摘要
目的探讨肌电图对糖尿病患者周围神经测试的临床价值及周围神经病变的影响因素。方法对我院门诊和住院的140例2型糖尿病患者采用肌电图仪对腓总神经、腓浅神经进行测定,结合临床资料分析病史、血糖、糖化血红蛋白(HbA1c)与周围神经病变的关系。结果肌电图测试结果与临床症状相符,具有神经症状的糖尿病患者轻收缩峰电压明显高于无神经症状的糖尿病患者,轻收缩峰平均时限延长,多相电位比数增大,病程长,血糖控制不佳,差异有统计学意义(P<0.05)。结论随着病程延长,周围神经传导速度下降,控制空腹血糖及HbA1c有助于延缓周围神经病变的进展。肌电图检测适用于临床检测糖尿病患者的神经功能。
Objective To study the clinical value of electromyogram in testing peripheral nerves in diabetic patients and the factors of peripheral neuropathy. Methods The common and superficial personal nerve of 140 type 2 diabetic patients by electromyogram were measured and the relationship between case history, blood glucose, glycosylated hemoglobin and peripheral neuropathy were analyzed. Results The result of electromyogram conformed to the clinical symptoms. Diabetic patients with neurological symptoms had higher voltage, prolonged time limit of light contract peak value, and increased multiphase electric potential compared with those without neurological symptoms, the course was longer and blood glucose was higher（P〈0. 05）. Conclusion The peripheral nerve conduction velocity decreases with the prolonged course of disease and the electromyogram is fit for reflecting the peripheral function in diabetic patients.
出处
《中国实用神经疾病杂志》
2008年第7期42-44,共3页
Chinese Journal of Practical Nervous Diseases
关键词
糖尿病
周围神经病变
肌电图
血糖
Diabetes
Peripheral neuropathy
Electromyogram
Blood glucose
