糖尿病继发不安腿综合征50例临床分析.docVIP

糖尿病继发不安腿综合征50例临床分析 　　[摘要] 目的 通过分析糖尿病继发不安腿综合征的不同糖化血红蛋白患者的症状恢复时间，探讨与患者预后的关系。方法 选取该院糖尿病神经内科2014年6月―2016年6月收治的50例糖尿病继发不安腿综合征患者，进行回顾性分析。观察糖化血红蛋白与患者症状恢复时间的关系。结果 糖尿病继发不安腿综合征患者，均有糖尿病周围神经病变，糖化血红蛋白大于9%的，症状恢复时间明显小于9%的患者，血糖控制差的患者不安腿综合征恢复慢。结论糖尿病继发不安腿综合征为糖尿病的微血管并发症之一，积极控制血糖达标及改善循环、营养神经等综合治疗，可以使患者的不安腿综合征临床症状恢复正常。值得临床借鉴。 　　[关键词] 2型糖尿病；不安腿综合征；糖尿病周围神经病变；糖化血红蛋白 　　[中图分类号] R741 [文献标识码] A [文章编号] 1672-4062（2017）05（a）-0028-02 　　Analysis of 50 cases of Diabetes Mellitus with Restless Legs Syndrome 　　JIN Cheng-gang， LI Shu-ping， ZHANG Li 　　Department of Diabetic Neurology， Yuncheng City Tongde Hospital， Yuncheng， Shanxi Province， 044000 China 　　[Abstract] Objective This paper tries to analyze the relationship between the recovery time and the prognosis of patients with different glycosylated hemoglobin of diabetes mellitus with restless legs syndrome. Methods 50 patients with diabetes mellitus and restless legs syndrome from June 2014 to June 2016 admitted in the Department of Diabetic Neurology were retrospectively analyzed. The relationship between glycosylated hemoglobin and recovery time of patients were observed. Results Diabetic patients with restless legs syndrome experienced diabetic peripheral neuropathy， whose glycosylated hemoglobin was up to 9%， whose recovery time was significantly longer than those whose glycosylated hemoglobin was less than 9%， patients’ restless legs syndrome recovered slowly due to their poor blood glucose control. Conclusion Diabetes mellitus with restless legs syndrome is one of the complications of diabetic microvascular complications. Controlling blood glucose， improving the circulation and nourishing the nerves can effectively improve the curative effect of restless legs syndrome of patients. It is worth clinical application. 　　[Key words] Type 2 diabetes mellitus； Restless legs syndrome； Diabetic peripheral neuropathy； Glycosylated hemoglobin 　　不安腿?C合征（restless legs syndrome，RLS）又称不宁腿综合征，1672年由Wills首先记载，1861年Wittonack称之为胫骨不安症，1943年Allison描述为腿