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心率变异评价2型糖尿病合并高血压患者的自主神经功能
引用本文:陆明,武敏,吴纲.心率变异评价2型糖尿病合并高血压患者的自主神经功能[J].安徽医药,2010,14(11):1309-1311.
作者姓名:陆明  武敏  吴纲
作者单位:安徽省蚌埠市第二人民医院内分泌科,安徽,蚌埠,233000;安徽省蚌埠市第二人民医院心血管内科,安徽,蚌埠,233000
摘    要:目的通过检测心率变异(HRV)探讨2型糖尿病合并高血压患者的自主神经功能变化。方法选择确诊2型糖尿病无高血压的24例住院患者为2型糖尿病组(T2DM),2型糖尿病合并高血压的患者22例为T2DM并高血压组(T2DM-HT),非糖尿病、高血压病的住院患者20例为对照组(Con),全部患者进行24 h动态心电图及HRV分析。结果 T2DM及T2DM-HT组患者HRV的各时域指标均小于对照组(P〈0.05),而与T2DM组相比,T2DM-HT组患者HRV各时域指标进一步降低(P〈0.05)。结论 T2DM患者存在HRV的降低,而高血压则进一步加重HRV的降低,提示高血压促进T2DM患者自主神经病变的发生发展。

关 键 词:2型糖尿病  高血压病  糖尿病自主神经病变  心率变异

Evaluation of autonomic nervous function with heart rate variability in patients with type 2 diabetes mellitus and concurrent hypertension
LU Ming,WU Min,WU Gang.Evaluation of autonomic nervous function with heart rate variability in patients with type 2 diabetes mellitus and concurrent hypertension[J].Anhui Medical and Pharmaceutical Journal,2010,14(11):1309-1311.
Authors:LU Ming  WU Min  WU Gang
Institution:LU Ming1,WU Min2,WU Gang2(1.Department of Endocrinology,Bengbu Second People's Hospital,2.Department of Cardiology,Bengbu,Anhui 233000)
Abstract:Aim To investigate diabetic autonomic neuropathy through analysis of heart rate variability(HRV) in patients with type 2 diabetes mellitus and concurrent hypertension.Methods 24 patients with type 2 diabetes mellitus and normotension(T2DM),22 patients with type 2 diabetes mellitus and concurrent hypertension(T2DM-HT) and 20 patients without diabetes mellitus and hypertension(Con) were selected into the study.The parameters of HRV of all patients were evaluated by 24-hours dynamic electrocardiogram.Results I...
Keywords:diabetes mellitus  type 2  hypertension  diabetic autonomic neuropathy  heart rate variability  
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