糖尿病性心血管自主神经病变研究的进展  

Research progress of diabetic cardiovascular autonomic neuropathy

作　　者：李娜[1] 宋海燕[1] LI Na;SONG Hai-yan(Department of Endocrinology,Second Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang,150081,China)

机构地区：[1]哈尔滨医科大学附属第二医院内分泌科,黑龙江哈尔滨150081

出　　处：《心血管康复医学杂志》2021年第5期622-625,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：国家自然科学基金(81370903)。

摘　　要：糖尿病心血管自主神经病变(DCAN)是一种以心血管系统自主神经控制受损为特征的慢性糖尿病并发症,糖尿病患者DCAN发生率较高。由于DCAN症状体征均不显著,临床对此并发症认识不足,常常延误诊治,导致心律失常、隐性心肌梗死甚至猝死的发生率升高。本文就DCAN的发病机制、临床表现、诊断及治疗方案作一综述,旨在为DCAN的治疗提供思路。Diabetic cardiovascular autonomic neuropathy(DCAN)is a chronic diabetic complication characterized by impaired autonomic control of cardiovascular system.Incidence rate of DCAN is higher in patients with diabetes mellitus.Because symptoms and signs of DCAN are not significant,clinical understanding of this complication is insufficient,and diagnosis and treatment are often delayed,leading to elevated incidence rate of arrhythmia,occult myocardial infarction and even sudden death.The present article makes a review on pathogenesis,clinical manifestations,diagnosis and therapeutic program of DCAN,aiming at providing thinking for DCAN treatment.

关 键 词：心血管疾病 糖尿神经病变 心肌梗死 

分 类 号：R54[医药卫生—心血管疾病]