期刊文献+

60例老年2型糖尿病患者心率变异性及血压变异性分析 被引量:9

Analysis of heart rate variability and blood pressure variability in 60 elderly patients of diabetes mellitus
下载PDF
导出
摘要 目的本研究旨在探索老年男性2型糖尿病患者心率变异性及血压变异性的变化。方法入选人群均为老年男性,共100例,其中对照组(A组)40例,2型糖尿病组(B组)60例。进行24小时动态心电图及24小时动态血压监测。收集其HRV时域指标、BP及BPV长时变异性指标,之后进行对比分析,了解老年男性2型糖尿病患者心率变异性及血压变异性的变化。结果与对照组相比,2型糖尿病组HRV时域指标减少(P<0.05);与对照组相比,2型糖尿病组BPV增大(dSBPSD、dSBPCV等,P<0.05)。结论老年2型糖尿病患者组HRV时域指标减少及BPV增大,提示其心脏自主神经功能受损。这对患者病情的严重程度、治疗、预后进行判断、指导和评估是具有重要价值的。 Objectives This study aimed to explore the changes of heart rate variability and blood pressure variability in the old men with type 2 diabetes mellitus. Methods 100 male subjects are selected and divided into two groups. The experimental groups include: the control group( group A, 40 people), and the type 2 diabetes mellitus group(group B, 60 people). All subjects are tested respectively on 24 h recordings of ECG and 24 h blood pressure. The data of HRV time domain and BP and BPV long time variability are collected and analyzed comparatively to gain an insight into the changes of heart rate variability and blood pressure variability in the old men with type 2 diabetes. Results Compared with the control group, the type 2 diabetes mellitus group has a decrease in HRV time domain ( P 〈 0.05 ) ; Compared with the control group, BPV in the type 2 diabetes mellitus group has increased ( such as dSBPSD and dSBPCV, P 〈 0. 05 ). Conclusion The type 2 diabetes mellitus group has a decrease in HRV time domain and a increase in BPV, which indicate the cardiac autonomic nervous dysfunction and has significant value in severity of the disease, treatment, prognosis judge, guide and evaluate.
机构地区 昆明市延安医院
出处 《中国医学创新》 CAS 2011年第10期15-17,共3页 Medical Innovation of China
关键词 糖尿病 心率变异性 血压变异性 Diabetes mellitus Heart rate variability Blood pressure variability
  • 相关文献

参考文献6

二级参考文献15

共引文献22

同被引文献129

  • 1南芳,吴永全.高血压治疗策略的新证据和思考[J].中华临床医师杂志(电子版),2011,5(17):4940-4942. 被引量:4
  • 2马兰,陆琨,韩卫星.原发性高血压患者血压变异性分析[J].实用心电学杂志,2005,14(4):243-244. 被引量:15
  • 3李立帅,辛继宾,李程,方勇,张帆,蒋雨平,吴国强.体位改变对压力反射敏感性的影响[J].中国临床神经科学,2006,14(1):6-10. 被引量:7
  • 4李秀均,邓世雄,谢正祥.急性少量、中量饮酒对健康汉族人群共济运动及自主神经功能的影响[J].生物医学工程学杂志,2006,23(3):635-639. 被引量:3
  • 5卢喜烈.现代心电图诊断大全[M].北京:科学技术出版社,1999.112-113.
  • 6Rothwel PM,Howard SC,Dolan E,et al.Prognostic significance ofvisit-to-visit variability,maximum systolic blood pressure,andepisodic hypertension[J].Lancet,2010,375(9718):895-905.
  • 7JennersjPE,Wijkman M,Wiréhn AB,et al.Circadian bloodpressure variation in patients with type 2 diabetes-relationship tomacro-and microvascular subclinical organ damage[J].Prim CareDiabetes,2011,5(3):167-173.
  • 8Mancia G,Parati G,Henning M,et al.Relation between bloodpressure variability and carotid artery damage in hypertension:baseline data from the European Lacidipine Study on Atherosclero-sis(ELSA)[J].J Hypertens,2001,19(11):1981-1989.
  • 9Natkiewicz K,Winnicki M,Schroeder K,et al.Relationshipbetween muscle sympathetic nerve activity and diurnal blood pres-sure profile[J].Hypertension,2002,39(1):168-172.
  • 10Mancia G,Grassi G.Mechanisms and clinical implications of bloodpressure variability[J].J Cardiovasc Pharmacol,2000,35(7 Suppl4):S15-S19.

引证文献9

二级引证文献33

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部