Department of Endocrinology, Lhasa People's Hospital, Lhasa, China.
Front Endocrinol (Lausanne). 2021 Oct 26;12:719356. doi: 10.3389/fendo.2021.719356. eCollection 2021.
Diabetic peripheral neuropathy (DPN) is a common complication of diabetes mellitus. It often causes symmetrical paresthesia, loss of sensation, and hyperalgesia. Without early intervention, it might lead to diabetic foot ulceration, gangrene, and subsequent amputation in people with diabetes. DPN is an insidious disease and often underdiagnosed. This paper reviews the current national and international prevalence of DPN, screening methods for early DPN, including quantitative sensory measurement, neurological function scoring system, confocal microscopy, and high-frequency ultrasound, and summarizes the related research progress, clinical application, and development prospects of these methods in recent years.
糖尿病周围神经病变(DPN)是糖尿病的常见并发症。它常引起对称性感觉异常、感觉丧失和痛觉过敏。如果不早期干预,可能会导致糖尿病患者足部溃疡、坏疽,进而导致截肢。DPN 是一种隐匿性疾病,常常被漏诊。本文综述了目前国内外 DPN 的流行情况,以及早期 DPN 的筛查方法,包括定量感觉测量、神经功能评分系统、共聚焦显微镜和高频超声,并总结了近年来这些方法的相关研究进展、临床应用和发展前景。