Ewing D J, Burt A A, Williams I R, Campbell I W, Clarke B F
J Neurol Neurosurg Psychiatry. 1976 May;39(5):453-60. doi: 10.1136/jnnp.39.5.453.
Motor conduction velocity was measured in the median, ulnar and common peroneal nerves of 32 diabetics with clinical features of autonomic neuropathy. The responses to the Valsalva manoeuvre and sustained handgrip, and the postural fall in blood pressure were used to assess the integrity of the autonomic nervous system. Abnormalities in the three autonomic function tests were significantly correlated with the forearm conduction velocity of the ulnar nerve, the conduction velocity and motor latency of the common peroneal nerve, and the H reflex. These results show that, in diabetics with autonomic neuropathy, abnormalities in the autonomic nervous system parallel changes in the peripheral nerves. Any diabetic with peripheral neuropathy should be examined for evidence of autonomic nervous system involvement.
对32例具有自主神经病变临床特征的糖尿病患者的正中神经、尺神经和腓总神经进行运动传导速度测量。采用瓦尔萨尔瓦动作（Valsalva动作）、持续握力试验以及体位性血压下降来评估自主神经系统的完整性。三项自主神经功能测试中的异常与尺神经前臂传导速度、腓总神经传导速度和运动潜伏期以及H反射显著相关。这些结果表明，在患有自主神经病变的糖尿病患者中，自主神经系统的异常与周围神经的变化平行。任何患有周围神经病变的糖尿病患者都应检查是否有自主神经系统受累的证据。
