48例糖尿病合并腕管综合征临床及神经电生理分析.docVIP

48例糖尿病合并腕管综合征临床及神经电生理分析 　　[摘要] 目的 糖尿病合并腕管综合征的治疗方法与单纯腕管综合征或糖尿病多发性周围神经病的治疗方法均有所区别，通过总结分析糖尿病合并腕管综合征的临床资料，早期识别及诊断，有利于改善预后。方法 对该院2015年4月―2016年8月住院治疗的691例糖尿病患者均进行神经传导速度测定。结果 48例检测出腕管综合征，临床症状主要表现为一侧或双手麻木，以双侧发病多见，感觉纤维损害较运动纤维损害为重。结论 神经电生理技术是诊断腕管综合征的重要辅助检查，糖尿病合并腕管综合征，是糖尿病性周围神经病的一种表现形式，由于其发病机制的复杂性，其治疗方法与单纯腕管综合征或糖尿病多发性周围神经病的治疗方法均有所不同，早期识别，早期治疗，有利于改善患者的生活质量。 　　[关键词] 腕管综合征；糖尿病；神经传导速度测定 　　[中图分类号] R338.8 [文献标识码] A [文章编号] 1672-4062（2017）06（a）-0032-03 　　[Abstract] Objective The treatment of diabetes combined with carpal tunnel syndrome was different from the simple carpal tunnel syndrome treatment or diabetic peripheral neuropathy treatment. By summarizing the clinical data of diabetes combined with carpal tunnel syndrome， the patients can be earlier identified and diagnosed and the prognosis can be improved. Methods The neurological conduction velocity was measured in 691 diabetic patients who were hospitalized from April 2015 to August 2016 in this hospital. Results 48 cases were diagnosed as carpal tunnel syndrome. The most common symptom was paralysis in one or both hands. And it was more common in both hands. The sensory fibers were injured more than motor fibers. Conclusion The electroneuromyography examination is the most common laboratory examination for diagnosis of carpal tunnel syndrome. Diabetes combined with carpal tunnel syndrome is a form of diabetic peripheral neuropathy， the treatment of which is different from the simple carpal tunnel syndrome or diabetic multiple peripheral neuropathy due to its complicated pathogenesis. Early recognition and treatment could improve the quality of life of patients. 　　[Key words] Carpal tunnel syndrome； Diabetes； Neurological conduction velocity measurement 　　糖尿病是内科常见的代谢性疾病，随着生活水平的提高，发病率逐年增高，可引起一系列慢性并发症，神经病变是糖尿病的主要并发症之一，而腕管综合征（carpal tunnel syndrome，CTS） 被认为是糖尿病周围神经病变的一种表现形式，随着糖尿病发病率的增高及神经电生理技术的应用，逐渐被发现认识，由于糖尿病合并腕管综合征的治疗方法与单纯腕管综合征或糖尿病多发性周围神经病的治疗方法均有所区别，早期识别及诊断，有利于改善预后，提高患者的生活质量。下面就通过对该院2015年4月―2016年8月收治的48例糖尿病合并腕管综合征的患者进行回顾性分