Ibarra Carlos Tomás R, Rocha José de Jesús L, Hernández Raúl O, Nieves Rene Efrén R, Leyva Rafael J
Unidades de Medicina Familiar, León, Guanajuato, México.
Rev Med Chil. 2012 Sep;140(9):1126-31. doi: 10.4067/S0034-98872012000900004.
Neuropathy is a common complication of diabetic patients.
To determine the prevalence of diabetic peripheral neuropathy in Type 2 diabetic patients attended at a family medicine unit.
Cross-sectional assessment of 348 type 2 diabetic patients aged 34-89 years (60% females) with a disease duration of 5 to 15 years. Peripheral neurological status was evaluated using The Michigan Neuropathy Screening Instrument, a tool that includes a self-assessment of symptoms and a physical examination.
Diabetic neuropathy was found in 240 patients (69%). The prevalence in males and females was 72 and 67% respectively. The prevalence in patients with a disease duration of 5, 10 and 15 years, was 59, 69 and 77%, respectively. Fifty percent of patients with neuropathy complained of dry skin, 2% had ulcers, 43% had an abnormal perception of vibration and 29% had an abnormal monofilament test.
The overall prevalence of peripheral neuropathy in this group of patients was 69% and was directly associated with the duration of the disease.
神经病变是糖尿病患者常见的并发症。
确定在一家家庭医学科就诊的2型糖尿病患者中糖尿病周围神经病变的患病率。
对348例年龄在34至89岁（60%为女性）、病程为5至15年的2型糖尿病患者进行横断面评估。使用密歇根神经病变筛查工具评估周围神经状态，该工具包括症状的自我评估和体格检查。
240例患者（69%）发现有糖尿病神经病变。男性和女性的患病率分别为72%和67%。病程为5年、10年和15年的患者患病率分别为59%、69%和77%。50%的神经病变患者有皮肤干燥主诉，2%有溃疡，43%振动觉异常，29%单丝试验异常。
该组患者周围神经病变的总体患病率为69%，且与病程直接相关。
