首页|神经电生理指标与糖尿病周围神经病变分级的相关性

神经电生理指标与糖尿病周围神经病变分级的相关性

Correlation between Neuroelectrophysiological Indexes and the Grade of Diabetic Peripheral Neuropathy

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目的 探讨糖尿病周围神经病变(Diabetic Peripheral Neuropathy,DPN)分级与神经电生理指标的相关性.方法 选取2022年3月—2023年6月滨州市中心医院收治的41例DPN患者作为DPN组,选取同期41名健康体检者作为对照组,均接受神经电生理指标检查,比较两组神经传导指标、不同病情分级神经传导指标,并分析DPN病情分级与神经电生理指标的相关性.结果 DPN组正中神经(Median Nerve,MN)、腓总神经(Common Peroneal Nerve,CPN)运动神经传导速度(Mean Corpuscular Volume,MCV)、波幅及MN、腓浅神经(Motor Conduction Velocity,SPN)感觉神经传导速度(Sensory Conduction Velocity,SCV)、波幅低于对照组,差异有统计学意义(P均<0.05).不同DPN分级MN、CPN MCV、波幅及MN、SPN SCV、波幅比较,差异有统计学意义(P均<0.05).相关性分析显示,DPN分级与MN、CPN MCV、波幅与MN、SPN SCV、波幅呈负相关(P均<0.05).结论 神经电生理指标与DPN分级具有相关性,能够对DPN分级进行有效判断,具有较高的诊断准确性.
Objective To investigate the correlation between the grade of diabetic peripheral neuropathy(DPN)and neuroelectrophysiological indexes.Methods Forty-one DPN patients admitted to Binzhou Central Hospital from March 2022 to June 2023 were selected as the DPN group,and Forty-one healthy people who underwent physical ex-amination during the same period were selected as the control group.All study objects were examined by neuroelectro-physiological indexes.The nerve conduction indexes of the two groups and the nerve conduction indexes of different disease grades were compared,and the correlation between DPN disease grades and nerve electrophysiological in-dexes was analyzed.Results The mean corpuscular volume(MCV)and amplitude of median nerve(MN)and common peroneal nerve(CPN),sensory conduction velocity(SCV)and amplitude of MN and motor conduction velocity(SPN)of DPN group were lower than those of control group,and the differences were statistically significant(all P<0.05).There were statistically significant differences in the amplitude of MN,CPN MCV and amplitude,and MN,SPN SCV and am-plitude among different grades of DPN(all P<0.05).Correlation analysis showed that DPN disease grade and ampli-tude,and MN,CPN MCV and was negatively correlated with MN and SPN SCV and amplitude(all P<0.05).Conclusion Neuroelectrophysiological indexes are correlated with DPN disease grading,which can effectively judge the disease grading of DPN and has high diagnostic accuracy.

Neuroelectrophysiological indexDiabetic peripheral neuropathyDisease classificationCorrelation

王冬玲、王胜男、张乐

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滨州市中心医院特检科,山东 滨州 251700

神经电生理指标 糖尿病周围神经病变 病情分级 相关性

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(8)