IMPROVEMENT OF NERVE-CONDUCTION IN DIABETIC NEUROPATHY - A FOLLOW-UP-STUDY 4 YR AFTER COMBINED PANCREATIC AND RENAL-TRANSPLANTATION

被引:106
作者
SOLDERS, G [1 ]
TYDEN, G [1 ]
PERSSON, A [1 ]
GROTH, CG [1 ]
机构
[1] HUDDINGE UNIV HOSP,KAROLINSKA INST,DEPT TRANSPLANTAT SURG,S-14186 HUDDINGE,SWEDEN
关键词
D O I
10.2337/diabetes.41.8.946
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Eighteen patients with long-standing insulin-dependent (type 1) diabetes mellitus and polyneuropathy were studied after combined pancreatic and renal transplantation. Repeated tests were performed on peripheral nerve function (electroneurography) and on autonomic function (R-R test) 6 mo and 1, 2, and 4 yr after the transplantation. Eighteen diabetic patients with only a kidney graft served as controls. After initial improvement of nerve conduction in both groups, probably caused by the elimination of uremia, further improvement was seen only in the euglycemic pancreas-graft recipients. Improvement of autonomic (parasympathetic) function was slight after 48 mo and was similar in both groups.
引用
收藏
页码:946 / 951
页数:6
相关论文
共 37 条
[1]  
ARIEFF AI, 1986, KIDNEY, P1731
[2]  
BARTOS V, 1986, TRANSPL P, V18, P1768
[3]  
BEGGS JL, 1990, CLIN TRANSPLANT, V4, P133
[4]   DIABETIC AUTONOMIC NEUROPATHY [J].
CLARKE, BF ;
EWING, DJ ;
CAMPBELL, IW .
DIABETOLOGIA, 1979, 17 (04) :195-212
[5]  
Cochran W.G, 1957, STAT METHODS, V6th ed
[6]   EFFECT OF NEAR NORMOGLYCEMIA FOR 2 YEARS ON PROGRESSION OF EARLY DIABETIC-RETINOPATHY, NEPHROPATHY, AND NEUROPATHY - THE OSLO STUDY [J].
DAHLJORGENSEN, K ;
BRINCHMANNHANSEN, O ;
HANSSEN, KF ;
GANES, T ;
KIERULF, P ;
SMELAND, E ;
SANDVIK, L ;
AAGENAES, O .
BRITISH MEDICAL JOURNAL, 1986, 293 (6556) :1195-1199
[7]  
Dyck PJ, 1987, DIABETIC NEUROPATHY
[8]   INCREASED NERVE-CONDUCTION IN DIABETICS AFTER A YEAR OF IMPROVED GLUCOREGULATION [J].
EHLE, AL ;
RASKIN, P .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1986, 74 (2-3) :191-197
[9]   CARDIAC AUTONOMIC NEUROPATHY IN DIABETES - COMPARISON OF MEASURES OF R-R INTERVAL VARIATION [J].
EWING, DJ ;
BORSEY, DQ ;
BELLAVERE, F ;
CLARKE, BF .
DIABETOLOGIA, 1981, 21 (01) :18-24
[10]  
EWING DJ, 1980, Q J MED, V49, P95