首页|糖尿病性周围神经病变患者的神经电生理检查与结果分析

糖尿病性周围神经病变患者的神经电生理检查与结果分析

Nerve electrophysiological Examination and Result Analysis in Patients with Diabetic Peripheral Neuropathy

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目的 观察4种神经电生理检查在诊断糖尿病性周围神经病变中的应用价值.方法 选取2021年4月—2022年3月梧州市工人医院脑电图室收治的100例糖尿病周围神经病变确诊患者进行回顾性分析,根据其症状表现分为有症状组(n=59)与无症状组(n=41),再根据症状的程度将有症状组患者分为轻度(临床症状较轻)、中度(临床症状较为明显)和重度(临床症状明显且功能受累严重)分别为21例、25例和13例.对两组患者均予以运动神经传导速度检查(Motor Nerve Conduction Velocity,MCV)、感觉神经传导速度检查(Sensory Nerve Conduction Velocity,SCV)、交感皮肤反应检查(Skin Sympathetic Response,SSR),统计两组患者的3种神经电生理检查结果.结果 有症状组患者MCV(47.20±12.36)m/s、SCV(42.30±8.58)m/s、SSR(0.77±0.59)mV低于无症状组患者MCV(69.14±14.26)m/s、SCV(53.22±7.36)m/s、SSR(1.34±0.46)mV,差异有统计学意义(P均<0.05).不同病变程度患者神经电生理各指标水平比较,差异有统计学意义(P<0.05),且随着病变程度的加重,患者MCV、SCV和SSR呈下降趋势,差异有统计学意义(P均<0.05).结论 糖尿病患者随着周围神经病变病变程度的加重,其神经电生理各指标的越低,可知MCV、SCV、SSR用于糖尿病性周围神经病变及严重程度的诊断中具有较高的价值.
Objective To observe the application value of three nerve electrophysiological examinations in the diagno-sis of diabetic peripheral neuropathy.Methods A total of 100 patients with diabetic peripheral neuropathy admitted to the electroencephalogram Room of Wuzhou Workers Hospital from April 2021 to March 2022 were selected for retro-spective analysis.According to their symptoms,they were divided into symptomatic group(n=59)and asymptomatic group(n=41).According to the degree of symptoms,the patients in the symptomatic group were divided into mild(mild clinical symptoms),moderate(obvious clinical symptoms)and severe(obvious clinical symptoms and severe functional impairment),with 21 cases,25 cases and 13 cases,respectively.Motor nerve conduction velocity(MCV),sensory nerve conduction velocity(SCV)and sympathetic skin response(SSR)were performed in both groups.The re-sults of three kinds of nerve electrophysiological examination were statistically analyzed.Results The MCV(47.20±12.36)m/s,SCV(42.30±8.58)m/s and SSR(0.77±0.59)mV in the of symptomatic group.were lower than those group in the asymptomatic(69.14±14.26)m/s,(53.22±7.36)m/s and(1.34±0.46)mV,and the differences were statistically significant(all P<0.05).There were significant differences in the levels of neuroelectrophysiological indexes in pa-tients with different degrees of lesions(P<0.05).With the aggravation of lesions,the MCV,SCV and SSR of patients showed a downward trend,and the differences were statistically significant(all P<0.05).Conclusion As the degree of peripheral neuropathy in diabetic patients worsens,the lower the neuroelectrophysiological indicators become.It can be seen that MCV,SCV,and SSR have high value in the diagnosis of diabetic peripheral neuropathy and its severity.

Nerve electrophysiological examinationDiabetic peripheral neuropathyNerve conduction velocity

钟菊、关海天

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梧州市工人医院脑电图室,广西梧州 543001

神经电生理检查 糖尿病周围神经病变 神经传导速度

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(2)
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