糖尿病患者周围神经传导速度的分析

Nervc Conduction Velocity in Diabetes Mellitus Patients

为能早期诊断糖尿病患者周围神经疾病，对临床确诊的97例Ⅱ型糖尿病患者行周围神经传导速度（NCV）测定。结果：NCV较正常减慢，异常率为43％～59％；下肢异常率高于上肢；感觉神经传导速度异常率高于运动神经传导速度。患者的NCV与血糖值无明显关系，与病程长短呈正相关。结合临床，使糖尿病周围神经病检出率由19％提高到71％。提示：周围神经传导速度的检测有助于早期诊断糖尿病性周围神经病。

Nerve conduction velocity (NCV) was detected in 97 patients with diabetes mellitus of type Ⅱ. The results showed that the abnormality rate of the lower extremities was higher than that of the upper ones. The sensory conduction velocity (SCV) was more sensitive than muscular conduction velocity (MCV), especially the sural nerve. In combination with the clinical manifestation, the diagnosis rate for diabetic neuropathy was increased from 19 % to 71 %. It was believed that NCV might be of valuable in the early diagnosis of diabetic neuropathy.