【作者】 潘燕；

【导师】 张小宁；

【作者基本信息】 新疆医科大学 ， 神经病学， 2008， 硕士

【摘要】 目的应用定量感觉检查研究脑梗塞、糖尿病患者的感觉障碍(主要为痛、温觉)损害程度。方法我们选择90例患者分为3组,其中30例脑梗塞患者、30例糖尿病患者、30例脑梗塞合并糖尿病患者,另外选取30例非脑梗塞非糖尿病患者作为对照组。均使用以色列产TSA-Ⅱ型神经感觉定量分析仪,分别检测冷觉、热觉、冷痛觉、热痛觉定量阈值,从而进行评价。结果脑梗塞组与非脑梗塞非糖尿病组(对照组)相比,双手及双足冷觉、热觉、冷痛觉,左足热痛觉均有显著性差异(P<0.01)。糖尿病组与非脑梗塞非糖尿病组(对照组)相比,右足冷觉,双足热觉有差异(P<0.05);双手及双足冷痛觉均有显著性差异(P<0.01)。脑梗塞合并糖尿病组与非脑梗塞非糖尿病组(对照组)相比,双手及双足冷觉、热觉、冷痛觉,双足热痛觉均有显著性差异(P<0.01)。脑梗塞合并糖尿病组与脑梗塞组相比,左足热觉,右足热痛觉均有差异(P<0.05)。脑梗塞合并糖尿病组与糖尿病组相比,双手及双足冷觉有差异(P<0.05),双手及双足热觉、双足热痛觉均有显著性差异(P<0.01)。结论脑梗塞合并糖尿病的患者感觉功能损害程度明显高于单一脑梗塞或糖尿病患者,且应用定量感觉检查可更早期、更准确的评价脑梗塞、糖尿病患者感觉功能损害程度。更多还原

【Abstract】 Object To research the sensory obstacles (for pain, temperature feel) with the patients of cerebral infarction and diabetes, using the quantitative sensory testing. Method Meeting the criteria, we delided 90 patients into three teams, cerebral infarction patients (30 cases), diabetic patients (30 cases) and cerebral infarction patients with diabetes(30 cases), other 30 cases were non-diabetic with non-cerebral infarction(the control group ) .We used the Israeli-TSA-Ⅱtype of feeling for quantitative analysis, respectively examination cold sensation,hot sensation, quantitative cold pain sensation and thus to evaluate. Results Group cerebral infarction and non-cerebral infarction? non-diabetic group (the control group) compared to, the cold? heat? cold pain in hands and feet, the fever pain in left foot were significant differences (P<0.01);Group diabetic and non-cerebral infarction? non-diabetic group (the control group) compared to, the cold in right foot and the heat in feet were differences (P<0.05), the cold pain in hands and feet were significant differences (P<0.01); Group cerebral infarction with diabetic and non-cerebral infarction? non-diabetic group (the control group) compared to, the cold、heat? cold pain in hands and feet, the fever pain in feet were significant differences (P<0.01); Cerebral infarction and cerebral infarction group with diabetes compared to, the heat in left foot , the fever pain in right foot were differences (P<0.05); Group cerebral infarction with diabetes and diabetic compared to, the cold in hands and feet were differences (P<0.05),the heat in hands and feet, the fever pain in feet were significant differences (P<0.01). Conclusion Cerebral infarction patients with diabetes sensory nerve damage significantly higher than single cerebral infarction patients or diabetes ,and application of quantitative sensory testing can be more earlier, more accurate assessment of cerebral infarction, diabetes patients with the degree of sensory dysfunction.更多还原