Zinov'eva O E, Gorbacheva F E, Parfenov V A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(4):18-20.
As many as 84 patients suffering from diabetes mellitus with and without clinical manifestations of diabetic neuropathy (DN) underwent clinical and electromyographic examinations. The patients with clinical manifestations of DN showed a decrease of the rate of wave spreading in the distal and proximal parts of lower limb nerves, an increase of the proximal distal gradient, a decline of the amplitude of the maximal M-response, an increase of the latent period or the lack of H-reflex. The data point to generalized impairment of the peripheral neuromotor apparatus with primary involvement into the process of the distal parts of limb nerves. In the majority of the patients without clinical manifestations of DN, electromyography also demonstrated injury to the peripheral nerves, evidence of a possibility of electromyographic diagnosis of the subclinical stage of DN.
多达84例患有糖尿病且伴有或不伴有糖尿病神经病变（DN）临床表现的患者接受了临床和肌电图检查。有DN临床表现的患者下肢神经远端和近端的波传播速率降低，近端与远端梯度增加，最大M反应波幅下降，潜伏期延长或H反射消失。这些数据表明周围神经运动装置普遍受损，主要累及肢体神经远端部分。在大多数没有DN临床表现的患者中，肌电图也显示周围神经损伤，这证明了肌电图诊断DN亚临床阶段的可能性。
