| 肝硬化患者的心率减速力与心率变异性分析 |
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| 引用本文： | 薛妮娜,吴岳平. 肝硬化患者的心率减速力与心率变异性分析[J]. 实用心电学杂志, 2016, 0(4): 288-290. DOI: 10.13308/j.issn.2095-9354.2016.04.016 |
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| 作者姓名： | 薛妮娜 吴岳平 |
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| 作者单位： | 1. 厦门大学附属第一医院杏林分院心电图室, 福建 厦门,361004;2. 厦门大学附属中山医院心功能科 |
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| 摘 要： | 目的：探讨肝硬化患者的自主神经功能改变。方法对肝硬化组90例和正常对照组78例患者进行心率变异性（HRV）时域分析和心率减速力（DC）分析。结果肝硬化组与正常对照组比较，SDNN、SDANN、rMSSD、pNN50显著降低（P ＜0．01），DC 值明显降低（P ＜0．05）。对于不同 Child-pugh 分级的肝硬化患者，肝硬化病变程度越重，HRV 各项指标值和 DC 值降低越明显。结论不同分级肝功能损害的病毒性肝炎肝硬化患者均可发生自主神经功能异常。
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| 关 键 词： | 肝硬化 自主神经 心率变异性 心率减速力 |
Analysis of deceleration capacity of rate and heart rate variability in patients with liver cir-rhosis |
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| Abstract: | Objective To investigate the changes of autonomic nervous function in patients with liver cirrhosis.Methods Time domain analysis of heart rate variability (HRV)and analysis of heart rate deceleration(DC)were performed on 90 patients in liver cirrhosis group and 78 normal cases in control group.Results Compared with the control group,SDNN,SDANN,rMSSD and pNN50 significantly decreased(P <0.01 )in liver cirrhosis group,and so did DC(P <0.05).For liver cirrhosis patients with different Child-pugh classification,the more severe the degree of liver cirrhosis was,the more significantly the time domain indices of HRV,and DC decreased.Conclu-sion Autonomic nervous dysfunction can occur in patients with post-virus-hepatitis cirrhosis at dif-ferent level of liver function damage. |
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| Keywords: | liver cirrhosis autonomic nerve heart rate variability deceleration capacity of rate |
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