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Rehabilitation Practice and Science

Translated Title

糖尿病病人的交感神經皮膚反應

Abstract

Sympathetic skin response (SSR) test is a newly introduced technique to assess sympatetic function in measuring sudomotor activity of the skin. This test is applicable in the detection of autonomic dysfunction which is a usual complaint of diabetic patients. Forty-four diabetic patients with age ranging from 38to 79 years (mean, 60 years ) and 20age-matched normal controls attended this study. SSRs were performed in hand with electroc stimulation at volar wrist and recorded at midpalm, and in foot with stimulation at medial ankle and recorded at mid-plantar skin. The maximal amplitude and the average of 5biggest amplitudes of SSRwere selected and analysed. The maximal amplitude of SSR obtained in diabetic patients was 920±648(mean ±1SD)μV in the hand and 473 ±316μV in the foot. The average amplitude of SSR was 764±489μV in the hand and 359±249μV in the foot. These ursults were significantly lower than normal controls, the maximal amplitude of 2360±628μV and mean amplitude of 1996±590μV in the hand, and maximal amplitude of 960±320μV and mean amplitude of 850±351μV in the foot (p＜0.001, respectively). The rate of absence of SSR in diabetic patients was 25% in the hand and 70.4% in the foot. The conclusion was made that a low amplitude of absence of SSR might represent an early positive evidence of sudomotor dysfunction in diabetic autonomic neuropathy.

Language

English

First Page

1

Last Page

7

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