社区糖尿病自主神经损害并发症患者餐后低血压分析  

Study on postprandial blood pressure decrease of diabetics with autonomic nerve damage in diabetes club of community

作　　者：刘申[1] 郑文韬[1] 

机构地区：[1]上海市静安区石门二路社区卫生服务中心,200040

出　　处：《社区卫生保健》2008年第2期101-102,共2页Journal of Community Healthcare

摘　　要：目的分析糖尿病并发自主神经损害患者的餐后低血压现象。方法从社区糖尿病俱乐部患者中，根据有无并发自主神经损害，随机分为试验组（n=37）和对照组（n=37）。测量两组基础血压和基础心率以及餐后各时段的血压、心率并予以比较。结果试验组餐后30、45、60min的收缩压值与对照组同时点比较，其下降显著，有统计学意义（P〈0．01）；两组基础血压和基础心率的差异不明显（P〉0．05）；试验组餐后各时点的心率与对照组比较差异无统计学意义（P〉0．05）。结论自主神经损害是糖尿病患者发生较明显餐后低血压的原因之一，应引起社区医生的高度重视。Objective To analyze the condition of postprandial blood pressure decrease of diabetics with autonomic nerve damage. Method The diabetics in diabetes club of community were randomly divided into group test（n=37）and group control（n= 37）according to with or without autonomic nerve damage. The basic blood pressure and heart rate of two groups were measured and the blood pressure, heart rate of each time postprandial were compared. Results Systolic blood pressure of diabetics on minute 30,45,60 postprandial in group test were obviously decreased compared with group control in same time（P〈0.01） ;The difference of basic blood pressure and heart rate between two groups was not obvious（P〉0. 05） ;There was no statistics difference between two groups of the heart rate of each time postprandial（P〉0.05）. Conclusion The autonomic nerve damage is one of the causes of blood pressure decrease postprandial of diabetics and should be paid more attention to by clinician in community.

关 键 词：社区 糖尿病 自主神经损害 餐后低血压 

分 类 号：R587.1[医药卫生—内分泌] R339.34[医药卫生—内科学]