糖尿病自主神经损害患者心脏变时功能对照研究  

A control study of chronotropic competence of diabetes melli-tus patients with autonomic nervous lesion

作　　者：王亚莉 李世峰[2] 张雅 赵洁 苗园 王利红 

机构地区：[1]河南省军区医院,河南郑州450014 [2]郑州大学第二附属医院,河南郑州450014

出　　处：《临床心身疾病杂志》2014年第5期7-9,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的：探讨心脏变时功能对糖尿病患者自主神经损害状况的预测作用。方法对35例糖尿病自主神经损害患者（A组）、39例糖尿病无自主神经损害患者（B组）和40例非糖尿患者（C组）采用动态心电图联合楼梯运动试验检测心脏变时功能和心率变异性，对检测结果进行对比分析。结果 A组24 h最慢心率显著快于B组和C组（ P＜0．05），24 h最快心率、最快最慢心率差值、运动停止后1 min、2 min、3 min心率恢复值均显著低于B组和C组（P＜0．05）；B组与C组比较差异均无显著性（P＞0．05）。结论糖尿病自主神经损害与无自主神经损害患者及非糖尿患者心脏变时功能有显著性差异，检测心脏变时功能对糖尿病患者自主神经功能损害状况具有一定的预测作用。Objective To explore the predictive effect of chronotropic competence on autonomic nervous lesion （ANL） of diabetes mellitus （DM ） patients .Methods Chronotropic competence and heart rate vari-ability （HRV） were detected using dynamic ECG plus stair exercise test among 35 DM patients with ANL （group A） ,39 DM ones without （group B） and 40 non-DM ones ,detection results contrastively analyzed . Results Minimum HR within 24 hours was significantly quicker in group A than B and C （P〈0 .05） and maximum HR ,difference between maximum and minimum HR ,HR recovery value at minute 1 ,2 and 3 after stopping exercise were lower in group A than B and C （P〈0 .05）;there were no significant differences between group B and C （P〉0 .05） .Conclusion Chronotropic competence of DM patients with ANL has significant difference from that of DM ones without and non-DM ones ,the detection of chronotropic competence for DM patients has a certain predictive effect on ANL status .

关 键 词：糖尿病 心身疾病 自主神经损害 心脏变时功能 动态心电图 楼梯运动试验 

分 类 号：R587.1[医药卫生—内分泌]