糖尿病性胆囊功能碍障与心脏植物神经功能障碍的关系

RELATIONSHIP BETWEEN CONTRACTILE FUNCTION OF GALL-BLADDER CARDIOAUTONOMIC NERVOUS DYSFUNCTION IN DIABETES MILLITUS

本文对83例糖尿病患者进行胆囊收缩功能检查和心脏植物神经功能测定,以49各年龄相近的健康人作对照。将糖尿病患者按植物神经病变症状的有、无分为有植组与无植组。本文对胆囊收缩不良与心脏植物神经功能障碍情况在三组间比较,结果显示糖尿病胆囊收缩不良37例占44.6％,其中有植组为28例(77.8％)无植组9例(30％),对照组3例(6.82％),三组间有显著差异(P<0.01),糖尿病胆囊收缩不良与心脏植物神经功能障碍在发病率及病变严重程度上均有较高的一致性。应用非创性植物神经功能测定有助于早期诊断。

The contractile function of gall-bladder and the cardioautonomic nervous dysfunction were tested in 49 normal controls and 83 diabetics, among these patients 51 had autonomic neuropathy and the others did not. The results showed that the contractile dysfunction of gall-bladder was increased in 37 of 83(44,6%) and normol in the controls. It was higher in the diabetic patients with symptpms of autonomic neuropathy than in those without, and the difference was significant (p<0.01). The incidence and severity of the contractile dysfunction of gallbladder and caridac autonomic nerve dysfunction in these patients were quite consistent. Our results suggested that the diabetic autonomic neuropathy is a general lesion, and functional test of autonomic nerve seems to be quite helpful to the early diagnosis of diabetic autonomic neuropathy