糖尿病患者踝反射消失提示周围神经功能障碍

• 作 者: 刘宇
• 出 处: 国外医学.神经病学神经外科学分册
• 发表日期: 1997年06期
• 关键词: 神经功能障碍 胰岛素依赖型 踝反射 NIDDM 定量指标 神经障碍 床体

周围神经含有自主和躯体两种神经纤维。因此自主神经病及周围感觉神经病可为糖尿病性多神经病的表现。由于全面的神经检查十分花费时间,因此确认一种与定量神经功能障碍相关的临床体征,有可能及早发现糖尿病性神经病。作者对67名糖尿病患者和61名对照者进行了临床和神经电生理学检查,以评价(1)周围神经功能障碍临床体征和定量指标间的关系;(2)自主神经病和周围神经功能障碍的关系;(3)周围神经障碍和糖尿病类型(胰岛素依赖型,IDDM;非胰岛素依赖,NIDDM)间的关系。

Peripheral nerves contain both autonomic and somatic nerve fibers. Therefore, autonomic neuropathy and peripheral sensory neuropathy may be the manifestation of diabetic polyneuropathy. Due to the time it takes to conduct a comprehensive neurological examination, it is possible to identify a clinical entity associated with quantitative neurological dysfunction and to detect diabetic neuropathy as early as possible. The authors performed clinical and neuroelectrophysiological tests on 67 diabetic patients and 61 controls to evaluate (1) the relationship between clinical signs and quantitative indicators of peripheral nerve dysfunction; (2) the relationship between autonomic neuropathy and peripheral nerve dysfunction ; (3) the relationship between peripheral nerve disorders and type of diabetes (insulin-dependent, IDDM; non-insulin dependent, NIDDM).