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糖尿病所致的神经病变极为常见,但颅神经病变少见。我们在临床上遇到4例,现报道如下。临床资料4例糖尿病人均为Ⅰ型糖尿病,男女各2例,年龄54～76岁,3例发现糖尿病7年～14年,1例与糖尿病同时发现;3例合并面神经麻痹,其中1例在患面神经麻痹后4年又患动眼神经麻痹,另1例同时合并外展神经麻痹及动眼神经不全麻痹,2例合并末稍神经炎,2例有糖尿病视网膜病变,2例尿蛋白阳性,所有患者发病时糖尿病控制欠佳,血糖11.2～16.7mmol/l,尿糖(+++)。3例口服降糖药治疗,1例胰岛素治疗,控制糖尿病在良好状态,并用 VitB_1、VitB_(12)、局部理疗、针灸。4例患者均在
Neuropathy caused by diabetes is extremely common, but rare cranial neuropathy. We encountered 4 cases clinically, are reported below. Clinical data 4 cases of diabetic patients are type I diabetes, male and female in 2 cases, aged 54 to 76 years old, 3 cases of diabetes found for 7 years to 14 years, 1 case of diabetes mellitus simultaneously found; 3 cases of facial paralysis, of which 1 case of patients 4 years after facial nerve palsy also suffered from oculomotor nerve paralysis, and the other 1 case with concurrent abducens nerve paralysis and oculomotor nerve paralysis, 2 cases with terminal neuritis, 2 cases of diabetic retinopathy, 2 cases of urinary protein positive, all Diabetes control in patients with poor onset, blood sugar 11.2 ~ 16.7mmol / l, urine sugar (+++). 3 cases of oral hypoglycemic agents, 1 case of insulin treatment, control of diabetes in good condition, with VitB_1, VitB_ (12), local physical therapy, acupuncture. 4 patients are in