糖尿病足神经病变检查-英.pdfVIP

541 ORIGINAL ARTICLE Early recognition of diabetic neuropathy: evaluation of a simple outpatient procedure using thermal perception V Viswanathan, C Snehalatha, R Seena, A Ramachandran . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postgrad Med J 2002;78:541–542 Objective: To determine the effectiveness of Tip-therm, a temperature discriminator, in making an early diagnosis of distal symmetrical polyneuropathy in diabetic patients and to compare its effectiveness See end of article for with the Semmes-Weinstein monofilament and biothesiometry, which are established methods of diag- authors’ affiliations nosing neuropathy in diabetic patients. . . . . . . . . . . . . . . . . . . . . . . . Patients and methods: From the diabetic subjects who came to the hospital for review, 910 consecu- Correspondence to: tive cases were selected. All were tested with the Semmes-Weinstein monofilament (10 g monofilament) Dr Vijay Viswanathan, and biothesiometry and also by using the Tip-therm for comparison. Diabetes Research Centre, Results: Out of the 241 patients who had no sensation to the monofilament only four (1.7%) felt Tip- No 4, Main Road, therm whereas 237 (98.3%) patients could not feel Tip-therm. Among 298 patients diagnosed as hav- Royapuram, Madras 600 013, India; ing neuropathy by biothesiometry, only eight (2.7%) patients exhibited sensation wit