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糖尿病的合并症中,以神经损害最常见。临床上患者主诉的自觉症状固然重要,但也要参考腱反射、振动觉、温度觉、痛觉及肌力等项检查。近来,通过诱发肌电图上神经传导速度等电生理学检查,及通过心电图上R-R 间期变化进行植物神经机能检查等,可以在自觉症状出现以前发现患者的神经机能异常。可是鉴别是否由糖尿病引起的神经损害是最重要的问题。糖尿病患者出现脚麻木,不能都认为是糖尿病性神经损害。本文就确诊有糖尿病性神经损害,并由此而产生某种痛苦的患者为对象,对其治疗加以论述。
Diabetic complications, the most common nerve damage. Clinical symptoms of patients with complaints of course important, but also to refer to the tendon reflex, vibration, temperature, pain and muscle strength and other items to check. Recently, neurological abnormalities in patients have been found before the onset of symptoms by inducing electrophysiological examination such as nerve conduction velocity on the electromyogram, and autonomic nerve function test by R-R interval change on the electrocardiogram. However, identifying whether nerve damage caused by diabetes is the most important issue. Diabetic foot numbness can not be considered as diabetic nerve damage. This article is diagnosed with diabetic nerve damage, and the resulting pain of some patients as the object of its treatment to be discussed.