EARLY DIAGNOSIS OF DIABETIC NEUROPATHY-AN EVALUATION OF NEUROPHYSIOLOGIC AND URODYNAMIC VARIATIONS
- VernacularTitle:神经电生理检查及尿流率测定在糖尿病神经病变早期诊断中的价值
- Author:
Peihongdept JIA
- Publication Type:Journal Article
- Keywords:
Diabetic neuropathy Sensory conduction velocity Visual evoked potential Brainstem auditory evoked potential
- From:
Chinese Journal of Endocrinology and Metabolism
1985;0(02):-
- CountryChina
- Language:Chinese
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Abstract:
A total of 78 patients with NIDDM were enrolled in a prospective study of neurophysiologic and urodynamic variations which comprises 1) sensory conduction velocity (SCV) of posterior tibial and sural nerve; 2) visual evoked potentials (VEP); 3) brainstem auditory evoked potentials (BAEP); 4) maximum urine flow rate (MFR).The SCV of posterior tibial and sural nerves of the 78 patients were significantly slower than those of 39 age- and sex-matched controls. 30% patients showed low MFR including 2 with dysuria. The BAEP and VEP were abnormal in 26% and 23.6% patients respectively and most of them lacked central neurological symptoms and signs. It suggested that the measurement of above parameters was useful for the early diagnosis of diabetic peripheral neuropathy, diabetic neurogenic bladder and diabetic central nervous system damage.15 diabetic patients associated with neuropathy got significant improvement of SCV after 11 months of dietary control and medication and 15 diabetic patients with reduced MFR also bad improvement after 9 months' treatment Jt is exciting for us to assume that the diabetic neuropathy could be reversible if diagnosis and proper treatment is in time.
