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دراسة لاعتلال الاعصاب المحيطية عند مرضى الداء السكري من النوع الثاني == Study of peripheral neuropathy in patients with diabetes mellitus type II
Author name:
اسراء ماجد نعمة عبيد العيكاشي
Supervisor name:
سحر محمود جواد الجمالي | عمار جبار حمد الشمري
General topic:
Biology
Specific topic:
Zoology
Degree:
Master
University:
University of Kufa - College Of Education For Girls - Department Of Biology
Language:
Arabic
University location:
Najaf
First pages:
24T3029 - p.pdf
Abstract:
Diabetes mellitus is one of the most chronic diseases that is widely spread all over the world and affects all age groups. The disease has a vast potential to affect almost every body organ, especially the peripheral nerves, which causes high mortality rates from disease complications. These complications cause damage in the organs of the body including the nerves located in the limbs that generate an intense heat resulting from the destruction of nerve fibers in addition to the acute pain resulting from the effect of diabetes in those nerves. This study was designed to determine the sensitivity of those nerves by displaying the results of nerve conduction study for patients and compared it with their clinical examination to determine the severity of numbness and assess the level of pain in the upper and lower limbs.The study was conducted at the Diabetes and Endocrinology Center in Al - Sader Medical City in Al - Najaf governorate and it included following up the case of (78) patients with diabetic peripheral neuropathy by nerve conduction study. The study was began from 5/9/2014 until 7/4/2015. It included diabetic men and women, and they were divided into three age groups (35 - 68), and the study excluded the patients with peripheral neuropathy but have foot ulceration because the nerve connect system (SUDOSCAN REPORT ) was used in the current study, cannot perform nerve conduction study for patients with foot ulceration also smoking and the patients who taking treatment for diabetic peripheral neuropathy .During this study the clinical examination for patients was conducted and compared it with the nerve conduction study of them , also recording the information were related with the history of patients ,as while asmeasuring the concentrations of urea and creatinine in serum, in addition the study was recognized the effect of diabetes mellitus on the kidneys by estimating the ratio of albumin to creatinine in the urine, or named (ACR). the study compared the glycosylated hemoglobin levels and body mass index with the nerve conduction study results for all patients.The present study has shown a statistical significant difference (P <0.05) between the clinical tests of the patients who were tested by tuning fork as while as nerves test needle test and between nerve conduction study for both sexes also at all age groups included in the study. The results of the study did not show any a statistical significant (P>0.05). difference when compared the results of nerve conduction study among the different age groups for males. For females however, there was a statistical significant difference (P<0.05) amongst the different age groups.The results of the current study did not show a statistical significant difference (P>0.05) as regards the duration of injury for males, while it revealed a statistical significant difference among females (P <0.05), the results of the current study also observed the presence of a statistical significant increase (P<0.05) in the ratio of albumin to creatinine in patients with diabetic peripheral nervous for males and females.When compared the glycosylated hemoglobin (HbA1c) levels over the past three months, there are no a statistical significant differences (P>0.05) for males and females ,while the study revealed no a statistical significant increase (P> 0.05) in the concentrations of urea in males when compared to their nerve conduction study results, as well as theconcentrations of creatinine which did not show a statistical significant difference( P> 0.05) at them.The study was also revealed the presence of a statistical significant difference (P<0.05) in the concentrations of urea in females with diabetic peripheral neuropathic and did not show a statistical significant difference (P> 0.05) in the concentration of creatinine at them. The results of the current study did not show a statistical significant difference (P>0.05) between the body mass index among males and it showed a statistical significant difference among females (P <0.05)with peripheral diabetic neuropathy.The study reached that diabetes, with long periods of infection, has a crucial role in showing and the advancement of the disease for most of the patients, particularly those who lack the suitable amount of control over the percentage of the Glucose in the blood. The study also deducted that the disease is accompanied with kidney failure for most of the studied patients. It was also revealed that the nominees of some of the patients which appeared during their examination via tuning fork as while as nerves test needle was not the cause of their infection with diabetes, therefore, the study recommended the adoption of the results of the diabetic peripheral neuropathy to diagnose and asses the infection with peripheral nervous surround diabetes.
