CAJ | 학술논문

目的探讨下肢感觉神经感觉神经传导速度(SCV)检测对糖尿病周围神经病变的早期诊断价值,为临床早期诊断该病提供参考.方法选取在我院住院及门诊就诊的2型糖尿病无周围神经病变症状的患者98例为研究对象.所有患者均接受神经肌电图的检测.对比患者上肢神经异常率和下肢神经异常率的检出情况;对比患者SCV异常率和运动神经传导速度(MCV)异常率的检出情况.结果本研究共检测神经784条,SCV异常率为15.31％(60/392),MCV异常率为21.43％(84/392),MCV异常率显著高于SCV异常率(x2=4.9,P＜0.05);上肢神经异常率为7.14％(28/392),下肢神经异常率为29.59％(116/392),下肢神经异常率显著高于上肢神经异常率(x2=65.88,P＜ 0.05).结论下肢感觉神经SCV检测有助于早期诊断糖尿病周围神经病变,为临床提供客观、准确的诊断依据,值得在临床上推广应用.
목적 탐토하지감각신경감각신경전도속도(SCV)검측대당뇨병주위신경병변적조기진단개치,위림상조기진단해병제공삼고.방법 선취재아원주원급문진취진적2형당뇨병무주위신경병변증상적환자98례위연구대상.소유환자균접수신경기전도적검측.대비환자상지신경이상솔화하지신경이상솔적검출정황;대비환자SCV이상솔화운동신경전도속도(MCV)이상솔적검출정황.결과 본연구공검측신경784조,SCV이상솔위15.31％(60/392),MCV이상솔위21.43％(84/392),MCV이상솔현저고우SCV이상솔(x2=4.9,P＜0.05);상지신경이상솔위7.14％(28/392),하지신경이상솔위29.59％(116/392),하지신경이상솔현저고우상지신경이상솔(x2=65.88,P＜ 0.05).결론 하지감각신경SCV검측유조우조기진단당뇨병주위신경병변,위림상제공객관、준학적진단의거,치득재림상상추엄응용.
Objective To investigate the value of sensory nerve conduction velocity (SCV) for early diagnosing diabetic peripheral neuropathy(DPN) and provide some references for early clinical diagnosis of this disease.Methods 98 patients with asymptomatic peripheral neuropathy in type 2 diabetes inpatients were selected as study objects.All patients were detected by electromyogram.The abnormal rates of upper and lower limbs' nerves were compared.The abnormal rates of SCV and motor nerve conduction velocity (MCV) were compared.Results 784 nerves were detected.The abnormal rate of SCV was 15.31％ (60/392),and that of MCV 21.43％ (84/392).The abnormal rate of MCV was significantly higher than that of SCV (x 2=4.9,P ＜ 0.05).The abnormal rate of upper limbs' nerve was 7.14％ (28/392),and that of lower limbs' nerves 29.59％ (116/392).The abnormal rate was significantly higher in lower than upper limbs' nerves (x 2=65.88,P ＜ 0.05).Conclusions Detecting the SCV of lower limbs is helpful for early diagnosing DPN,can provide some objective and accurate references for the clinical diagnosis of DPN,and is worth being clinically generalized.