浅析自主神经病变及早期糖尿病周围神经的神经肌电图情况

摘要

Objective To study the nerve electromyography in patients with early diabetes mellitus and autonomic neuropathy.Methods 164 patients with diabetes research, on their median nerve, common peroneal nerve, tibial nerve motor nerve and the conduction velocity of median and peroneal, sural sensory nerve conduction velocity (SCV), median nerve F wave, H-reflex of tibial nerve and sympathetic skin response (SSR) for detection and analysis.Results The incidence of H reflex and SSR abnormality was higher in all patients, the more serious the patient's condition, the higher the abnormal probability.Conclusion The early stage of diabetes peripheral neuropathy can be judged by detecting the H-relfex of tibial nerve. The abnormal SSR is very important indicators, combined with nerve electromyography can have better judgment to the patient's illness.%目的：研究分析早期糖尿病和自主神经病变患者的神经肌电图情况。方法根据我院164例糖尿病患者进行研究，对正中神经、腓总神经、胫神经运动神经传导速度和正中、腓浅、腓肠感觉神经传导速度（SCV）、正中神经F波、胫神经H反射及交感神经皮肤反应（SSR）等进行检测和分析。结果全部患者的H反射和SSR异常发生率较高，患者病情越严重，其异常几率越高。结论糖尿病早期周围神经病变可以通过检测胫神经H反射来进行判断，SSR异常是重要指标，结合神经肌电图能够对患者的病情有较好的判断。