136例糖尿病性末梢神经炎的肌电图分析

Analysis of 136 Cases of Diabetic Peripheral Neuritis by Electromyography

作者分析136例糖尿病患者胫后神经、正中神经总共278条神经的运动神经传导速度,24例31条神经的感觉神经传导速度及17例25块肌肉的针极肌电图检查结果。其中67条运动神经末端潜伏期延长占24.1％;203条神经运动传导速度减慢占73.0％;29条神经感觉神经传导速度减慢占93.5％;25块肌肉中,13块肌肉神经源性损害占52.0％;并结合文献报道对检查结果进行了讨论。指出肌电图检查对糖尿病性末梢神经炎的早期诊断有一定价值。可以提高糖尿病性末梢神经炎的检出率。

The authors analysed the motor velocity of altogether 278 nerves (including the postereior tibial nerves and the median ones)of 136 patients with diapetes mellifus, and sensory velocity of 31 nerves in 24 cases as well as the results of electromyographic examination of 25 pieces of muscles in 17 cases. of 67 nerves, the distal motor latency prolonged (24.1％), the motor velocity lowered in 203 nerves (73.0％), and sensory velocity lowered in 29 nerves (93.5％), but of 25 pieces of muscles, 13 had nervous damage (52％). The authors discussed the results of the examination in association with the lieratures and pointed out that the electromyographic examination has certain value in the early diagnosis of diabetic nerve ending inflammation.