{"id":33884,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/neuropatia-diabetica-subclinica-diagnostico-y-clasificacion-mediante-un-protocolo-de-estudio-original\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"neuropatia-diabetica-subclinica-diagnostico-y-clasificacion-mediante-un-protocolo-de-estudio-original","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/neuropatia-diabetica-subclinica-diagnostico-y-clasificacion-mediante-un-protocolo-de-estudio-original\/","title":{"rendered":"Neuropatia diabetica subclinica. diagnostico y clasificacion mediante un protocolo de estudio original."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Cristobal Galvez Galvez <\/strong><\/h2>\n<p>El objeto del presente trabajo es dise\u00f1ar y aplicar un protocolo de exploraci\u00f3n secuencial que permita el diagn\u00f3stico precoz de la neuropat\u00eda diab\u00e9tica y clasifique a los pacientes diab\u00e9ticos en funci\u00f3n del grado de afectaci\u00f3n neurop\u00e1tica que presenten.  las exploraciones que han mostrado ser de utilidad y que se incluyen en dicho protocolo son un test de neuropat\u00eda sintom\u00e1tica (tns, test de dise\u00f1o original integrado por 15 cuestiones sobre s\u00edntomas espec\u00edficos de neuropat\u00eda diab\u00e9tica) y cuatro tipos de pruebas funcionales: a) test de exploraci\u00f3n funcional (test de dise\u00f1o original que explora sensibilidad, fuerza y reflejos). B) estudio electrofisiol\u00f3gico (eval\u00faa velocidades de conducci\u00f3n nerviosa). C) estudio de funci\u00f3n auton\u00f3mica ( respuesta cardiovascular a valsalva, reposo y ortostatismo). D) estudio sensorial cuantitativo. No han mostrado ser de utilidad el estudio biopatol\u00f3gico y la velocidad de conducci\u00f3n central (potenciales evocados auditivos del tronco).  en funci\u00f3n de la respuesta al protocolo, los pacientes se clasifican como n0 &#8211; ausencia de neuropat\u00eda (tns(-) y mayor o igual a 2 pruebas alteradas), n2 -neuropat\u00eda cl\u00ednica (tns(+) y mayor o igual a 2 pruebas alteradas), n3 -neuropat\u00eda discapacitante.  la comparaci\u00f3n de los distintos grupos de pacientes pone de relieve importantes diferencias en aspectos de la funci\u00f3n nerviosa pero no se aprecian diferencias en control metab\u00f3lico, presencia de otras complicaciones, edad o tiempo de evoluci\u00f3n de la diabetes.  este protocolo discrimina y clasifica adecuadamente a una muestra representativa de pacientes diab\u00e9ticos y no se v\u00e9 influido por otras caracter\u00edsiticas cl\u00ednicas de los pacientes. El protocolo de estudio dise\u00f1ado resulta de particular utilidad para el diagn\u00f3stico de la neuropat\u00eda diab\u00e9tica subcl\u00ednica y permite la clasificaci\u00f3n de los pacientes en funci\u00f3n del grado de afectaci\u00f3n neurop\u00e1tica.  su uso puede ser extendi<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Neuropatia diabetica subclinica. diagnostico y clasificacion mediante un protocolo de estudio original.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Neuropatia diabetica subclinica. diagnostico y clasificacion mediante un protocolo de estudio original. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Cristobal Galvez Galvez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Manuel Joaquin Castillo Garzon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Fernando Losada Villasante <\/li>\n<li>Jos\u00e9 Saban Ruiz (vocal)<\/li>\n<li>Rafael Gonz\u00e1lez Maldonado (vocal)<\/li>\n<li> Gaston Morata Jos\u00e9 Luis (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Cristobal Galvez Galvez El objeto del presente trabajo es dise\u00f1ar y aplicar un protocolo de exploraci\u00f3n secuencial [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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