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Peripheral Neuropathy in Patients with End-Stage Renal Disease
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°¼®(Kang Seok) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ÀçÈ°ÀÇÇб³½Ç
±ÇÈñ±Ô(Kwon Hee-Kyu) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ÀçÈ°ÀÇÇб³½Ç
Æí¼º¹ü(Pyun Sung-Bom) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ÀçÈ°ÀÇÇб³½Ç
±è±ÔÅÂ(Kim Kyu-Tae) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ÀçÈ°ÀÇÇб³½Ç
ÀÌÀ¯³ª(Yi Yoo-Na) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ÀçÈ°ÀÇÇб³½Ç
À±Çü¼®(Yun Hyung-Seok) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ÀçÈ°ÀÇÇб³½Ç
ºÎâ¼ö(Boo Chang-Su) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Á¶¿ø¿ë(Cho Won-Yong) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Abstract
Objective: To investigate and analyze prevalence and characteristics of peripheral neuropathy in patients with end-stage renal disease (ESRD) according to the cause of ESRD.
Methods: Cross sectional study was conducted in 112 patients who had undergone hemodialysis (n= 64) or peritoneal dialysis (n= 48). The medical records were reviewed. Standard motor and sensory nerve conduction studies, F waves, and H reflexes were performed. Peripheral neuropathy (PN) was diagnosed and classified into 4 grades.
Results: PN was diagnosed in 58 patients (51.8%): 34 in hemodialysis (HD) group and 24 in peritoneal dialysis (PD) group. Forty two out of 47 patient with diabetes mellitus developed PN whereas 16 out of 65 did in non-diabetic patients (p<0.01). The severity of PN was as follows: Grade I, 12; Grade II, 11; Grade III, 26; Grade IV, 9. The duration of ESRD according to the severity of PN was not significant (p=0.056) in all the patients, but showed moderate correlation in non-diabetic patients (r=0.287, p<0.05).
Conclusion: The diabetic patients may develop severe degree of PN compared to those with other etiology of ESRD because the peripheral nerve could be affected from both diabetes mellitus and uremia.
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Peripheral neuropathy, End stage renal disease, Hemodialysis, Peritoneal dialysis, Diabetes
KMID :
0860920090110020055
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À¯È¿¼º°á°ú(Recomendation)
No difference in types of dislyses (HD & PD) on Peripheral Neuropathy