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糖尿病患者糖代谢指标与神经传导速度关系探讨
引用本文:姚君厘,杨永年,郁以红,黄绥仁.糖尿病患者糖代谢指标与神经传导速度关系探讨[J].中国临床神经科学,1994(3).
作者姓名:姚君厘  杨永年  郁以红  黄绥仁
作者单位:上海医科大学中山医院内分泌科 200032 (姚君厘,杨永年),上海医科大学中山医院肌电图室 200032 (郁以红),上海医科大学中山医院肌电图室 200032(黄绥仁)
摘    要:本文对168例糖尿病患者测定了空腹血糖(FBG)、果糖胺、HbAlc 3个糖代谢指标,进行了肌电图电生理检查,其中神经传导速度(NCV)正常者62例,NCV异常者86例,单纯H反射异常者20例,分析了FBG、果糖胺、HbAlc三者之间以及与NCV的相关性,提出高血糖在糖尿病周围神经病变的发病过程中起重要作用。

关 键 词:糖尿病周围神经病  空腹血糖  果糖胺  糖化血红蛋白  电生理检查

Relationship Between Glycometabolic Parameter and Nerve Conduction Velocity in Diabetes Mellitus
Yao Jun-Li,Yang Yong-Ning,Yuai Yi-Hong,Huang Sui-Ren'.Relationship Between Glycometabolic Parameter and Nerve Conduction Velocity in Diabetes Mellitus[J].Chinese Journal of Clinical Neurosciences,1994(3).
Authors:Yao Jun-Li  Yang Yong-Ning  Yuai Yi-Hong  Huang Sui-Ren'
Institution:Yao Jun-Li,Yang Yong-Ning,Yuai Yi-Hong,Huang Sui-Ren' Department of Endocrinology,Electromyograph Laboratory,Zhongshan Hospital,Shanghai Medical University
Abstract:One hundred and sixty-eight diabetic patients were tested for the nerve conduction velocity (NCV) of motor and sensory nerves and the tibial H reflex. It was found that 20 cases only manifestated abnormal H reflex, 86 cases had abnormal conduction with or without abnormal H reflex and 62 cases had normal NCV and H reflex. NCV had a negative correlation with fasting blood glucose (FBG) , fructosamine and HbA1c, suggesting that hyperglycemia may be closely related to the development of diabetic peripheral neuropathy.
Keywords:Diabetic peripheral neuropathy Fasting blood glucose Fructosamine HbA1c Electrophysiological examination
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