神经传导速度对Ⅱ型糖尿病周围神经病的早期诊断价值

THE EARLY DIAGNOSTIC VALUE OF NERVE CONDUCT VELOCITY IN PATIENTS WITH DIABETIC PERIPHERAL NEUROPATHY TYPE Ⅱ

目的:探讨神经传导速度(NCV)对Ⅱ型糖尿病性周围神经病(DPN)的早期诊断价值。方法:对80例Ⅱ型糖尿病患者行周围神经NCV的测定,以本室正常值为标准进行判定,同时行相关因素分析。结果:Ⅱ型糖尿病患者神经传导速度与正常值比较存在明显差异(p(0.01)。本组NCV异常63例,占78.8%,且以感觉神经传导速度(SCV)改变最明显。在所检神经中,下肢腓肠神经的异常率最高,为57例,占90.5%。患者NCV异常与有无临床症状及病程长短呈正相关。结论:周围神经NCV的检测有助于DPN的早期诊断。

Objective：To investigate the early diagnostic value of nerve conduct velocity（NCV）in patients with diabetic peripheral neuropathy（DPN）type 2.Method：The peripheral NCV of 80 patients with diabetes mellitus type 2 was examined and judged with normal value of our laboratory,and analysed relevant factors.Result：There are significant differences betwecn NCV of patient and normal value（P﹤0.01）.The of abnormal NCV are 63 cases（78.8%）in this group,and the most obvious change is SCV.The abnormal rate of sural nerve is highest in the nerves examined,which is 57cases（90.5%）.The abnormality of patientes′ NCV are positively related to the clinical symptoms and course of disease.Conclusion：The examination of peripheral nerve conduct velocity makes for the early diagnosis of DPN。