Huang Chi-Ren, Lu Chen-Hsien, Chang Hsueh-Wen, Tsai Nan-Wen, Chang Wen-Neng
Department of Neurology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Acta Neurol Taiwan. 2010 Mar;19(1):33-40.
To analyze the correlation between brainstem-auditory evoked potentials (BAEP) and nerve conduction (NC) studies in patients with diabetes mellitus (DM).
We retrospectively reviewed the results from the subjects who received our neurological screening test including BAEP and NC studies. A DM group and a control group were applied. The DM group was subdivided 4 subgroups including neuropathy, non-neuropathy, infarct and non-infarct.
A total of 43 DM patients and 43 control subjects were included. The inter-peak latencies (IPL) IIII and IPL I-V of the BAEP showed a statistical significance between the DM and control groups. In the IPL I-III study, the DM neuropathy subgroup showed a statistical significance in either the DM non-neuropathy or control subgroup. The IPL I-III showed moderate correlation (correlation coefficient- 0.334) with tibial motor NC velocity.
Patients with DM have a prolongation in IPL I-III, especially in the neuropathy subgroup. This prolongation in IPL I-III would best be explained by acoustic neuropathy. The tibial motor, median sensory, and sural NC velocities correlated with the acoustic neuropathy in patients with DM.
分析糖尿病（DM）患者脑干听觉诱发电位（BAEP）与神经传导（NC）研究之间的相关性。
我们回顾性分析了接受包括BAEP和NC研究在内的神经学筛查测试的受试者的结果。设立了DM组和对照组。DM组又细分为4个亚组，包括神经病变组、非神经病变组、梗死组和非梗死组。
共纳入43例DM患者和43例对照受试者。BAEP的峰间潜伏期（IPL）III - I和IPL I - V在DM组和对照组之间具有统计学意义。在IPL I - III研究中，DM神经病变亚组与DM非神经病变亚组或对照组相比具有统计学意义。IPL I - III与胫神经运动NC速度呈中度相关性（相关系数 - 0.334）。
DM患者的IPL I - III延长，尤其是在神经病变亚组中。IPL I - III的这种延长最好用听神经病变来解释。DM患者的胫神经运动、正中神经感觉和腓肠神经NC速度与听神经病变相关。
