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首页> 外文期刊>Internal medicine. >Comparison of diabetic neuropathy symptom score and medial plantar sensory nerve conduction studies in diabetic patients showing normal routine nerve conduction studies.
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Comparison of diabetic neuropathy symptom score and medial plantar sensory nerve conduction studies in diabetic patients showing normal routine nerve conduction studies.

机译：显示正常常规神经传导研究的糖尿病患者的糖尿病神经病变症状评分和足底内侧感觉神经传导研究的比较。

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OBJECTIVE: Diabetic Neuropathy Symptom (DNS) scoring and medial plantar NCS are useful methods for diagnosis of diabetic polyneuropathy (DPN). We evaluated the correlation between DNS score and medial plantar NCS in diabetic patients with a normal routine NCS. METHOD: Nineteen healthy subjects were included as a control group. Fifty patients with diabetes mellitus who were referred for the evaluation of DPN were recruited (35 asymptomatic and 15 symptomatic). Control subjects and diabetic patients over the age of 70 were excluded from this study. RESULTS: Medial plantar nerve action potential (NAP) was recordable in all 19 control subjects and was not obtainable in 7 out of 15 symptomatic patients and in 5 out of 35 asymptomatic patients. The amplitudes of sural (Spearman r=-0.293, p=0.003) and medial plantar NAP (Spearman r=-0.215, p=0.03) correlated with DNS score. CONCLUSION: An abnormality finding in the medial plantar sensory nerve conduction study is a more sensitive indicator than sural nerve conduction study in the diagnosis of DPN and the medial plantar sensory nerve should be included in the evaluation of DPN in patients showing normal routine NCS.
机译：目的：糖尿病神经病变症状评分和内侧足底NCS评分是诊断糖尿病多发性神经病（DPN）的有用方法。我们评估了常规NCS正常的糖尿病患者DNS评分与内侧足底NCS之间的相关性。方法：将19名健康受试者作为对照组。招募了50名接受DPN评估的糖尿病患者（35例无症状和15例有症状）。这项研究不包括对照组和70岁以上的糖尿病患者。结果：在所有19名对照受试者中均记录了足底内侧神经动作电位（NAP），而在15名有症状患者中有7名和35名无症状患者中没有获得。 Sural（Spearman r = -0.293，p = 0.003）和足底内侧NAP（Spearman r = -0.215，p = 0.03）的幅度与DNS评分相关。结论：在DPN的诊断中，足底内侧感觉神经传导研究的异常发现比腓肠神经传导研究更为敏感，在常规NCS正常的患者中，足底内侧感觉神经应纳入DPN评估中。

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