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糖尿病患者心率变异的研究
引用本文:王燕燕,王晓,翁新新,杜宏,王竹兰.糖尿病患者心率变异的研究[J].江苏医药,1999,25(3):173-175.
作者姓名:王燕燕  王晓  翁新新  杜宏  王竹兰
作者单位:南京军区南京总医院内分泌科,210002
摘    要:对30例2型糖尿病患者,25例对照者进行了心率变异性(HRV)的检测。结果表明:糖尿病患者中存在明显的HRV异常,其平均心率增快,平均R-R间期、平均R-R间期标准差、平均R-R间期变异系数及R-R间期大于50ms百分率均明显降低;心率能谱分析中,低频断和高频断的能量均降低,总的趋向是交感神经活动增强.迷走神经作用减弱。表明糖尿病患者HRV变小,自主神经系统活动及心血管系统功能异常。HRV为监测糖尿病患者植物神经功能动态改变提供了一种新的手段。

关 键 词:糖尿病  心率变异性  糖尿病性神经病变

The Study of Heart Rate Variations in Patients with Diabetes Mellitus
Wang Yanyan et al.The Study of Heart Rate Variations in Patients with Diabetes Mellitus[J].Jiangsu Medical Journal,1999,25(3):173-175.
Authors:Wang Yanyan
Abstract:The heart rate variation (HRV) was tested in thirty patients with non-insulin-dependent-diabetes-mellitus (NIDDM) and twenty-five controls. Results: HRV was abnormal in patients withNIDDM. The heart rate in average was faster while R-R interval, R-R SD, CV of R-R interval andPNN50 in average decreased significantly. Both high frequency energy and low frequency energy decreased during the power spectrum domain assay- Conclusion:The sympathetic activity increased andthe parasympathetic activity reduced, which meant the lower HRV, disfunction of autonomic nervoussystem and cardiovascular system with diabetics. HRV may be a new marker of the function of autonomic nervous system.
Keywords:Diabetes mellitus Heart rate variability Diabetic neuropathy  
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