Evaluation of Peripheral Neuropathy in the Feet of the Cases with Chronic Hemodialysis

Abstract

Aim: In this study, we aimed to evaluation peripheral neuropathy in the feet of the cases with chronic hemodialysis. Material and Methods: The study included in 111 hemodialysis patients. (Group-I) 35 hemodialysis patients without diabetes mellitus, (Group-II) 26 hemodialysis patients with diabetes mellitus, and (Group-III) 50 patients with type 2 diabetes mellitus without chronic kidney disease. The diagnostic criteria that, presence of subjective symptoms, Semmes Weinstein monofilament examination, vibration detection thresholds with diapasone and biotesiometer, and presence of achilles reflex, used in the diagnosis of neuropathy were recorded in the data collection form. Results: Neuropathy percentages were detected 17.0% in Group-I cases with hemodialysis, 69.0% in Group-II cases with diabetes mellitus and hemodialysis, and 24.0% in Group-III cases with type 2 diabetes mellitus without chronic kidney diseases. The rate of neuropathy in Group II was significantly higher than Group-I and Group-III (p <0.001). There were no significant differences acording to neuropathy percentages between Group-I and Group-III (p >0.05). Conclusion: Neuropathy is seen frequently in hemodialysis patients without diabetes mellitus, we think that regular podological foot examination and evaluation of neuropathy should be done for hemodialysis patients.

Keywords

• Neuropathy
• Diabetic peripheral neuropathy
• Diabetes mellitus
• Chronic kidney diseases
• Hemodialysis

Kronik Hemodiyalizli Olguların Ayaklarında Periferik Nöropatinin Araştırılması

Abstract

Amaç: Çalışmamızda son dönem böbrek hastalığı nedeniyle hemodiyalize giren hastaların ayaklarında nöropatinin araştırılması amaçlandı. Gereç ve Yöntemler: Çalışmaya diabetes mellitus (DM) tanısı olmayan 35 hemodiyaliz hastası (Grup-I), DM tanılı 26 hemodiyaliz hastası (Grup-II), kronik böbrek hastalığı olmayan Tip 2 DM tanılı 50 hastadan (Grup-III) oluşan toplam 111 hasta alındı. Nöropati tespitinde subjektif semptom varlığı, Semmes Weinstein monofilament incelemesi, diyapazon ve biyoteziyometrede vibrasyon algılama eşikleri ile aşil refleksinin varlığı kullanıldı. Gruplarda saptanan veriler analiz edildi. Bulgular: Grup-I’deki hemodiyaliz olguların %17,0’sinde nöropati tespit edilirken, Grup-II’deki DM tanılı hemodiyaliz olguların %69,0’unda, Grup-III’ deki DM tanılı olguların %24,0’ünde nöropati tespit edildi. Grup II’deki nöropati oranı Grup-I ve Grup-III’e göre anlamlı yüksek bulundu (p<0,001). Grup-I ve Grup-III arasında anlamlı fark bulunmadı (p>0,05). Sonuç: Hemodiyaliz hastalarında Diabetes Mellitus olmasa da nöropati sık görülmektedir. Bundan dolayı hemodiyalize giren hastalara düzenli podolojik ayak muayenesinin yapılmasının ve nöropati açısından değerlendirilmesinin uygun olacağını düşünmekteyiz.

Keywords

• Hemodiyaliz
• Nöropati
• Diyabetik periferik nöropati
• Diabetes mellitus
• Kronik böbrek hastalığı

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