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目的探讨糖尿病性脊髓病的临床特征及临床治疗效果。方法分析在本院就诊的8例糖尿病性脊髓患者的临床资料。结果所有患者进行血常规及肝功能检查均正常,对患者进行脑脊液及颅脑CT检查,3例患者蛋白偏高,在0.66~1.02 g/L之间,1例腔隙性脑梗死。电生理检查结果显示后索受损患者3例,后索、侧索同时受损患者2例,糖尿病性肌萎缩2例,横惯性脊髓受损1例。结论在糖尿病早期控制血糖能有效降低糖尿病性脊髓病的发病率,糖尿病性脊髓病对人类机体危害很大,应当引起高度重视。
Objective To investigate the clinical characteristics and clinical treatment of diabetic myelopathy. Methods The clinical data of 8 patients with diabetic spinal cord treated in our hospital were analyzed. Results All patients had normal blood tests and liver function tests. Cerebrospinal fluid (CSF) and brain CT scan were performed in all patients. The protein in 3 patients was high, ranging from 0.66 to 1.02 g / L, with 1 lacunar infarct. Electrophysiological examination showed that 3 cases had posterior cable lesion, 2 cases posterior cable and lateral lesion, 2 diabetic muscle atrophy and 1 case transverse spinal cord injury. Conclusion The control of blood glucose in the early stage of diabetes can effectively reduce the incidence of diabetic myelopathy. Diabetic myelopathy is very harmful to human body and should be given high priority.