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高血压合并2型糖尿病对心率变异性的影响
引用本文:李杰.高血压合并2型糖尿病对心率变异性的影响[J].中国当代医药,2013(4):38+40-38,40.
作者姓名:李杰
作者单位:河南南阳医专一附院心内二科
基金项目:河南省南阳市科技成果二等奖(证书编号2010051-18N1)
摘    要:【摘要】目的探讨原发性高血压(EH)合并2型糖尿病(T2DM)患者自主神经功能受损状况及心率变异性的临床特点。方法随机选取本院内科住院的50例EH患者为EH组.50例EH合并T2DM患者为EH+DM组。分别行24h动态心电图记录,对比两组心率变异性(HRV)指标。结果EH+DM组的SDNN、SDANN、RMSSD明显低于EH组(P〈0.05);EH组和EH+DM组的PNN50相比,差异无统计学意义(P〉0.05)。结论原发性高血压合并2型糖尿病患者自主神经功能明显受损。

关 键 词:原发性高血压  2型糖尿病  心率变异性  自主神经

Influence of hypertension combined with type 2 diabetes on heart rate variability
Authors:LI Jie
Institution:LI Jie Department of Second Cardiology, the First Affiliated Hospital of Nanyang Medical College in He’nan Province, Nanyang 473000, China
Abstract:Objective To explore the damaged condition of autonomic nerve function and clinical characteristic of heart rate variability on essential hypertension (EH) combined type 2 diabetes mellitus (T2DM) patients. Methods Fifty cases of EH patients in our hospital were randomly selected as EH group, and 50 cases of EH combined T2DM pa- tients as EH + DM groups 24 h dynamic electrocardiogram of the two groups was recorded respectively. HRV index was compared. Results SDNN, SDANN, RMSSD of EH + DM group were significantly lower than those of the EH group (P 〈 0.05). Difference of PNNS0 between two groups was not statistically significant (P 〉 0.05). Conclusion Autonomic nervous function of EH and T2DM patients is significantly iml3aired.
Keywords:Primary hypertension  Type 2 diabetes  Heart rate variability  Autonomic nervous
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