糖尿病患者的电诊断评估:基于 72 名糖尿病患者的病例系列研究。

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of Family Medicine and Primary Care Pub Date : 2024-09-01 Epub Date: 2024-09-11 DOI:10.4103/jfmpc.jfmpc_2035_23
Suchitra Dube, Sandip M Hulke, Avinash E Thakare, Sagar Khadanga, Santosh L Wakode, Rajay N Bharshankar, Abhijit Pakhare
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引用次数: 0

摘要

糖尿病周围神经病变(DPN)是糖尿病最常见的并发症之一,因此需要进行神经传导检查(NCS)来检测神经病变的类型。讨论糖尿病患者的神经传导研究结果。博帕尔 AIIMS 的生理学部门与该研究所的医学部门合作开展了一项观察性研究。72 名确诊的 2 型糖尿病 (T2DM) 患者接受了 NCS(Nihon Kohden Neuropack XI 机器)检查。数据汇编和结果分析使用 Microsoft Excel。根据 NCS,94% 的患者异常,6% 正常。在异常患者中,89%为非对称性受累,5%为对称性受累。约 74% 患有混合性神经病变,11% 患有运动神经病变,10% 患有感觉神经病变。60%的患者有混合性受累,35%的患者有轴索受累,5%的患者正常。主要表现为下肢受累。最常见的双侧受累运动神经是腓总神经,占 49% 的病例,而最常见的双侧受累感觉神经是鞍神经,占 59% 的病例。在 32% 的病例中,左侧胫神经是最常见的单侧受累运动神经,而在 54% 的病例中,左侧鞍神经是最常见的受累感觉神经。糖尿病患者的感觉运动受累是不对称的,并伴有混合受累(轴索+脱髓鞘)。腓总神经和硬膜神经分别是最常见的双侧受累运动神经和感觉神经。同样,左胫神经和左侧硬膜神经分别是最常见的单侧受累运动神经和感觉神经。
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Electrodiagnostic evaluation in diabetes mellitus: A study based on case series in 72 diabetic patients.

Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes; so, a nerve conduction study (NCS) is conducted to detect the type of neuropathy that is present. To discuss the NCS findings in diabetic patients. An observational study was conducted in the Physiology Department of AIIMS, Bhopal, in collaboration with the Medicine Department of the Institute. Seventy-two diagnosed type 2 diabetes mellitus (T2DM) patients were examined using NCS (Nihon Kohden Neuropack XI Machine). Microsoft Excel was utilized for data compilation and result analysis. Based on NCS, 94% of patients were abnormal, and 6% were normal. Of abnormal patients, 89% had asymmetrical involvement, and 5% had symmetrical involvement. About 74% had mixed neuropathy, 11% had motor neuropathy, and 10% had sensory neuropathy. Mixed involvement was seen in 60% of patients and axonal involvement in 35% of patients, and 5% were normal. Lower limb involvement was seen predominately. The most common bilaterally involved motor nerve was the peroneal nerve, seen in 49% of cases, whereas the most common bilaterally involved sensory nerve was the sural nerve involved in 59% of cases. The left tibial nerve was the most common unilaterally involved motor nerve seen in 32% of cases, and the left sural nerve was the most common sensory nerve involved in 54% of cases. Asymmetric sensorimotor involvement with mixed involvement (axonal + demyelinating) was seen in diabetic patients. Peroneal and sural nerves were the most common bilaterally involved motor and sensory nerves, respectively. Similarly, the left tibial and left sural nerves were the most common unilaterally affected motor and sensory nerves, respectively.

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