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당뇨병환자에서의 신경전도검사 성적(1) : Nerve Conduction Study in Diabetes Mellitus

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김진호; 이은룡; 김응진; 민헌기

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서울대학교 의과대학
Seoul J Med, Vol.23 No.1, pp. 121-127
Neuropathy in diabetes mellitus is well known and
usually takes form of polyneunopathy. Diagnosis of
polyneuropathy is sometimes difficult because clinicians
are unable to demonstrate the objective counterpart
-of subjective symptoms.
To perform sensory and motor conduction study is
relatively easy and does not give much discomfort to
the patients and therefore is a good measure to
.evaluate physiologic change of nerve. Nerve conduction study was done in median and
ulnar nerves of the 112 diabetics, whose ages ranged
from 28 to 77 years, mean age being 54. 1 years.
Sensory and motor conduction were compared between
33 control, 53 diabetics without neuropathy, and 59
diabetics with neuropathy. All the modality of conduction
(velocity, distal latency, amplitude, duration
etc.) showed decrase of function in diabetics with
neuropathy, but in diabetics without neuropathy the
decrease of function was generally insignificant statistically.
Diabetics with history of more than 5 years
showed decrease of function in all modality while
those with less than 5 years did not.
Decrease of conduction was seen in diabetics with
more than 200mg/100ml FBS or 400mg/100ml PP2
level. 21. 4% of all patient had electrophysiological
criteria of carpal tunnel syndrome in one or both
wrist. Nerve conduction study is thought to be useful
in diagnosing and monitoring neuropathy and evaluating
the result of therapy objectively.
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