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目的:探讨糖尿病以周围神经病变为首发症状的临床类型。方法:通过近10年来治疗的41例以周围神经病变为首发症状的糖尿病临床资料进行分析,并结合文献对其发病机理、治疗进行讨论。结果:41例中男25例,女16例,年龄48～75岁。以多发性周围神经病变为首发18例(43.9%),以单一神经病变为首发15例(36.6%),以植物神经病变为首发8例。结论:凡是中老年人隐匿或急性起病的周围神经病变应及时检查血糖,以排除糖尿病。
Objective: To investigate the clinical type of diabetic peripheral neuropathy as the first symptom. Methods: The clinical data of 41 cases with peripheral neuropathy as the first symptom of diabetes mellitus were analyzed in the past 10 years. The pathogenesis and treatment of this disease were discussed in combination with the literature. Results: There were 25 males and 16 females in 41 cases, aged from 48 to 75 years. Among them, 18 cases (43.9%) started with multiple peripheral neuropathy, 15 cases (36.6%) started with single neuropathy, and 8 cases started with autonomic neuropathy. Conclusion: All elderly patients with occult or acute onset of peripheral neuropathy should promptly check blood sugar, in order to rule out diabetes.