中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
2015年
5期
454-456
,共3页
糖尿病%腕管综合征%肌电图%超声检查
糖尿病%腕管綜閤徵%肌電圖%超聲檢查
당뇨병%완관종합정%기전도%초성검사
Diabetes%carpal tunnel syndrome%electromyography%ultrasonography
目的:探讨电生理检查对糖尿病患者的腕管综合征的诊断价值.方法:选取糖尿病患者25例(实验组)及10例健康体检者(对照组),采用神经肌电图仪器测定所有受试者神经传导速度并进行比较.结果:两组正中神经运动传导末端潜伏期(5.01±1.37)ms、(3.15±0.55)ms、指1-腕感觉神经传导速度(45.56±8.69)m/s、(57.90±2.47)m/s、指3-腕感觉神经传导速度(42.03±11.59)m/s、(58.20±3.08)m/s及环指正中/尺神经感觉传导潜伏期差值(1.50±1.50)ms、(0.12±0.06)ms,差异具有统计学意义(P<0.05),尺神经运动传导末端潜伏期(2.73 ± 0.21) ms、(2.67 ± 0.13) ms及指5- 腕感觉神经传导速度(57.78 ± 3.26)m/s、(59.20±2.49)m/s均无统计学意义(P>0.05),应用超声检查观察实验中患者正中神经横截面积,诊断腕管综合征阳性率为77%.结论:通过电生理检查,可以早期发现糖尿病患者的腕管综合征,结合超声检查更好地显示中晚期神经受压情况及程度,对患者实施准确治疗及提高患者的生活质量.
目的:探討電生理檢查對糖尿病患者的腕管綜閤徵的診斷價值.方法:選取糖尿病患者25例(實驗組)及10例健康體檢者(對照組),採用神經肌電圖儀器測定所有受試者神經傳導速度併進行比較.結果:兩組正中神經運動傳導末耑潛伏期(5.01±1.37)ms、(3.15±0.55)ms、指1-腕感覺神經傳導速度(45.56±8.69)m/s、(57.90±2.47)m/s、指3-腕感覺神經傳導速度(42.03±11.59)m/s、(58.20±3.08)m/s及環指正中/呎神經感覺傳導潛伏期差值(1.50±1.50)ms、(0.12±0.06)ms,差異具有統計學意義(P<0.05),呎神經運動傳導末耑潛伏期(2.73 ± 0.21) ms、(2.67 ± 0.13) ms及指5- 腕感覺神經傳導速度(57.78 ± 3.26)m/s、(59.20±2.49)m/s均無統計學意義(P>0.05),應用超聲檢查觀察實驗中患者正中神經橫截麵積,診斷腕管綜閤徵暘性率為77%.結論:通過電生理檢查,可以早期髮現糖尿病患者的腕管綜閤徵,結閤超聲檢查更好地顯示中晚期神經受壓情況及程度,對患者實施準確治療及提高患者的生活質量.
목적:탐토전생리검사대당뇨병환자적완관종합정적진단개치.방법:선취당뇨병환자25례(실험조)급10례건강체검자(대조조),채용신경기전도의기측정소유수시자신경전도속도병진행비교.결과:량조정중신경운동전도말단잠복기(5.01±1.37)ms、(3.15±0.55)ms、지1-완감각신경전도속도(45.56±8.69)m/s、(57.90±2.47)m/s、지3-완감각신경전도속도(42.03±11.59)m/s、(58.20±3.08)m/s급배지정중/척신경감각전도잠복기차치(1.50±1.50)ms、(0.12±0.06)ms,차이구유통계학의의(P<0.05),척신경운동전도말단잠복기(2.73 ± 0.21) ms、(2.67 ± 0.13) ms급지5- 완감각신경전도속도(57.78 ± 3.26)m/s、(59.20±2.49)m/s균무통계학의의(P>0.05),응용초성검사관찰실험중환자정중신경횡절면적,진단완관종합정양성솔위77%.결론:통과전생리검사,가이조기발현당뇨병환자적완관종합정,결합초성검사경호지현시중만기신경수압정황급정도,대환자실시준학치료급제고환자적생활질량.
Objective To discuss the value of electrophysiology diagnosis on diabetic patients with carpal tunnel syndrome. Methods Twenty-five cases of diabetic patients (experimental group) and 10 healthy subjects (control group) were reviewed. Electromy-ography equipment was used to measure the nerve conduction velocities of all subjects and then the velocities were compared. Results The differences of median nerve distal motor latency, (5.01 ± 1.37) ms、(3.15 ± 0.55) ms, the sensory conduction velocities of finger 1-wrist (45.56±8.69) m/s、(57.90±2.47)m/s, finger3-wrist (42.03± 11.59) m/s、(58.20 ± 3.08) m/s and the ring finger LAT differences of median nerve and ulnar nerve (1.50 ± 1.50) ms、(0.12 ± 0.06) ms were statistically significant(P<0.05), the distal motor latency of ulnar nerve (2.73 ± 0.21) ms、(2.67 ± 0.13) ms and the sensory conduction velocities of finger 5-wrist (57.78 ± 3.26) m/s、(59.20 ± 2.49) m/s showed no difference (P>0.05). Using ultrasound examination to observe the median nerve cross-sectional area of the experimental group patients showed the positive rate of carpal tunnel syndrome was 77%. Conclusion By electrophysiological examination carpal tunnel syndrome of diabetic patients can be discovered earlier, with combination of ultrasound the presence and severity of compression can be displayed better, thus to implement accurate treatment for better results.
