摘要
糖尿病神经病变(DN)是糖尿病最常见的并发症之一,其中1/4的患者有症状,约半数患者有客观体征,95%的患者经详细的神经功能检查可发现周围神经损伤的客观证据.遗憾的是,临床医生缺乏对这种病理状态的认识,即便对有症状的DN患者的诊断率也不到1/3[1].
出处
《中华糖尿病杂志》
CAS
CSCD
2014年第4期212-215,共4页
CHINESE JOURNAL OF DIABETES MELLITUS
参考文献42
-
1Herman WH, Kennedy L. Underdiagnosis of peripheral neuropathy in type 2 diabetes[J]. Diabetes Care,2005,28 : 1480-1481.
-
2Umapathi T, Tan WL, Loke SC, et al. Intraepidermal nerve fiber density as a marker of early diabetic neuropathy [ J ]. Muscle Nerve, 2007,35:591-598.
-
3Quattrini C, Tavakoli M, Jeziorska M, et al. Surrogate markers of small fiber damage in human diabetic neuropathy [ J ]. Diabetes, 2007,56:2148-2154.
-
4Loseth S, Stalberg E, Jorde R, et al. Early diabetic neuropathy: Thermal thresholds and intraepidermal nerve fibre density in patients with normal nerve conduction studies [ J ]. J Neurol, 2008,255 : 1197-1202.
-
5Tesfaye S, Bouhon AJ, Dyck PJ, et al. Diabetic neuropathies: Update on definitions, diagnostic criteria, estimation of severity, and treatments[J]. Diabetes Care, 2010,33:2285-2293.
-
6Chao CC, Hsieh SC, Yang WS, et al. Glycemic control is related to the severity of impaired thermal sensations in type 2 diabetes [J]. Diabetes Metab Res Rev,2007 ,23 :612-620.
-
7Sorensen L, Molyneanx L, Yue DK. The level of small nerve fiber dysfunction does not predict pain in diabetic neuropathy: a study using quantitative sensory testing[J].Clin J Pain, 2006,22:261-265.
-
8Jimenez-Cohl P, Grekin C, Leyton C, et al. Thermal threshold: Research study on small fiber dysfunction in distal diabetic polyneuropathy[ J]. J Diabetes Sci Techuol,2012, 6:177-183.
-
9贾志荣,王洪霞,石昕,梁为,孙相如,黄一宁.定量温度觉阈值检查在糖尿病周围神经病诊断中的应用[J].中华神经科杂志,2008,41(10):661-665. 被引量:14
-
10Lauria G, Devigili G. Skin biopsy as a diagnostic tool in peripheral neuropathy. Nature clinical practice [ J ]. Neurology, 2007,3:546-557.
二级参考文献81
-
1刘明生,胡蓓蕾,崔丽英,汤晓芙,杜华,李本红.糖尿病周围神经病700例临床与神经电生理分析[J].中华内科杂志,2005,44(3):173-176. 被引量:125
-
2徐迎胜,郑菊阳,张朔,张俊,康德碹,樊东升.接触性热痛诱发电位检测方法的建立及在腕管综合征中的应用[J].中华医学杂志,2007,87(5):321-324. 被引量:11
-
3Archer AG. The natural history of acute painful neuropathy in diabetes mellitus. J Neurol Neurosurg Psychiatry, 1983,46:491- 499.
-
4Holland NR, Crawford TO, Hauer P, et al. Small-fiber sensory neuropathy: clinical course and neuropathy of idiopathic cases. Ann Neurol, 1998,44:47-59.
-
5Tobin K, Giuliani MJ, Lacom D. Comparison of different modalities for detection of small fiber neuropathy. Clin Neurophysiol, 1999, 110: 1909-1912.
-
6Torigoe K, Numata O, Yazaki S, et al. Sympathetic skin response in diabetic children : do diabetic children have diabetic neuropathy? Pediatr Int, 1999,41:631-636.
-
7Lee JE, Shun CT, Hsieh SC, et al. Skin Denervation in Vasculitic Neuropathy. Arch Neurol, 2005,62 : 1570-1573.
-
8Vinik AI, Erbas T, Stansberry KB, et al. Small fiber neuropathy and neurovascular disturbances in diabetes mellitus. Exp Clin Endocrinol Diabetes, 2001,109 : S451 -S473.
-
9Dyck PJ, Giannini C. Pathological terations in the diabetic neuropathies of humans: a review. Neuropathol Exp Neurol, 1996,55 : 1181-1193.
-
10Nazhel B, Yetkin I, Irkec C, et al. Sympathetic skin response in diabetic neuropathy. Elecrophyogn clin Neurophysio, 2002, 42: 181-185.
共引文献81
-
1周佳,郭文毅.角膜神经相关研究方法的进展[J].中国眼耳鼻喉科杂志,2008,8(3):196-197. 被引量:1
-
2王正敏.听觉生理[耳显微外科2007版(四)][J].中国眼耳鼻喉科杂志,2008,8(3):200-203.
