ĐẶC ĐIỂM LÂM SÀNG VÀ ĐIỆN SINH LÝ CỦA TỔN THƯƠNG THẦN KINH NGOẠI VI Ở NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG (ĐTĐ) TÝP 2 MỚI ĐƯỢC CHẨN ĐOÁN

Abstract

Objectives: To describe the clinical and electrophysiological characteristics of peripheral nerve damage in newly diagnosed type 2 diabetes patients. Subjects and methods: A cross-sectional descriptive study was conducted on 98 people with newly diagnosed type 2 diabetes patients at the Department of Endocrinology - Diabetes and Neurology Center of Bach Mai Hospital. Results: The mean age of the study group was 58.05 ± 12.82. The most common group is over 60 years old 45.9%, male/female ratio is 1.45. The proportion of patients with comorbid hypertension was 65.3%, dyslipidemia was 71.4%. At the time of diagnosis of Diabetes, the majority of patients had a high HbA1C level over 7%, accounting for 86.7%, with an average HbA1C level of 11.8%. Decrease/ loss of Achilles tendon reflex is a common clinical sign, suggesting nerve damage in people with diabetes. There were 22 patients with changes in nerve conduction measurements. In which, reduction of motor amplitude and prolongation of sensory conduction velocity are the most common. Conclusions: Nerve conduction measurement can reveal early changes in peripheral nerve damage in patients with newly diagnosed diabetes.