108例2型糖尿病患者心率变异性的测定

The Mensuration of Heart Rhythm Variance(HRV) in 108 Patients with 2 Diabetes

目的:探讨2型糖尿病患者心率变异性(HRV)与自主神经病变及并发症的关系。方法:利用Holter对108例2型糖尿病组和80例正常组进行HRV时域分析。结果:糖尿病组SDNN(85.53±30.63)ms,SDANN(75.60±29.48)ms,RMSSD(27.14±17.86)ms,PNN50(4.41±5.37)%,均低于正常对照组(P<0.01),而且有并发症者比无并发症者进一步下降。结论:HRV对糖尿病自主神经病变有早期诊断作用及对预后的提示作用,可作为检测糖尿病自主神经病变一种简便而敏感的方法。

Objective To probe into the relation HRV with Pathological changes of independent nerve and syndrome, Methods Hoher was use to analyze 108 patients with Ⅱ diabetes and to compare with natural group（80 cases）, Results Diabetes group was SDNN（85.53±30, 63）ms,SDANN（75. 60±29.48）ms,RMSSD（27, 14± 17.86）ms,PNNS0（4.41 ±5, 37）% ,it was lower than that the natural group（P〈0. 01） ,and the patients with syndrome was reduced. Conclusion HRV has an early clinic effect for Pathological changes of independent nerve in diabetes,and has a cue effect for prognosis, it can become a simple and convenient way.