-
3周佳,郭文毅.角膜神经相关眼病的研究进展[J].眼科研究,2008,26(6):473-476. 被引量:6
-
4刘晓燕,朱学军.糖尿病性角膜神经病变的研究进展[J].国际眼科杂志,2008,8(7):1438-1440. 被引量:9
-
5肖波.重视糖尿病周围神经病的早期诊断和防治[J].中华神经科杂志,2008,41(10):649-652. 被引量:11
-
6崔蓓,柳林.可调节人工晶状体的研究进展[J].国际眼科杂志,2008,8(10):2094-2096.
-
7邢国平,李斌,刘娜,张哲成,朱炬,张静.40例糖尿病患者接触性热痛诱发电位与神经传导分析[J].天津医药,2009,37(5):374-376. 被引量:5
-
8余瑶,冯烈.糖尿病周围神经病变检查方法的研究现状[J].国际内分泌代谢杂志,2009,29(5):328-331. 被引量:5
-
9唐彦,谈跃.糖尿病周围神经病变的诊断进展[J].中国现代医生,2010,48(1):9-11. 被引量:29
-
10陈燕,何育生,陈玉辉,王戈鹰,侯辉光.皮肤交感反应对糖尿病自主神经病的诊断价值[J].癫痫与神经电生理学杂志,2010,19(1):34-37. 被引量:1
同被引文献21
-
1Tavakoli M, Petropoulos IN, Malik RA. Corneal confocal microscopy to assess diabetic neuropathy: an eye on the foot [J]. J Diabetes Sci Technol, 2013,7(5):1179-1189.
-
2Mailer LJ, Marfurt CF, Kruse F, et al. Corneal nerves: structure, contems and function[J]. Exp Eye Res, 2003,76(5): 521-542.
-
3Papanas N, Ziegler D. Corneal confocal microscopy: a new technique for early detection of diabetic neuropathy[J]. Curr Diab Rep, 2013,13(4):488-499.
-
4Hyndiuk RA, Kazarian EL, Schultz RO, et al. Neurotrophie corneal ulcers in diabetes mellitus[J]. Arch Ophthalmol, 1977, 95(12):2193-2196.
-
5Yamada J, Dana MR, Sotozono C, et al. Local suppression of IL- 1 by receptor antagonist in the rat model of corneal alkali injury[J]. Exp Eye Res, 2003,76(2):161-167.
-
6Rosenberg ME, Tervo TM, Immonen IJ, et al. Corneal structure and sensitivity in type 1 diabetes mellitus[J]. Invest Ophthalmol Vis Sci, 2000,41(10):2915-2921.
-
7Quattrini C, Tavakoli M, Kallinikos P, et al. Comparing skin biopsy with corneal confocal microscopy: diagnostic yield of nerve fiber density. Diabetologia,2010,53(Sappl 1): A1114.
-
8Ahmed A, Bril V, Orszag A, et al. Detection of diabetic sensorimotor polyneuropathy by corneal confocal microscopy in type 1 diabetes: a concurrent validity study[J]. Diabetes Care, 2012,35(4):821-828.
-
9Ziegler D, Papanas N, Zhivov A, et al. Early detection of nerve fiber loss by corneal confocal microscopy and skin biopsy in recently diagnosed type 2 diabetes[J]. Diabetes, 2014,63(7): 2454-2463.
-
10Halpern EM, Lovblom LE, Orlov S, et al. The impact of common variation in the definition of diabetic sensorimotor polyneuropathy on the validity of corneal in vivo confocal microscopy in patients with type l diabetes: a brief report[J]. J Diabetes Complications, 2013,27(3):240-242.
-
1最新2型糖尿病防治指南(七)(2010版)[J].健康指南(中老年),2012(1):14-15.
-
2温维斌,刘凤英.α硫辛酸联合甲钴胺治疗糖尿病周围神经病变的临床研究[J].山西医药杂志(下半月),2010,39(10):995-996. 被引量:6
-
3张在强.多管齐下治疗糖尿病周围神经病变[J].糖尿病之友,2013(6):56-57.
-
4诸葛毅,俎德玲.R—R间期呼吸差对植物神经功能检查的意义[J].临床荟萃,1998,13(7):304-305. 被引量:1
-
5张茹.胃肠道神经功能检查及其临床应用[J].陕西医学杂志,1999,28(10):604-606. 被引量:1
-
6孙青,梁晓春.糖尿病周围神经病变辨证分型及辨证论治研究现状[J].医学研究杂志,2010,39(6):16-19. 被引量:5
-
7张涛静,高彦彬,谢培凤,周晖,商学征,关崧.中药泡洗与甲钴胺治疗糖尿病周围神经病变效果比较[J].中国乡村医药,2011,18(10):36-37. 被引量:3
-
8张涛静.糖尿病周围神经病变的中医药综合治疗[J].糖尿病之友,2009(6):54-55.
-
9马纪红,郝少龙,程笑婷,袁鹰.SUDOSCAN对2型糖尿病远端对称性多发性神经病变的诊断价值[J].中华医学杂志,2017,97(15):1170-1174. 被引量:5
-
10章文俊,刘小兰.α-硫辛酸治疗2型糖尿病周围神经病变52例分析[J].浙江临床医学,2013,15(11):1671-1672. 被引量:3