糖尿病人心血管系统自主神经病变的试验研究

Cardiovascular Effects in Diabetic Autonomic Neuropathy

本文报告34例胰岛素依赖性糖尿病病人的自主神经病变的心血管试验研究结果。自主神经病变心血管试验的总阳性率的31.7%,其中副交感神经试验的阳性率平均为40.5%,交感神经试验的阳性率平均为22.9%。血压正常的胰岛素依赖性糖尿病病人与合并高血压的胰岛素依赖性糖尿病病人自主神经病变心血管试验的阳性率无显著差别(P>0.05)。糖尿病自主神经病变的心血管试验对防治糖尿病合并心血管疾病有重要意义。

34 IDDM patients (17 hypertensive, 17 normotensive) were studied by using a noninvasive cardiovascular autonomic function test. The total average incidence of abnormal autonomic function test results was 31.7%.The average incidence of abnormal parasympathetic autonomic function test results was 40.5%, and that of abnormal sympathetic function test results was 22.9%. No significant difference (P>0.05) appeared between the hypertensive and normotensive groups. This study suggests that the cardiovascular autonomic function test is useful in diagnosing autonomic neuropathy in IDDM patients.