Vesović-Potić V, Conić S
Belgrade Institute of Rehabilitation.
Srp Arh Celok Lek. 1993 Aug-Dec;121(8-12):124-6.
High-frequency pulsating electromagnetic field therapy was carried out in 22 patients with diabetic polyneuropathy and angiopathy manifested on lower extremities (18 men, 4 women, aged 48.2 +/- 6.3 years; 10 insulin-dependent persons, and 12 on oral antidiabetic treatment). The aim of the study was to verify the effect of this therapy on symptoms, neurophysiological findings and peripheral circulation. The diagnose of diabetic polyneuropathy was based on the electromyographic examination of foot and calf muscles, measurement of motor nerve conduction velocity of peroneal and tibial nerve, and sensory nerve conduction velocity of sural nerve. Diagnosis of diabetic polyneuropathy was based on electromyographic examination of the foot and calf muscles, measurement of the motor nerve conduction velocity of peroneal and tibial nerves, and the sensory nerve conduction velocity of the sural nerve. Diagnosis of diabetic angiopathy was established by oscillometric examination, measurement of skin temperature and claudication distance. The same methods were used for the evaluation of the therapeutical effect of electromagnetic field. Significant improvement of symptoms, and of all registered parameters of peripheral circulation was established after the therapy, but there were no significant changes of neurophysiological parameters. Therefore, high-frequency pulsating electromagnetic field is recommended for the treatment of diabetic angiopathy. In patients with neuropathic changes it can be used as an introduction procedure, or as an additional procedure to physical agents which are commonly used in the treatment of peripheral nerve lesion.
对22例患有糖尿病性多发性神经病变及下肢血管病变的患者进行了高频脉动电磁场治疗(18例男性,4例女性,年龄48.2±6.3岁;10例胰岛素依赖型患者,12例接受口服抗糖尿病治疗)。本研究的目的是验证该疗法对症状、神经生理学检查结果及外周循环的影响。糖尿病性多发性神经病变的诊断基于足部和小腿肌肉的肌电图检查、腓总神经和胫神经运动神经传导速度的测量以及腓肠神经感觉神经传导速度的测量。糖尿病性血管病变的诊断通过示波法检查、皮肤温度测量和跛行距离确定。采用相同方法评估电磁场的治疗效果。治疗后症状及外周循环的所有记录参数均有显著改善,但神经生理学参数无显著变化。因此,推荐高频脉动电磁场用于治疗糖尿病性血管病变。对于有神经病变改变的患者,它可作为一种导入程序,或作为治疗周围神经病变常用物理治疗手段的辅助程序。