6653581 发表于 2018-8-17 22:27:03

2018糖尿病周围神经病患者的肌电图检测价值分析

  [摘要] 目的 分析糖尿病周围神经病患者的肌电图检测价值。方法 随机选取该院2016年1月―2017年4月接受治疗的糖尿病患者68例作为分析对象,给予所有患者进行运动神经传到速度(mcv)测定,以及感觉神经传到速度(scv)测定。然后分析患者进行神经肌电图检查的结果,并分析肌电图诊断糖尿病周围神经的准确率。 结果 68例患者中,胫神经传到速度异常率是51.47%,正中神经传导异常率是33.82%,而肌电图诊断糖尿病周围神经的准确率是64.70%,临床对糖尿病周围神经的诊断率是35.29%,两种诊断方式差异有统计学意义(P http://
  [关键词] 糖尿病周围神经病;肌电图检测;常规检测;诊断价值
  [中图分类号] R587 [文献标识码] A [文章编号] 1672-4062(2017)07(b)-0065-02
  Analysis of Test Value of Electromyogram of Patients with Diabetic Peripheral Neuropathy
  CHEN Yan, ZHANG Hui-ying
  Department of Electrophysiology, General Hospital of Daqing Oil Field of Heilongjiang Province, Daqing, Heilongjiang Province, 163001 China
   Objective To analyze the value of electromyogram of patients with diabetic peripheral neuropathy. Methods 68 cases of diabetes patients treated in our hospital from January 2016 to April 2017 were selected, and the mcv and scv of all patients were measured, and the electromyogram examination results of patients were then analyzed and the accurate rate of electromyogram in diagnosis of patients with diabetic peripheral neuropathy was analyzed. Results Of 68 cases, the abnormal rate of nervi tibialis conduction rate was 51.47%, and the abnormal rate of nervi medianus conduction was 33.82%, and there was an obvious difference between the two diagnosis methods(P  2 结果
  2.1 患者肌电图神经检查结果
  68例患者中,检查出胫神经传到有异常率是51.47%,尺神经传到速度异常是50.00%,腓总神经传到异常率是45.58%,正中神经传到异常情况是33.82%。详细见表1。
  2.2 观察肌电图诊断糖尿病周围神经病率
  对糖尿病周围神经病进行肌电图检查诊断率是64.70%,而临床常规的诊断率是35.29%,很明显两组数据差异有统计学意义(P参考文献]
   张明耿,宋施歧,武娟,等.肌电图在糖尿病周围神经病变诊断中的临床应用价值分析.当代临床医刊,2015,28(6):1754-1755.
   季清娜.神经肌电图检测在诊断糖尿病周围神经病变方面的临床价值分析.当代医药论丛,2015(3):58-59.
   Fateh HR, Madani SP, Heshmat R,et al.Correlation of Michigan neuropathy screening instrument,United Kingdom screening test and electrodiagnosis for early detection of diabetic peripheral neuropathy.Journal of Diabetes & Metabolic Disorders, 2015, 15(1):8.
   ?O敏,白亚娟,方桂珍.多伦多临床评分系统对糖尿病周围神经病变筛查价值分析.护理与康复,2015,14(5):403-405.
   白亚娟,方桂珍.临床症状积分表在糖尿病周围神经病变筛查中的应用价值.解放军护理杂志,2015,32(4):20-22.
   Muntean C, Ctlin B, Tudoric V, et al. Efficiency of Michigan Neuropathy Screening Instrument and Nerve Conduction Studies for Diagnosis of Diabetic Distal Symmetric Polyneuropathy.Romanian Journal of Diabetes Nutrition & Metabolic Diseases,2016,23(1):55-65.
   尹桂珍,陶硕,张文荟.肌电图在糖尿病周围神经病变诊断中的临床应用及价值评价.东方食疗与保健,2015(4):181.
   王明, 张净净, 高瞻,等.单纤维肌电图与糖尿病相关因素的研究及对糖尿病周围神经病变诊断灵敏度的观察分析// 浙江省神经病学学术年会.2015.
   杨颖颖.肌电图检测对糖尿病周围神经病的诊断价值. 临床研究,2017,25(7):190.
  (收稿日期:2017-05-26)
页: [1]
查看完整版本: 2018糖尿病周围神经病患者的肌电图检测价值分析