糖尿病性多发性神经医病.pptVIP

糖尿病性多发性神经病 （Diabetic Polyneuropathy，DP） Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 一、绪论（Introduction) Marchal de Calvi 1864年首先提出糖尿病是引起多发性神经病的原因之一。 DP是糖尿病最常见的表现之一。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 二、流行病学（Epidemiology ） DP的总的发病率30%左右，与年龄、病程、血糖水平、糖尿病类型、身高、舒张压及血脂有关。 DP发病率 病 程 7.5% 新诊断的DM 50% 25Years Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 三、分 类（Classification) 一、弥散型 远端对称性感觉运动多发性神经病 自主神经病 心血管型 胃肠型 泌尿生殖型 异常出汗型 对称性下肢近端运动神经病（amyotrophy） Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 二、局限型 颅神经型（ Cranial neuropathy） 神经根/神经丛型（Radiculopathy/plexopathy） 嵌压性神经病（Entrapment neuropathy ） Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 感觉纤维元类型 Fiber Type Size Modality A-alpha (I) 13 - 20 micrometers Limb proprioception myelinated A-beta (II) 6 - 12 micrometers Limb proprioception myelinated A-delta (III) 1 - 5 micrometers Vibration myelinated Pressure C (IV) 0.2 - 1.5 micrometers Mechanical sharp pain Unmyelinated Thermal pain Mechanical burning pain Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Prof