] 王爱民[1] 陈卓雄[1] 孙曙光[1] 

机构地区：[1]中南大学湘雅医院内分泌科,湖南长沙410008

出　　处：《中国医师杂志》2004年第6期744-746,共3页Journal of Chinese Physician

摘　　要：目的　总结 2型糖尿病合并神经病变的临床特点 ,探讨糖尿病性神经病变发病的危险因素。方法　回顾性分析 45 2例糖尿病性神经病变患者的临床表现特点 ,对相关因素作统计学分析。结果　周围神经病变临床表现较自主神经病变常见 ;脂代谢紊乱、病程和餐后高血糖与糖尿病性神经病变的发病呈正相关。结论　糖尿病性神经病变最常表现为周围神经病变 ;糖尿病性神经病变患病的危险因素为脂代谢紊乱。Objective To sum up the clinical characteristics of diabetic neuropathy (DN), and explore the risk factors of DN. Methods The Clincial characteristics of 452 cases of type 2 diabetic patients with DN were reviewed retrospectively, and the factors related with DN were statistically analyzed. Results Peripheral neuropathies were more common than automatic neuropathies in type 2 diabetes mellitus. Lipidic metabolism disturbance, long course of disease and poor control of postprandial hyperglycemia were positive correlation with the frequency of DN. Conclusion Peripheral neuropathy is the most common one in DN. The risk factors of DN include lipidic metabolism disturbance, long course of diabetes and bad control of systolic pressure.

关 键 词：2型糖尿病 神经病变 周围神经病变 脂代谢紊乱 

分 类 号：R587.1[医药卫生—内分泌] R741[医药卫生—内科学]