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Введение

Диабетическая автономная (вегетативная) нейропатия (ДАН), она же диабетическая вегетативная полинейропатия ,- распространённая форма нейропатии у пациентов с сахарным диабетом, характеризующаяся нарушением функций вследствие поражения периферических вегетативных нервов. Широкий спектр проявлений может затрагивать различные системы органов, включая сердечно-сосудистую, желудочно-кишечную, мочеполовую, судомоторную и вазомоторную, а также нейроэндокринную системы.

Эпидемиология

Диабетическая автономная нейропатия (ДАН) является частой формой нейропатии у пациентов с сахарным диабетом. Распространённость ДАН увеличивается с длительностью заболевания. На момент постановки диагноза диабета, диабетическая вегетативная полинейропатия выявляется в 7% случаев [1], но через 15 лет этот показатель уже достигает 50% [2]. ДАН встречается как при сахарном диабете 1-го, так и 2-го типа [3].

Скрининг

Обзор ведения пациентов с диабетической вегетативной нейропатией

Кардиоваскулярная вегетативная нейропатия

Периферическая судомоторная и вазомоторная нейропатия

Гастроинтестинальная вегетативная нейропатия

Вегетативная нейропатия мочеполовой системы

Проявления со стороны других органов

Прогноз

Полезные материалы

Резюме

Список литературы