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糖尿病中与感觉运动性周围神经病变相关的自主神经功能紊乱

Autonomic disturbances in relation to sensorimotor peripheral neuropathy in diabetes mellitus.

作者信息

Tackmann W, Kaeser H E, Berger W, Rüeger A N, Violier E

出版信息

J Neurol. 1981;224(4):273-81. doi: 10.1007/BF00313291.

DOI:10.1007/BF00313291
PMID:6162929
Abstract

Thirty patients with diabetes mellitus were investigated. Twenty-seven had clinical signs of a symmetrical sensory or sensorimotor polyneuropathy. Features of autonomic dysfunction were found in 17 patients. Nerve conduction was studied in the femoral, deep peroneal, saphenous, sural and sensory and motor fibres of the posterior tibial nerves. The postural heart rate response was tested in all of the 30 patients. There was only a weak correlation between autonomic disturbances and sensorimotor polyneuropathy, based either on clinical or on electrophysiological results. Thus a multifactorial causation is suspected.

摘要

对30例糖尿病患者进行了调查。其中27例有对称性感觉或感觉运动性多发性神经病变的临床体征。17例患者发现有自主神经功能障碍的特征。对股神经、腓深神经、隐神经、腓肠神经以及胫后神经的感觉和运动纤维进行了神经传导研究。对所有30例患者测试了姿势性心率反应。基于临床或电生理结果,自主神经紊乱与感觉运动性多发性神经病变之间仅有微弱的相关性。因此怀疑存在多因素病因。

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本文引用的文献

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The human electromyogram in response to nerve stimulation and the conduction velocity of motor axons; studies on normal and on injured peripheral nerves.人体对神经刺激的肌电图及运动轴突的传导速度;对正常和损伤的周围神经的研究。
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Saphenous nerve conduction in man.人体隐神经传导
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Vascular reflexes in diabetic autonomic neuropathy.糖尿病自主神经病变中的血管反射
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