糖尿病患者肌电图的测定及其临床意义

摘要

Objective To understand the advantages and affective factors of nerve conduction velocity (NCV) in the diagnosis of diabetic peripheral neuropathy (DPN). Methods A combination of biochemical test and electrocardiogram detection were applied to 112 diabetic patients to make a comparison between the motor nerve conduction velocity (MCV) and sensory nerve conduction velocity (SCV) of electrocardiogram detection and homologous clinical symptom and physical signs. Results The abnormal NCV rate was 69.60％; the conformance of MCV, SCV to clinical symptom was 70.89％, 60.83％, and 62.52％ (the former was SCV of upperlimb, and the latter was that of lowerlimb). The abnormal NCV rate of type Ⅰ diabetic patients was 75.00％, higher than 68.75％ of type Ⅱ diabetic patients (P＜ 0.001). Conclusion Ifthe disease progress and blood sugar level of the patients can not be effectively controlled, it would have unfavorable impact on the DPN of diabetic patients.%目的 了解测定神经传导速度(NCV)在诊断糖尿病患者外周神经病变(DPN)方面的优势及有关影响因素.方法 采用生化检验与肌电图检测相结合的方法,对112例糖尿病患者测定的运动神经传导速度(MCV)和感觉神经传导速度(SCV)与相应的临床症状、体征作了对比分析.结果 NCV异常率为69.60%,MCV与临床的符合率为70.89%,SCV的符合率为60.83%(上肢)、62.52%(下肢).NCV异常率为Ⅰ型糖尿病患者高于Ⅱ型糖尿病患者,分别为75.00%和68.75%(P<0.001).结论 糖尿病病程或血糖控制不好会对糖尿病患者DPN产生不利的影响.