糖尿病心血管自主神经病变的非药物治疗研究进展  

Research Progress of Non- drug Therapy of Diabetic Cardiovascular Autonomic Neuropathy

作　　者：程迪赫 周丽诺[1] 

机构地区：[1]复旦大学附属华山医院内分泌科,上海市200040

出　　处：《中国全科医学》2016年第14期1726-1728,共3页Chinese General Practice

摘　　要：糖尿病心血管自主神经病变(DCAN)是最易被忽视的糖尿病慢性并发症之一,其与交感神经及副交感神经失衡有关,可增加无症状心肌缺血及无痛性心肌梗死的发病率,降低生存率。药物治疗可能有助于改善DCAN,但有规律的、更多元化的治疗方法应该包括生活方式的改变、严格控制血糖,才能达到更好的治疗效果。本文对DCAN的非药物治疗方法如血糖控制、运动、减重、针灸进行综述,上述方法易被广泛接受和执行,且已被阐明对于调节心率变异性发挥着重要作用,因此对防止糖尿病患者DCAN的发生、发展意义深远。Diabetic cardiovascular autonomic neuropathy（ DCAN） is one of the most overlooked of all serious complications in diabetes. DCAN is related to imbalance between sympathetic and parasympathetic nerve. It can increase incidence rate of asymptomatic ischemia, myocardial infarction, and can decrease survival rate. Medicine may be helpful to DCAN therapy,but a more regular,multifactorial approach which can reach the best therapeutic results should include lifestyle modifications,strict glycemic control. This paper summarize the Non-drug therapy of DCAN such as blood glucose control,exercise,reducing weight and acupuncture. These therapies can be accepted widely and carried out easily,and have taken an important part in adjusting the heart rate variability. All these therapies are very important to prevent the development of DCAN in diabetic patients.

关 键 词：糖尿病神经病变 自主神经系统疾病 治疗 

分 类 号：R587.25[医药卫生—内分泌]