169 KB23 KB199420252002Denišlič, MiroMeh, Duškaštevilka:4letnik:41str. 279-288ISSN:0025-8121COBISSID:15959257URN:URN:NBN:SI:doc-FIZPINLIslMedicinski razglediMedicinski razglediBolečinski pragbolnikiDiabetes MellitusfiziologijamotnjeMultipla sklerozaMultiple SclerosisnevrofiziologijaobčutljivostPain ThresholdPeriferno živčevje, bolezniPeripheral Nervous System DiseasesSjoegrenov sindromSjogren'S SyndromeSladkorna bolezenTemperature SenseTemperaturni čutživčevjeUporaba termotesta| Usage of thermotest|Modern neurophysiological methods (including the accurate psychophysical Marstock method) were used to determine sensitivity to heat, cold, and pain due to heat and cold (specific thermal and pain sensitivity) in six groups of patients suffering from various diseases (type 1 and type 2 diabetes mellitus,primary Sjogren's syndrome, peripheral neuropathy of various etiologies, syringomyelia and multiple sclerosis). Various types of abnormalities were found, but no specific alteration patterns were identified.The abnormalities recorded depended upon the stage of the disease. The study confirms that thermotest is a sensitive, although unfortunately unspecific, index of somatoesthesia. The method is appropriate for following the disease or its progression during rehabilitation. For an exact diagnosis of somatosensory dysfunction, aberrant sensations are at least as important ashypo- or hyperesthetic phenomenaPri šestih skupinah bolnikov (s sladkorno boleznijo tipa 1 in tipa 2, s primarnim Sjogrenovim sindromom, z različnimi perifernimi nevropatijami, s siringomielijo in z multiplo sklerozo) smo s sodobnimi nevrofiziološkimi preiskavami določili občutljivost za toploto, hlad in bolečino zaradi mraza inzaradi vročine. Našli smo različna odstopanja od normativnih vrednosti, vzorci sprememb pa niso bili povezani s patološkim procesom. Ugotovljena odstopanja so bila odvisna od stopnje bolezni. Raziskava je potrdila, da je termotest občutljiv, a žal nespecifičen pokazatelj občutljivosti. Preiskava jeprimerna za spremljanje razvoja bolezni ali napredovanja rehabilitacije. Za natančno prepoznavo spremenjene občutljivosti so kakovostne spremembe vsaj enako pomembne kot količinskeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo Medicinski razgledi