Kalita Z, Gatková A
Neurologické oddĕlení OUNZ, Zlín.
Cas Lek Cesk. 1990 Feb 2;129(5):139-41.
In 1987-1988 239 patients with diabetes type I and II were subjected to electromyographic examinations. The sensory and motor neurograms (n. suralis, n. medianus, n. peroneus, n. tibialis) were evaluated as well as myograms (from the m. opponens pollicis, m. tibialis, anterior, m. soleus). In all patients a priori other possible neurotoxic influences were ruled out; the age of the patients did not exceed 60 years. Abnormal parameters of the evaluated neurograms and myograms were found also in all diabetics type II with a normal neurological finding. In type I diabetics this so-called electrophysiological neuropathy was found in the same group in 84.2% of the patients. The most sensitive nerve in diabetes in the authors' investigation was the n. suralis, the second most frequently abnormal finding was the motor neurogram of the n. peroneus. The authors did not find it possible to elaborate a scale of clinical-electromyographic correlation.
1987年至1988年,对239例I型和II型糖尿病患者进行了肌电图检查。评估了感觉和运动神经图(腓肠神经、正中神经、腓总神经、胫神经)以及肌图(拇对掌肌、胫骨前肌、比目鱼肌)。所有患者均事先排除了其他可能的神经毒性影响;患者年龄不超过60岁。在所有神经系统检查结果正常的II型糖尿病患者中,也发现了评估的神经图和肌图的异常参数。在I型糖尿病患者中,该组84.2%的患者存在这种所谓的电生理神经病变。在作者的研究中,糖尿病中最敏感的神经是腓肠神经,第二常见的异常发现是腓总神经的运动神经图。作者认为无法制定临床-肌电图相关性量表。