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对30例健康人、30例有自主神经病变症状的非胰岛素依赖型糖尿病(NIDDM)患者、30例无自主神经病变症状的NIDDM患者进行心率变异(HRV)的分析测定。结果:有自主神经病变症状的NIDDM患者的时域测量(TD)及频域测量(FD)均显著低于正常人(P<0.01),无自主神经病变症状的NIDDM患者TD及FD中的高原成分明显低于正常人(P<0.05)。说明糖尿病患者的心率变异性降低,有自主神经病变者交感、副交感神经损害均较重;无自主神经病变者也存在副交感神经损害。提示HRV可作为早期诊断糖尿病自主神经病变的一个客观指标。
Heart rate variability (HRV) was measured in 30 healthy subjects, 30 non-insulin dependent diabetic (NIDDM) patients with autonomic neuropathy and 30 NIDDM patients without autonomic neuropathy. Results: The time domain (TD) and frequency domain (FD) of NIDDM patients with autonomic neuropathy were significantly lower than those of normal controls (P <0.01). The TD and FD of NIDDM patients without autonomic neuropathy The plateau composition was significantly lower than normal (P <0.05). Diabetes patients showed reduced heart rate variability, sympathetic autonomic neuropathy, parasympathetic damage were severe; no autonomic neuropathy also exist parasympathetic damage. Tip HRV can be used as an early diagnosis of diabetic autonomic neuropathy an objective indicator.