2型糖尿病患者合并周围神经病变分析

目的 分析2型糖尿病患者血糖（BG）、糖化血红蛋白、血肌酐、甘油酐、甘油三酯、胆固醇、收缩压及病程与病围神经病变的相关性。方法 134例2型糖尿病患者，根据临床表现及肌电图检查结果分为：单纯糖尿病组（DM组）和糖尿病合并周围神经病变组（DM－N组）。分别测两组空腹血糖、餐后2h血糖、糖化血红蛋白、血肌酐、甘油三酯、胆固醇、收缩压及病程。结果 DM－N组患者的糖化血红蛋白、肌酐、收缩压水平较DM组患者明显升高（P＜0．05）。结论 严格控制血糖、血压、保护肾脏、对周围神经病变的预防有重要意义。

An analysis of type 2 diabetes with peripheral neuropathy

Objective To evaluate the relationship between diabetic peripheral neuropathy and such parameters as fasting blood glucose, postprandial blood glucose, glucosilate hemoglobin, creatinine, triglyceride, cholesterol, systolic blood pressure and course of disease. Methods 134 cases of type 2 diabetes were tested with EMG and clinical symptoms. According to the results, all the patients were divided into two groups, diabeticswith or without peripheral neuropathy. The fasting and postprandial blood glucose, serum lipids, creatinine, HbA1c were determined in each individual. Results Patients in group DM significant high levels in blood glucose (BG), HbA1c, creatinine and systolic blood pressure.( P <0 05). Conclusion Intensive control of BG, HbA1c may play an important role in the prevention of peripheral neuropathy.