{"title":"肌电图与临床病理指标联合诊断糖尿病周围神经病变的回顾性研究。","authors":"Wenhua Wang, Ziwei Gong, Siyi Wang, Gang Li","doi":"10.2147/JMDH.S525731","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the diagnostic value of combining electromyography (EMG) with clinical and pathological parameters in diagnosing diabetic peripheral neuropathy (DPN).</p><p><strong>Methods: </strong>A retrospective study was conducted on 156 diabetic patients (69 with DPN, 87 without) treated from July 2022 to December 2024. Clinical, biochemical, and EMG parameters were compared between groups. Multivariate logistic regression identified independent predictors of DPN. ROC curve analysis assessed diagnostic performance.</p><p><strong>Results: </strong>Group A (DPN) had significantly higher levels of glycated hemoglobin, cystatin C, uric acid, and creatinine, and significantly reduced motor and sensory nerve conduction velocities compared to Group B. Logistic regression identified these indicators as independent risk factors. Combined ROC analysis showed higher diagnostic accuracy (AUC = 0.873) than any single indicator.</p><p><strong>Conclusion: </strong>The combination of EMG with selected clinical and pathological parameters offers high diagnostic accuracy for DPN in diabetic patients.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3727-3734"},"PeriodicalIF":2.4000,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212094/pdf/","citationCount":"0","resultStr":"{\"title\":\"Evaluation of the Diagnostic Utility of Combining Electromyography with Clinical and Pathological Indices in the Diagnosis of Diabetic Peripheral Neuropathy: A Retrospective Study.\",\"authors\":\"Wenhua Wang, Ziwei Gong, Siyi Wang, Gang Li\",\"doi\":\"10.2147/JMDH.S525731\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the diagnostic value of combining electromyography (EMG) with clinical and pathological parameters in diagnosing diabetic peripheral neuropathy (DPN).</p><p><strong>Methods: </strong>A retrospective study was conducted on 156 diabetic patients (69 with DPN, 87 without) treated from July 2022 to December 2024. Clinical, biochemical, and EMG parameters were compared between groups. Multivariate logistic regression identified independent predictors of DPN. ROC curve analysis assessed diagnostic performance.</p><p><strong>Results: </strong>Group A (DPN) had significantly higher levels of glycated hemoglobin, cystatin C, uric acid, and creatinine, and significantly reduced motor and sensory nerve conduction velocities compared to Group B. Logistic regression identified these indicators as independent risk factors. Combined ROC analysis showed higher diagnostic accuracy (AUC = 0.873) than any single indicator.</p><p><strong>Conclusion: </strong>The combination of EMG with selected clinical and pathological parameters offers high diagnostic accuracy for DPN in diabetic patients.</p>\",\"PeriodicalId\":16357,\"journal\":{\"name\":\"Journal of Multidisciplinary Healthcare\",\"volume\":\"18 \",\"pages\":\"3727-3734\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-06-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212094/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Multidisciplinary Healthcare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/JMDH.S525731\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S525731","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Evaluation of the Diagnostic Utility of Combining Electromyography with Clinical and Pathological Indices in the Diagnosis of Diabetic Peripheral Neuropathy: A Retrospective Study.
Objective: To evaluate the diagnostic value of combining electromyography (EMG) with clinical and pathological parameters in diagnosing diabetic peripheral neuropathy (DPN).
Methods: A retrospective study was conducted on 156 diabetic patients (69 with DPN, 87 without) treated from July 2022 to December 2024. Clinical, biochemical, and EMG parameters were compared between groups. Multivariate logistic regression identified independent predictors of DPN. ROC curve analysis assessed diagnostic performance.
Results: Group A (DPN) had significantly higher levels of glycated hemoglobin, cystatin C, uric acid, and creatinine, and significantly reduced motor and sensory nerve conduction velocities compared to Group B. Logistic regression identified these indicators as independent risk factors. Combined ROC analysis showed higher diagnostic accuracy (AUC = 0.873) than any single indicator.
Conclusion: The combination of EMG with selected clinical and pathological parameters offers high diagnostic accuracy for DPN in diabetic patients.
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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