2型糖尿病周围神经传导速度与病程及尿清蛋白的关系：附66例报告

目的：了解２例糖尿病病程及尿清蛋白（白蛋白）排泄率对周围神经传导速度的影响。方法：测定６６例２型糖尿病患者的周围神经传导速度，并就其与病程及尿蛋白排泄的关系进行分析。结果：在病程不到５年、５￣１０年和超过１０年的患者的右尺神经感觉电生理异常的发生率分别为７５％、８６％和９２％；右腓肠神经感觉电生理异常分别为７３％、７１％和９２％。而运动神经病变早期多不明显，仅在病程超过１０年的患者中，其神经传导速

Relationship between peripheral nerve conduction velocity and urinary albumin excretion and duration in type 2 diabetes mellitus

Objective: To study the relationship between peripheral nerve conduction velocity and urinary albumin excretion and duration in type 2 diabetes mellitus. Methods: Peripheral nerve conduction velocity was measured in66 patients with type 2 diabetes mellitus. The relationship between peripheral never conduction Velocity and urinaryalbumin excretion or duration was analysed. Results: Among diabetes mellitus with duration less than 5 years, 5 10years and more than 10 years, abnormal rates of sensory electrophsiology of right ulnar nerve and right sura nervewere 75%, 86%, 92% and 73%, 71%, 92%, respectively. Motor nerve conduction velocity decreased significantlyonly in patients with duration more than 10 years. Among diabetes mellitus with normo-micro-and macro-albuminuria, abnormal rates of sensory electrophysiology of right ulnar nerve and right sura nerve were 69%, 90%, 100% and69%, 80%, 100%, respectively. However, obvious decreased aptitude and conduction velocity of motor nerve weredetected only in patients with macro-albuminuria. Conclusioin: Abnormal rates of peripheral nerve electrophysiologyincreased with the duration of diabetes mellitus and urinary albumin excretion rate.