| 糖尿病患者的跟腱反射时延长 |
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| 引用本文： | 李江源,田慧,陆菊明.糖尿病患者的跟腱反射时延长[J].解放军医学杂志,1987(5). |
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| 作者姓名： | 李江源 田慧 陆菊明 |
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| 作者单位： | 解放军总医院内分泌科
(李江源，田慧)，解放军总医院内分泌科(陆菊明) |
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| 摘 要： | 用电脑式跟腱反射时测定仪检测了104例糖尿病患者,发现SD(潜伏期与收缩期之和)、SP(SD与半舒张期之和)和VP(肌肉最大收缩至最大舒张时间)间期中,1项延长者41例,2项延长者8例,3项均延长者15例,未引出跟腱反射者13例;均正常者27例。跟腱反射时异常与糖尿病周围神经病变和膝反射的减退或消失呈正相关(P<0.01)。降血糖治疗可使跟腱反射时异常有所恢复,提示代谢因素在周围神经病变中具重要作用。对跟腱反射时在诊断糖尿病周围神经病变的意义和电脑式测定仪定量测定的优越性方面进行了讨论。
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| 关 键 词： | 糖尿病 神经病变 振动觉 跟腱反射时 |
DELAY OF THE ACHILLES REFLEX TIMES(ART) IN DIABETES |
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| Li Jiangyuan,et al..DELAY OF THE ACHILLES REFLEX TIMES(ART) IN DIABETES[J].Medical Journal of Chinese People's Liberation Army,1987(5). |
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| Authors: | Li Jiangyuan |
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| Affiliation: | Li Jiangyuan,et al. Department of Endocrinology,General Hospital of PLA,Beijing |
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| Abstract: | ART was determined in 104 cases of diabetics with a computerized kinemometer. It was found that of the intervals SD, SP, and VP, a delay of one of them appeared in 41 cases, two in 8 cases and all threein 15 cases. In addition, the reflex was lost in 13 cases. The abnormality of ART was positively related to peripheral diabetic neuropathy and decrease or loss of knee reflex(both p<0.01)Anti-hyperglycemia treatment could considerably improve the delay of ART, suggesting that metabolic factors played an important role in the pathogenesis of peripheral neuropathy. The significances of ART in the diagnosis of peripheral diabetic neuropathy, and the advantages of this computerized kinemometer in quantitatively meassuring ART are discussed. |
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| Keywords: | Diabetes mellitus Neuropathy Vibration sense Achilles tendon reflex time |
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