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糖尿病神经病变评估中缺血时的周围神经反应

Peripheral nerve responses during ischemia in the evaluation of diabetic neuropathy.

作者信息

Horowitz S H, Ginsberg-Fellner F

出版信息

Muscle Nerve. 1978 Sep-Oct;1(5):388-91. doi: 10.1002/mus.880010507.

DOI:10.1002/mus.880010507
PMID:263977
Abstract

The stability of sensory conduction and evoked potentials during ischemia has been used in the evaluation of diabetic neuropathy and diabetic control (Hgb A1C). Six newly diagnosed juvenile diabetics were studied at diagnosis and 3 to 12 months later. In three patients in good control, ischemic "resistance" became normal. In three patients in poor control, resistance remained increased; two of these three experienced a 10%-20% slowing in conduction velocity. Similar relationships between control and ischemic resistance are found in long-term diabetics. These data suggest that abnormal ischemic resistance may herald the onset of an electrical and clinical neuropathic state.

摘要

缺血期间感觉传导和诱发电位的稳定性已被用于评估糖尿病性神经病变和糖尿病控制情况(糖化血红蛋白)。对6名新诊断的青少年糖尿病患者在诊断时及3至12个月后进行了研究。在3名控制良好的患者中,缺血“抵抗”恢复正常。在3名控制不佳的患者中,抵抗仍然增加;这3名患者中有2名传导速度减慢了10%-20%。在长期糖尿病患者中也发现了控制与缺血抵抗之间的类似关系。这些数据表明,异常的缺血抵抗可能预示着电和临床神经病变状态的开始。

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Peripheral nerve responses during ischemia in the evaluation of diabetic neuropathy.糖尿病神经病变评估中缺血时的周围神经反应
Muscle Nerve. 1978 Sep-Oct;1(5):388-91. doi: 10.1002/mus.880010507.
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[Nerve conduction abnormality in diabetic neuropathy--evidence for multifocal conduction delay].[糖尿病性神经病变中的神经传导异常——多灶性传导延迟的证据]
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Prevalence of subclinical neuropathy in diabetic patients: assessment by study of conduction velocity distribution within motor and sensory nerve fibres.糖尿病患者亚临床神经病变的患病率:通过运动和感觉神经纤维内传导速度分布的研究进行评估。
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