Clinical diagnosis of diabetic polyneuropathy with the diabetic neuropathy symptom and diabetic neuropathy examination scores.
作者： J.-W. G. Meijer , E. Bosma , J. D. Lefrandt , T. P. Links , A. J. Smit
关键词:
摘要: OBJECTIVE—To evaluate the discriminative power of Diabetic Neuropathy Symptom (DNS) and Examination (DNE) scores for diagnosing diabetic polyneuropathy (PNP), as well their relation with cardiovascular autonomic function testing (cAFT) electro-diagnostic studies (EDS). RESEARCH DESIGN AND METHODS—Three groups (matched age sex) were selected: 24 patients neuropathic foot ulcers (DU), without clinical neuropathy or (DC), 21 control subjects diabetes (C). In all participants, DNS DNE assessed cAFT (heart rate variability [HRV], baroreflex sensitivity [BRS]), EDS performed (Nerve Conduction Sum [NCS] score; muscle fiber conduction velocity: fastest/slowest ratio [F/S ratio]). RESULTS—Both discriminated between DU DC significantly (P CONCLUSIONS—The are able to discriminate PNP strongly related EDS. This further confirms strength in daily practice.
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