糖尿病患者正中神经的超声评估

doi:10.3969/j.issn.1006-9771.2021.03.014

Abstract

Abstract: Objective

To measure the parameters of median nerve under ultrasound in patients with diabetes mellitus to explore the relationship between ultrasonic parameters and nerve conduction study.

Methods

From June to November, 2019, 79 diabetic patients were divided into diabetic peripheral neuropathy (DPN) group (n = 37) and non-DPN group (n = 42) according to the diagnosis. Their right median nerve were measured cross-sectional area (CSA) and the proportion of hypoechoic areas (HA) 5 cm and 10 cm proximal to the wrist (CSA-5, CSA-10, HA-5 and HA-10, respectively) with sonography; while the conductive latency and velocity of right median nerves were measured with nerve conductive study.

Results

CSA-5, CSA-10 and HA-10 were more in DPN group than in non-DPN group (|Z| > 2.282, P < 0.05). HA-5 correlated with the motor conductive latency (r = 0.264, P < 0.05) and velocity (r = -0.270, P < 0.05); HA-10 correlated with the abnormal sensory conductive latency (r = 0.234, P < 0.05) and velocity (r = 0.363, P < 0.01), and the motor conductive latency (r = 0.235, P < 0.05) and velocity (r = -0.255, P < 0.05).

Conclusion

DPN can be found under sonography, some of them are related with the nerve electrophysiology, which may be a useful tool to screen DPN.

Key words: diabetic peripheral neuropathy, nerve sonography, median nerve

CLC Number:

R587.2

Xiao-quan WANG,Chao-ran LIU,Ning-hua WANG. Sonographic Evaluation of Median Nerve for Diabetics[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(3): 329-333.

Figures/Tables 4

References 35

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组别	n	CSA-5 (mm²)	CSA-10 (mm²)	HA-5 (%)	HA-10 (%)
DPN组	37	6.502(6.015~8.217)	6.572(6.002~12.120)	54.86±2.13	55.77±2.85
非DPN组	42	6.199(5.698~8.370)	6.227(5.406~8.743)	54.30±2.29	54.49±2.14
Z/t值		-2.535	-3.232	-1.125	-2.282
P值		0.011	0.001	0.264	0.025

超声参数	感觉传导潜伏期		感觉传导速度		运动传导潜伏期		运动传导速度
超声参数	r值	P值	r值	P值	r值	P值	r值	P值
CSA-5	0.030	0.795	0.154	0.177	0.172	0.129	0.061	0.592
CSA-10	0.151	0.185	0.027	0.815	0.135	0.237	-0.118	0.301
HA-5	0.008	0.946	0.126	0.270	0.264	0.019	-0.270	0.016
HA-10	0.234	0.038	0.363	0.001	0.235	0.037	-0.255	0.024

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Sonographic Evaluation of Median Nerve for Diabetics

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