首页> 外文期刊>生体医工学 >電気刺激に対する体表面知覚闘値における性差および加齢の評価—知覚闘値の計測による糖尿病性神経障害の早期発見の可能性—
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電気刺激に対する体表面知覚闘値における性差および加齢の評価—知覚闘値の計測による糖尿病性神経障害の早期発見の可能性—

机译:通过电刺激评估性别差异和体表感知战斗力的衰老-通过测量感知战斗力来早期发现糖尿病性神经疾病的可能性-

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We have measured the body surface perception threshold using the quantitative evaluation system for pain (Pain Vision). This system produced the increasing electrical stimulation (frequency: 50 Hz, pulse width: 0.3 ms) without causing of pain. The concept of pain quantification is to compare the magnitude of the subject's pain to the magnitude of comparative pain-free stimulus to actual pain. The pain degree was calculated from pain evaluating stimulation current and perception threshold. The electrical current perception threshold (CPT) is also available for the evaluation of the peripheral nerve function. The purpose of this study is to determine the standard value of CPT in healthy person as the control CPT range for evaluating the CPT change due to peripheral neuropathy. CPT were measured on the upper limbs (forearm) and the lower limbs (tarsal, and Achilles' tendon) of both of normal group (from 20's to 80's; total number 1658) and diabetes mellitus group (from 40's to 80's; total number 829). As a result in both of male and female of normal group, the average CPT of the lower limbs was 2-3 times higher than that of upper limbs and the average CPT increased by aging. In comparison, the average CPT in 80's was 1.5 times to that of 20's. The average CPT obtained from diabetes mellitus group showed significantly higher levels than normal group. It was considered that the influence of the diabetic neuropathy reflected with the change in CPT. In particular, the changes in upper limb CPT were clearly larger than that of lower limb in every generation. Diabetic neuropathy frequently appears in lower limbs. However, this study suggests that the change in CPT should be focused its attention on the upper limbs.
机译:我们已经使用定量疼痛评估系统(Pain Vision)测量了身体表面的感知阈值。该系统产生了增加的电刺激(频率:50 Hz,脉冲宽度:0.3 ms),而不会引起疼痛。疼痛量化的概念是将受试者的疼痛程度与无痛刺激与实际疼痛的程度进行比较。通过评估刺激电流和感知阈值的疼痛来计算疼痛程度。电流感知阈值(CPT)也可用于评估周围神经功能。这项研究的目的是确定健康人的CPT标准值作为控制CPT范围,以评估由于周围神经病变引起的CPT变化。在正常组(从20到80年代;总数1658)和糖尿病组(从40到80年代;总数829)的上肢(前臂)和下肢(s骨和跟腱)上测量CPT )。结果,正常组的男性和女性,下肢的平均CPT比上肢的平均CPT高2-3倍,并且平均CPT随着年龄的增长而增加。相比之下,80年代的平均CPT是20年代的1.5倍。从糖尿病组获得的平均CPT显示水平明显高于正常组。认为糖尿病性神经病的影响反映在CPT的改变上。特别是在每一代中,上肢CPT的变化明显大于下肢。糖尿病性神经病常出现在下肢。但是,这项研究表明,CPT的变化应将注意力集中在上肢。

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