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神经肌电图仪诊断不同病程糖尿病周围神经病变价值

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目的:研究神经肌电图仪诊断不同病程糖尿病周围神经病变的价值.方法:选取天津市东丽医院接收的144例糖尿病周围神经病变患者为研究对象,基于病程时间不同将其分为三组.研究1组病程时间<1年,共28例;研究2组病程时间1~10年,共52例;研究3组病程时间>10年,共64例.对三组患者均采用神经肌电图仪进行检查,观察三组运动神经传导速度、感觉神经传导速度、F波检测结果及异常情况.结果:研究2组和研究3组运动神经和感觉神经传导速度均显著低于研究1组(P<0.05),研究3组显著低于研究2组(P<0.05).研究2组和研究3组F波平均潜伏期和均F波离散度显著大于研究1组(P<0.05),研究3组显著大于研究2组(P<0.05).研究2组异常情况发生率显著高于研究1组(P<0.05),研究3组异常情况发生率显著高于研究2组(P<0.05).结论:神经肌电图仪检测指标与糖尿病周围神经病变患者病程密切相关,可用于临床病情诊断及评估.
The Value of Electroneuromyography in the Diagnosis of Diabetes Peripheral Neuropathy
Objective:To study the value of electroneuromyography in the diagnosis of diabetes peripheral neuropathy with different course of disease. Methods:144 patients with diabetes peripheral neuropathy received by Tianjin Dongli Hospital were selected as the research objects,and they were divided into three groups. Study group 1 (28 cases) had a disease course of less than 1 year,study group 2 (52 cases) had a disease course of 1-10 years,and study group 3 (64 cases) had a disease course of more than 10 years. Three groups of patients were examined using electroneuromyography to observe the motor nerve conduction velocity,sensory nerve conduction velocity,F-wave detection results,and abnormal conditions. Results:The conduction velocities of motor and sensory nerves in study group 2 and study group 3 were significantly lower than those in study group 1 (P<0.05),and study group 3 was significantly lower than study group 2 (P<0.05). The average latency and dispersion of F-waves in study group 2 and study group 3 were significantly higher than those in study group 1 (P<0.05),and study group 3 was significantly higher than study group 2 (P<0.05).The incidence of abnormal situations in study group 2 was significantly higher than that in study group 1 (P<0.05),and the incidence of abnormal situations in study group 3 was significantly higher than that in study group 2 (P<0.05),while study group 3 was significantly higher than that in study group 2 (P<0.05). Conclusion:The indexes detected by electroneuromyography are closely related to the course of diabetes peripheral neuropathy,and can be used for clinical diagnosis and evaluation.

electroneuromyographydiabetes peripheral neuropathycourse of diabetes

张杰、李越

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天津市东丽医院,天津 300300

神经肌电图仪 糖尿病周围神经病变 糖尿病病程

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(24)