CAJ | 학술논문

目的：探讨老年糖尿病肾病患者与糖尿病非肾病患者足部神经泌汗功能和血管病变情况差异。方法随机选取我院门诊收治的老年糖尿病合并糖尿病肾病患者50例和单纯糖尿病患者50例，采用欧米诺汗印法评定开始变色时间和完全变色时间，采用足部筛查实验评价患者的足部神经病变状况，采用测量踝－臂指数（ABI）判断患者的血管病变情况。结果糖尿病肾病患者双足的欧米诺开始变色时间和完全变色时间均显著高于糖尿病非肾病患者（p ＜0．01）。糖尿病肾病患者中70％存在周围神经病变，41％存在血管病变均显著高于糖尿病非肾病患者（p ＜0．05）。结论老年糖尿病肾病患者足部泌汗功能差且神经病变和血管病变率高。
목적：탐토노년당뇨병신병환자여당뇨병비신병환자족부신경비한공능화혈관병변정황차이。방법수궤선취아원문진수치적노년당뇨병합병당뇨병신병환자50례화단순당뇨병환자50례，채용구미낙한인법평정개시변색시간화완전변색시간，채용족부사사실험평개환자적족부신경병변상황，채용측량과－비지수（ABI）판단환자적혈관병변정황。결과당뇨병신병환자쌍족적구미낙개시변색시간화완전변색시간균현저고우당뇨병비신병환자（p ＜0．01）。당뇨병신병환자중70％존재주위신경병변，41％존재혈관병변균현저고우당뇨병비신병환자（p ＜0．05）。결론노년당뇨병신병환자족부비한공능차차신경병변화혈관병변솔고。
Objective To study the difference of foot sweet nerve function and vasculopathy between elderly diabetic patients combined with nephropathy or not .Methods A total of 50 elderly diabetic patients combined with nephropathy and 50 elderly diabetic patients combined without nephropathy were included in this study .Neuropad test were adopted to determine the foot sweet nerve function by recorded the beginning and completement of colour change . The foot screening experiment were adopted to determine the foot nerve function and ABI were adopted to determine the vasculopathy.Results The beginning and completement of colour change time in patients combined with ne -phropathy were significantly longer than those in control group (p <0.01).There were 70% patients combined with peripheral neuropathy and 42% combined with vasculopathy in patients with nephropathy , which were significantly higher than those in control group (p <0.05).Conclusion The foot sweet nerve function in elderly diabetic patients combined with nephropathy is worse than patients without nephropathy which has a worse foot sweet nerve function and vasculopathy.