心电图杂志（电子版）Issue(4)：200-202,3.
老年糖尿病合并高血压患者心血管自主神经功能无创评价
Noninvasive evaluation of cardiovascular autonomic neuropathy in old patients with hypertension and diabetes mellitus
仇杰 1孙伟 2沃金善 1苏丽梅 2李静娴2
作者信息
- 1. 266003 青岛，山东省青岛大学附属医院心内科
- 2. 山东省潍坊心脏病医院特检科
- 折叠
摘要
Abstract
Objective To investigate the noninvasive evaluation index combination of changes of autonomic cardiovascular function in old patients with hypertension and type 2 diabetes mellitus.Methods 27 old patients with single T2DM, 27 old patients with single EH and 30 old patients with T2DM+EH were involved in the annlyses of HRV,HRT,Lorenz plot’s role and BPV. Results (1)HRV parameters: T2DM+EH group compared with T2DM group, there were ststistical significance in SDNN(P<0.05) and pNN50(P<0.01); T2DM+EH group compared with EH group,There were significant differences in all parameters(P<0.01) except rMSSD(P<0.05). T2DM group compared with EH group, it was TRI(P<0.05).(2)HRT parsmeters: T2DM+EH compared with T2DM, TS had ststistical significance(P<0.05); T2DM+EH compared with EH, both had ststistical significance(P<0.05); T2DM compared with EH, it was TS(P<0.05).(3) Lorenz plot’s role area: There were no significant differences between the three groups. (4)BPV parameters: T2DM+EH compared with T2DM, Systolic blood pressure dicline rate(P<0.01) and diastolic blood pressure dicline rate(P<0.05)both had ststistical significance. T2DM+EH compared with EH, both had no significant differences. T2DM compared with EH, both had significant differences(P<0.01).Conclusion Several noninvasive diagnostic technique can more comprehensively and quantificationally reflect the abnormal state of autonomic nervous function in old patients with hypertension and type 2 diabetes mellitus. The best combination among these was HRV+BPV index( prticularly SDNN、pNN50 and TRI of HRV and Systolic blood pressure dicline rate of BPV). we recommended for physicians in the selection.关键词
II型糖尿病/高血压病/心血管自主神经功能/无创评价Key words
type 2 diabetes mellitus/hypertension/autonomic cardiovascular function/noninvasive evaluation分类
医药卫生引用本文复制引用
仇杰,孙伟,沃金善,苏丽梅,李静娴..老年糖尿病合并高血压患者心血管自主神经功能无创评价[J].心电图杂志（电子版）,2014,(4):200-202,3.
