摘要
目的:探讨神经肌电图对2型糖尿病周围神经痛变的应用价值。方法:收治2型糖尿病患者210例,分为观察Ⅰ组(有周围神经症状,113例)与观察Ⅱ组(无周围神经症状,97例),以同期健康体检的志愿者100例作为对照组,对比3组研究对象的肌电图及神经传导速度的变化。结果:3组研究对象的尺神经与正中神经SCV差异有统计学意义,且观察Ⅰ组的SCV显著低于对照组;3组研究对象的腓总神经的SCV与MCV差异有统计学意义,且观察Ⅰ组、观察Ⅱ组显著低于对照组,P<0.05,差异具有统计学意义。结论:2型糖尿病出现周围神经生理、病理异常多早于临床,肌电图感觉神经的传导速度是周围神经病变的有效观察指标。
Objective: To investigate the application value of nerve EMG in peripheral neuropathy of patients with type 2 diabetes mellitus.Methods:210 patients with type 2 diabetes mellitus were selected,they were divided into the observation group I(113 patients with peripheral nerve symptoms)and the observation group Ⅱ (97 patients without peripheral nerve symptoms).100 healthy volunteers served as the control group in the same period,we compared the changes of EMG and nerve conduction velocity of the 3 groups.Results:The SCV of ulnar nerve and median nerve of the 3 groups have significant differences,the SCV of the observation group Ⅰwas significantly lower than that of the control group.The differences of MCV and SCV of common peroneal nerve in the 3 groups were significantly different,the observation group Ⅰ and the observation group Ⅱ were significantly lower than those in the control group,the differences were statistically significant,P<0.05.Conclusion:The physiological and pathological abnormalities of peripheral nerve in patients with type 2 diabetes occurs much earlier than clinical,the sensory nerve conduction velocity of EMG is considered to be effective indicators for patients with peripheral neuropathy.
作者
车瑜桃
Che Yutao(The First People's Hospital of Honghe State,Yunnan Province 661100)
出处
《中国社区医师》
2016年第1期111-112,共2页
Chinese Community Doctors
关键词
神经肌电图
2型糖尿病
神经病变
Nerve electromyography
Type 2 diabetes
Neuropathy
