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目的 探讨老年糖尿病合并心脏植物神经病变时心率变化及临床意义。方法 测定 30例正常人和 6 0例老年糖尿病患者的呼吸差和立卧位差。结果 老年糖尿病患者深呼吸及立卧位差与正常人相比有显著差别 (P<0 .0 1) ;两者和病程、病情控制程度及合并微血管病变和周围神经病变密切相关。结论 心率变化测定可反映老年糖尿病心脏植物神经病变的程度 ,有诊断意义 ,且和慢性并发症及病程、病情控制有关。
Objective To investigate the changes of heart rate and its clinical significance in senile diabetic patients complicated with cardiac autonomic neuropathy. Methods Thirty normal subjects and 60 elderly patients with diabetes mellitus were measured for differences in breathing and standing position. Results There was a significant difference between deep breathing and standing abdomen in elderly patients with diabetes (P <0.01), which was closely related to the course of disease, the degree of disease control, and the merger of microangiopathy and peripheral neuropathy. Conclusions The change of heart rate can reflect the degree of neuropathy of heart disease in elderly patients with diabetes mellitus, which is of diagnostic significance and is related to chronic complications, disease course and disease control.