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自主神经病变型糖尿病:皮肤交感反应及神经血管功能测试

Autonomic diabetic neuropathy: skin sympathetic response and neurovegetative cardiovascular functionality tests.

作者信息

Dellantonio R, Paladini D, Cinti A, Fumelli P, Testa I, Angeleri F

机构信息

Department of Neurology, Fermo Hospital, Italy.

出版信息

Funct Neurol. 1992 Mar-Apr;7(2):115-20.

PMID:1607126
Abstract

One hundred and twelve diabetic patients were submitted to several tests for evaluation of autonomic cardiovascular and sudomotor function. It was found that a patient could be positive to one test and negative to others, thus confirming the presence of sectorial lesions which do not affect the autonomic nervous system uniformly. The parasympathetic system is more frequently and precociously affected than the sympathetic system. The tests used for investigating the sympathetic component, the sympathetic skin response (SSR) gives results which are more frequently and precociously altered.

摘要

112名糖尿病患者接受了多项测试,以评估自主心血管和汗腺运动功能。发现一名患者可能对一项测试呈阳性,而对其他测试呈阴性,从而证实存在并非均匀影响自主神经系统的节段性病变。副交感神经系统比交感神经系统更频繁、更早受到影响。用于研究交感神经成分的测试中,交感神经皮肤反应(SSR)给出的结果更频繁、更早出现改变。

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引用本文的文献

1
Testing the sympathetic nervous system of the foot has a high predictive value for early amputation in patients with diabetes with a neuroischemic ulcer.检测足部交感神经系统对患有神经缺血性溃疡的糖尿病患者早期截肢具有较高的预测价值。
BMJ Open Diabetes Res Care. 2018 Nov 21;6(1):e000592. doi: 10.1136/bmjdrc-2018-000592. eCollection 2018.
2
Amplitude loss of electrically and magnetically evoked sympathetic skin responses in early stages of type 1 (insulin-dependent) diabetes mellitus without signs of dysautonomia.1型(胰岛素依赖型)糖尿病早期阶段电刺激和磁刺激诱发的交感神经皮肤反应的波幅降低,且无自主神经功能障碍迹象。
Clin Auton Res. 1999 Feb;9(1):5-10. doi: 10.1007/BF02280690.