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糖尿病神经病变的临床表现是多种多样的,但并不是所有的周围神经损伤都由糖尿病神经病变引起。最常见的糖尿病神经病变是慢性远端型、对称性、多发性神经病变(DPN)和自主神经病变(DAN)。多达50%的DPN是无症状的,患者足部对损伤无感觉,>80%的患者因足部溃疡和损伤而截肢。因此,医生应提高对高危人群的识别,提供患者教育和合理的足部护理,能够降低坏疽和随后的截肢率。所以,糖尿病神经病变的早期诊断、合理治疗非常重要。
The clinical manifestations of diabetic neuropathy are varied, but not all peripheral nerve damage is caused by diabetic neuropathy. The most common diabetic neuropathy is chronic distal type, symmetry, multiple neuropathy (DPN) and autonomic neuropathy (DAN). Up to 50% of DPN is asymptomatic, the patient’s foot has no sensation of injury, and> 80% of amputations result from foot ulcers and injuries. Therefore, physicians should improve the identification of at-risk populations, provide patient education and adequate foot care, and reduce gangrene and subsequent amputation rates. Therefore, the early diagnosis of diabetic neuropathy, reasonable treatment is very important.