关键词: Electroneuromyography HbA1c polyneuropathy

来  源:   DOI:10.29399/npa.28413   PDF(Pubmed)

Abstract:
UNASSIGNED: It is aimed to investigate the relationship between the asymptomatic individiuals with elevated HbA1c and occurrence of polyneuropathy by way of comparison to normoglycemic condition.
UNASSIGNED: The study includes 30 female patients diagnosed with subclinical elevation of HbA1c and 30 normoglycemic healthy female patients who applied to our hospital polyclinics with symptoms other than neuropathy between January-March 2017. Nerve conduction examination is done in these patients, parameters of both groups are compared.
UNASSIGNED: In regard to amplitude distribution; when compared to control group, tibial motor and ulnar sensory nerve amplitude is lower than the control group (p<0.05). In peroneal, median and ulnar motor nerves, distal latency values are extended compared to control group (p<0.05). Sural, median and ulnar sensory nerve latency is extended compared to control group. In terms of transmission rate distribution; in sural, median and ulnar sensory nerve, transmission speed is lower compared to the control group (p<0.05).
UNASSIGNED: In asymptomatic cases with subclinical elevation of HbA1c, peripheral nervous system involvement is monitored, and early glycemic control should be provided in order to prevent development of neuropathy in patients.
摘要:
其目的是通过与正常血糖状况进行比较,研究无症状的个体HbA1c升高与多发性神经病的发生之间的关系。
该研究包括30名被诊断为亚临床HbA1c升高的女性患者和30名血糖正常的健康女性患者,他们在2017年1月至3月期间申请我院综合诊所,症状不是神经病。对这些患者进行神经传导检查,比较两组的参数。
关于振幅分布;与对照组相比,胫骨运动和尺感觉神经波幅低于对照组(p<0.05)。在腓骨中,正中和尺神经运动神经,与对照组相比,远端潜伏期值延长(p<0.05).壁画,与对照组相比,正中和尺感觉神经潜伏期延长。在传输速率分配方面;在sural,正中和尺感觉神经,传输速度低于对照组(p<0.05)。
在HbA1c亚临床升高的无症状病例中,监测周围神经系统受累,应提供早期血糖控制,以防止患者发生神经病变。
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