感觉神经定量检测在糖尿病周围神经病诊断中的应用价值

Application research on quantitative detection of sensory nerves in diagnosis of diabetic peripheral neuropathy

目的：探讨感觉神经定量检测在糖尿病周围神经病诊断中的应用价值。方法对我院内分泌科2013-05—2014-10住院的108例糖尿病患者，男70例，女38例；年龄18～83岁，平均54.96岁，进行感觉神经定量检测。结果感觉神经定量检测正常患者8例（7.4％），感觉神经定量检测异常，诊断为周围神经病患者100例（92.6％），在异常患者中，有无髓鞘神经纤维（C纤维）损伤81例（75％），早期神经损伤41例（40.0％）。结论感觉神经定量检测可以准确、客观地检测糖尿病周围神经病，并可检测早期神经损伤，且作为一种无创的检测，患者依从性强，很适用于临床。

Objective To investigate the application research on quantitative detection of sensory nerves in diagnosis of dia-betic peripheral neuropathy （DNP）.Methods 108 cases with diabetes in endocrinology of our hospital from May 2013 to Octo-ber 2014 were selected and analyzed by quantitative detection of sensory nerves.Results The quantitative detection showed that 8 patients （7.4% ） were with normal sensory nerve ,100 patients （92.6% ） were diagnosed with diabetic peripheral neuropathy based on abnormal sensory nerves ,among which the injury of non-myelinated nerve fibers （C fibers） accounted for 81 cases （75% ） ,earlier nerve damage （hyperesthesia） occupied 41 cases （40.0% ）.Conclusion Quantitative detection of sensory nerves can accurately and objectively detect diabetic peripheral neuropathy ;It is useful for early diagnosis as a non-invasive detection.