Shabeeb Dheyauldeen, Najafi Masoud, Hasanzadeh Gholamreza, Hadian Mohammed Reza, Musa Ahmed Eleojio, Shirazi Alireza
Department of Medical Physics and Biomedical Engineering, School of Medicine, Tehran University of Medical Science, International Campus, Tehran, Iran; Department of Physiology, College of Medicine, University of Misan, Iraq; Electrophysiology Research Center, Neuroscience Institute, Tehran University of Medical Science, Tehran, Iran.
Radiology and Nuclear Medicine Department, School of Paramedical Sciences, Kermanshah University of Medical Science, Kermanshah, Iran.
Diabetes Metab Syndr. 2018 Jul;12(4):591-600. doi: 10.1016/j.dsx.2018.03.026. Epub 2018 Mar 28.
Peripheral neuropathy is one of the main complications of diabetes mellitus. One of the features of diabetic nerve damage is abnormality of sensory and motor nerve conduction study. An electrophysiological examination can be reproduced and is also a non-invasive approach in the assessment of peripheral nerve function. Population-based and clinical studies have been conducted to validate the sensitivity of these methods. When the diagnosis was based on clinical electrophysiological examination, abnormalities were observed in all patients.
In this research, using a review design, we reviewed the issue of clinical electrophysiological examination of diabetic peripheral neuropathy in articles from 2008 to 2017. For this purpose, PubMed, Scopus and Embase databases of journals were used for searching articles.
RESULTS/FINDINGS: The researchers indicated that diabetes (both types) is a very disturbing health issue in the modern world and should be given serious attention. Based on conducted studies, it was demonstrated that there are different procedures for prevention and treatment of diabetes-related health problems such as diabetic polyneuropathy (DPN). The first objective quantitative indication of the peripheral neuropathy is abnormality of sensory and motor nerve conduction tests. Electrophysiology is accurate, reliable and sensitive. It can be reproduced and also is a noninvasive approach in the assessment of peripheral nerve function.
The methodological review has found that the best method for quantitative indication of the peripheral neuropathy compared with all other methods is clinical electrophysiological examination. For best results, standard protocols such as temperature control and equipment calibration are recommended.
周围神经病变是糖尿病的主要并发症之一。糖尿病神经损伤的特征之一是感觉和运动神经传导研究异常。电生理检查结果可重现，也是评估周围神经功能的一种非侵入性方法。已开展基于人群和临床的研究以验证这些方法的敏感性。当基于临床电生理检查进行诊断时，所有患者均观察到异常。
在本研究中，我们采用综述设计，回顾了2008年至2017年文章中关于糖尿病周围神经病变临床电生理检查的问题。为此，使用PubMed、Scopus和Embase期刊数据库检索文章。
结果/发现：研究人员指出，糖尿病（两种类型）在现代社会是一个非常令人困扰的健康问题，应予以高度重视。基于已开展的研究表明，对于预防和治疗糖尿病相关的健康问题，如糖尿病性多发性神经病变（DPN），有不同的程序。周围神经病变的首个客观定量指标是感觉和运动神经传导测试异常。电生理检查准确、可靠且敏感。其结果可重现，也是评估周围神经功能的一种非侵入性方法。
方法学综述发现，与所有其他方法相比，定量评估周围神经病变的最佳方法是临床电生理检查。为获得最佳结果，建议采用温度控制和设备校准等标准方案。
