交感神经皮肤反应在糖尿病性周围神经病诊断中的应用

Clinical value of sympathetic skin reaction in diabetic peripheral neuropathy

目的探讨交感神经皮肤反应(SSR)在糖尿病性周围神经病诊断中的应用。方法选择郑州人民医院2017年1月至2018年1月确诊的120例糖尿病患者作为观察组,另选取80例健康体检人群作为对照组。检测两组交感神经皮肤反应(SSR)。结果观察组中,上肢SSR异常者88例,下肢异常者99例,10例上肢以及下肢SSR均消失。对照组均可引出SSR。和对照组相比,观察组SSR潜伏期更长,波幅更低(P<0.05)。观察组患者下肢SSR异常率高于上肢(P<0.05)。结论对糖尿病患者进行交感神经皮肤反应检测,能够及早发现糖尿病患者周围神经并发症,使患者可以及早接受治疗,改善预后,提高患者生存质量。

Objective To investigate the clinical value of sympathetic skin reaction (SSR) in diabetic peripheral neuropathy.MethodsOne hundred and twenty diabetes patients diagnosed in Zhengzhou People's Hospital from January 2017 to January 2018 was selected as the observation group, and 80 healthy people were selected as the control group. The SSR was tested.ResultsIn the observation group, there were 88 cases of upper limb SSR abnormalities, 99 cases of lower limb abnormalities, and 10 cases of upper limb and lower limb SSR disappeared. In the control group, SSR was induced in all of the 80 people. Compared with the control group, the latency period of SSR in the observation group was longer and the amplitude was lower (P<0.05). In the observation group, the abnormal rate of SSR in lower extremities was significantly higher than that of upper extremities (P<0.05).ConclusionsThe detection of sympathetic skin reaction in diabetic patients can detect the peripheral nerve complications of diabetic patients at an early stage, so that patients can receive treatment early, improve the prognosis and improve the quality of life of patients.