|
|
Sensitivity of parameters of F wave to diagnosis of diabetic peripheral neuropathy |
GAO Yan1, CUI Fang1, BAO Haiping2, LIN Yongzhong2 |
1.Department of Neurology,Hainan Hospital of PLA General Hospital, SAN Ya 572013,China; 2.Second affliated Hospital of Dalian Medical university,Dalian 116000,China |
|
|
Abstract Objective To investigate the most sensitive parameters of F wave in the diagnosis of diabetic peripheral neuropathy by using the F wave reference value of height correction.Methods Eighty-one cases of patients with type 2 diabetes were randomly selected, whose nerve conduction velocity (NCV) of the median nerve, ulnar nerve, tibial nerve and F wave were tested. According to the results of NCV tests, these patients were divided into the normal NCV group and the abnormal NCV group.The sensitivity of F wave parameters were analyzed by t-test and chi-square test.Results The total rate of abnormality of the longest latency of F wave of different nerves among patients of diabetes was higher than that of the shortest latency, the average latency, the occurrence rate of F wave and the F wave maximum conduction velocity(P<0.05). The difference was statistically significant. There was statistically significant difference between the two groups in terms of the shortest latency, the longest latency,the average latency, the maximum NCV(P<0.05)of F wave of the median nerve. The rate of abnormality of F wave of the tibial nerve, the median nerve, and the ulnar nerve in the abnormal NCV group was significantly higher than that of motor nerve conduction velocity of the same nerve.Conclusions The longest latency of F wave is more sensitive to the diagnosis of DPN, so NCV combined with F wave can improve the detection rate of DPN.
|
Received: 10 December 2018
|
|
|
|
|
[1] |
闫淑静,刘宏雨.糖尿病神经电生理改变的研究[J].河北医药,2016,38 (4):550-552.
|
[2] |
Yagihashi S, Yamagishi S, Wada R. Pathology and pathogenetic mechanisms of diabetic neuropathy correlation with clinical signs and symptoms[J]. Diabetes Res Clin Pract ,2007,77(1):184-189.
|
[3] |
Sima A A,Sugimoto K.Experimental diabetic neuropathy: an update[J]. Diabetologia,1999,42(7):773-788.
|
[4] |
魏亚芬,刘永丹.F波在糖尿病亚临床神经病变诊断评估中的应用[J].糖尿病新世界,2016,19(3):61-63.
|
[5] |
潘 华,林金嬉.国人F波正常参考值范围的建立[J].中华神经科杂志,2015,48(2):93.
|
[6] |
崔丽英.简明肌电图学手册[M].北京:科学出版社,2006:183-211.
|
[7] |
栾 松,崔丽英.糖尿病性周围神经病发病机制和电生理研究进展[J].临床神经电生理学杂志,2005,14(1):44-47.
|
[8] |
王贵平.糖尿病周围神经病的神经电生理及病理研究进展[J].临床神经电生理学杂志,2007,16(1):44-48.
|
[9] |
王 彦,吴毓敏.探讨SEP、NCS、SSR、F波联合检测对糖尿病周围神经病变早期诊断的价值[J].中国实用神经疾病杂志,2017,20(9):58-61.
|
[10] |
Croog S H,Levi S,Testa M A,et al.The effect of anti hypertensive therapy on the quality of life[J].N Engl J Med,1986,14(3):1657-1659.
|
[11] |
Islam M R,Bhowmik N B,Haque A,et al.F wave latency-a frequent and early involved nerve conduction parameter in young diabetic subjects[J].Mymensingh Med J,2005,14(1):46-49.
|
[12] |
廖晓凌,张国华,高长玉,等. F波对糖尿病周围神经病诊断的意义[J].中国康复,2003,18(6):348-351.
|
[13] |
Andersen H,Stalborg E.F-wave latency, the most sensitive nerve conduction parameter in patients with diabetes mellitus[J].Muscle & Nerve,1997,10(20):1296-1302.
|
[14] |
Kocer A,Gozlee E.A comparison of f-wave in peripheral nerve disorders[J].Electromyography clin Neru,2005,78(45):417-423.
|
[15] |
Eccles J C.The central action of antidromic impulses in motor nerve fibers[J].Pflugers Arch,1955,260(5):385-415.
|
[16] |
Tauc L. Identification of active membrane areas in the giant neuron of Aplysia[J]. Gen Physio J,1962,45(1):1099-1115.
|
[17] |
Chroni E.F tacheodispersion[J].Muscle nerve,1993,12(16):1302-1309.
|
|
|
|