Gaĭdina G A, Gol'ber L M, Lazareva S P, Mazovetskiĭ A G
Probl Endokrinol (Mosk). 1978 Jul-Aug;24(4):9-14.
Peculiarities of the reflex and motor responses (H-and M-responses) of the soleus muscle in stimulation of the tibial nerve were studied in 69 patients with diabetes mellitus and in 44 healthy persons. The ratio of the maximal amplitudes of the H/M potentials studied usually decreased in patients with diabetic polyneuropathy in comparison with analogous indices in healthy persons. However, in the presence of labile or ketoacidotic forms of diabetes H/M increased considerably. Accelerated restoration of the H-reflex amplitude in coupled stimulations of the nerve in such patients indicated intensification of the facilitating cerebrospinal influences. A marked increase of the tendon and H-reflexes amplitude in patients with diabetes against the background of Jendrassik's method pointed to a possible deafferentation of the spinal centres. The results obtained indicated that, irrespective of the manifestations of the neuropathy symptoms, there were functional disturbances of both the segmental and suprasegmental formations controlling the motor function.
在69例糖尿病患者和44名健康人中，研究了刺激胫神经时比目鱼肌的反射和运动反应（H反射和M反应）的特点。与健康人相比，糖尿病性多发性神经病患者所研究的H/M电位最大振幅比值通常降低。然而，在糖尿病不稳定型或酮症酸中毒型患者中，H/M显著增加。在此类患者中，神经联合刺激时H反射振幅恢复加快，表明促进性脑脊髓影响增强。在Jendrassik方法背景下，糖尿病患者的腱反射和H反射振幅显著增加，提示脊髓中枢可能存在传入阻滞。所获结果表明，无论神经病变症状表现如何，控制运动功能的节段性和节段上性结构均存在功能障碍。
