Nasseri K, Strijers R L, Dekhuijzen L S, Buster M, Bertelsmann F W
Department of Neurology, University Hospital Vrije Universiteit.
Electromyogr Clin Neurophysiol. 1998 Jul-Aug;38(5):295-9.
Conflicting results have been published concerning the reliability of methods to assess diabetic polyneuropathy. Therefore we compared the reproducibility of nerve conduction studies and quantitative measurements of vibratory sensation in 23 diabetic patients with clinically and/or neurophysiologically established neuropathy. Motor nerve conduction of peroneal and median nerves, sensory nerve conduction of sural and median nerves and vibratory perception thresholds of index fingers and big toes (forced-choice method) were assessed on three occasions with an interval of one to fourteen days, within a period of three weeks. We conclude that both nerve conduction studies and vibratory perception threshold measurements are reproducible methods to assess diabetic neuropathy. Determination of vibration perception thresholds has the advantage of being a simple and unobtrusive method. Nerve conduction studies are less variable and therefore more suited for monitoring diabetic neuropathy.
关于评估糖尿病性多发性神经病变方法的可靠性，已发表了相互矛盾的结果。因此，我们比较了23例经临床和/或神经生理学确诊为神经病变的糖尿病患者的神经传导研究和振动觉定量测量的可重复性。在三周内，每隔1至14天对腓总神经和正中神经的运动神经传导、腓肠神经和正中神经的感觉神经传导以及食指和大脚趾的振动觉阈值（强制选择法）进行了三次评估。我们得出结论，神经传导研究和振动觉阈值测量都是评估糖尿病性神经病变的可重复方法。测定振动觉阈值具有方法简单且不引人注意的优点。神经传导研究的变异性较小，因此更适合于监测糖尿病性神经病变。
