老年女性2型糖尿病患者心率变异性与24小时平均脉压及心律失常的关系.docVIP

·1975 · · 全 科 医 生 技 能 发 展 · 老年女性2型糖尿病患者心率变异性与24小时平均脉压及 心律失常的关系 丁 芸 ， 陈 宁 【摘要】 目的 探讨老年女性2型糖尿病患者心率变异性 (HRV) 与24 h 平均脉压 (APP) 及心律失常的关 系。方法 选择36例老年女性2型糖尿病患者(糖尿病组)和30例健康体检者或非糖尿病及心血管疾病的住院患者 (对照组)。两组受检者进行全程24 h 动态心电图和24 h 动态血压检查，进行HRV 时域指标(正常 R-R 间期的标准 差、每5 min R-R 间期平均值的标准差、每5 minR-R 间期标准差的平均值、相邻R-R 间期差值的均方根、正常正 邻R-R 间期差值50ms 的计数占总 R-R 间期数的百分比)以及 APP 计算并分析。 结果 糖尿病组和对照组的 HRV 时域指标值、室上性期前收缩和室性期前收缩总数及 APP50mm Hg者所占比例比较差别均有统计学意义 (P 0.05) 。 结论 老年2型糖尿病患者心率变异性越低，平均脉压越高，心律失常的发生率就越高。 【关键词】 糖尿病，2型；心律失常；心率变异性；平均脉压 【中图分类号】 R587.23 【文献标识码】 B 【文章编号】1007-9572(2008)11-1975-02 Heart Rate Variation and 24 -Hour Average Pulse Pressure and Arrhythmia in the Aged Women with Type 2 Diabetes DING Yun,CHEN Ning. The Third Peoples Hospital of Huaian City,Huaian 223001,China 【Abstract] Objective To study the relations among heart rate variation(HRV), 24 h average pulse pressure(APP) and arrhythmia in the aged female patients with type 2 diabetes. Methods Totally group of 36 aged female patients with type 2 diabetes as diabetic group and 30 subjects who are health persons or non diabetic and non - cardiovascular disease inpatients as control group were selected. The subjects in both groups were given a 24 -h dynamic electrocardiography and 24 -h development blood pressure examination. Their HRV time domain indexes(SDNN,SDANN,SDNN Index,rMSSD,PNN50)and APP were calculated and analyzed. Results The HRV time domain indexes SDNN,SDANN,SDNN,, rMSSD and PNN50 were lower in the diabetic group than in the control group, while the total numbers of superventricular and ventricular extrasystole,and the percentage of APP50mm Hg higher(P0.05). And the prevalence of arrhythmia in the diabetics was obviously higher than that of the normal subjects. Conclusion The lower the HRV and the higher the average pulse pressure, the higher the prevalence of arrhythmia in aged female patients with type 2 diabetes. 【Key word 】 Diabetes mellitus,type 2; Arrhythm