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目的:评价2型糖尿病患者的平衡功能并分析其特点,分析本体觉、视觉、前庭觉在平衡维持中的权重。方法:研究对象分为对照组(37例)和糖尿病组(33例),分别进行硬平板和泡沫板的睁、闭眼共计6种感觉模式的平衡功能测试。结果:1在前后方向,糖尿病组的本体觉、视觉及前庭觉评分分别为93.96±7.95、80.22±16.24、70.87±20.99,对照组分别为98.00±2.18、91.44±6.01、80.44±7.81,2组比较均差异有统计学意义(P<0.05)。2在侧方向,糖尿病组的视觉及前庭觉评分分别为80.39±12.60、73.96±16.04,对照组分别为92.11±4.50、83.18±9.45,差异有统计学意义(P<0.05);而本体觉评分2组差异无统计学意义(P>0.05)。3稳定极限范围对照组、糖尿病组分别为(176.47±44.13)mm2、(143.13±62.30)mm2,差异有统计学意义(P<0.05)。4糖尿病患者中头晕组和无头晕组的感觉结构评分及稳定极限范围差异无统计学意义(P>0.05)。结论:2型糖尿病患者出现平衡能力下降,在维持平衡的3种感觉结构中,以前庭觉和视觉明显下降为主要特点。
OBJECTIVE: To evaluate the balance function of patients with type 2 diabetes mellitus and to analyze their characteristics, and to analyze the weights of proprioceptive, visual and vestibular balance in balance maintenance. Methods: The subjects were divided into control group (n = 37) and diabetes mellitus (n = 33). The balance function tests of six sensory modes of hard and foam plates were performed respectively. Results: 1 In the anteroposterior direction, the body sensory, visual and vestibular scores of diabetic group were 93.96 ± 7.95, 80.22 ± 16.24 and 70.87 ± 20.99, respectively, while the control group were 98.00 ± 2.18, 91.44 ± 6.01, 80.44 ± 7.81, 2 The differences were statistically significant (P <0.05). (2) In the lateral direction, the visual and vestibular scores of diabetic group were 80.39 ± 12.60 and 73.96 ± 16.04 respectively, while those of the control group were 92.11 ± 4.50 and 83.18 ± 9.45 respectively (P <0.05) There was no significant difference between the two groups (P> 0.05). 3 The stability limit of the control group and diabetic group were (176.47 ± 44.13) mm2 and (143.13 ± 62.30) mm2, respectively, with statistical significance (P <0.05). There was no significant difference in sensory structure score and stability limit between dizziness group and no dizzyness group in diabetic patients (P> 0.05). Conclusions: The patients with type 2 diabetes have decreased balance ability. Among the three kinds of sensory structures that maintain balance, there are obvious characteristics of anterior chamber vision and visual decline.