摘要
目的通过对老年糖尿病患者与正常人心率减速力和心率变异性的分析,探讨心率减速力的检测对于预测老年糖尿病患者心血管事件的发生变化规律。方法选取正常组：50岁~70岁无糖尿病患者100例,糖尿病组：50岁~70岁有糖尿病但未发生心血管事件者100例,全部做24h动态心电图监测,采集心率减速力（DC）、心率加速力（AC）、心率变异的低频（LF）、高频（HF）、总体标准差（SDNN）、静息心率（RHR）、平均心率（AHR）、夜间心率（NHR）进行统计分析。结果糖尿病组与正常组比：DC、AC、LF、HF、SDNN的均值均显著减低。结论糖尿病患者随着心脏自主神经功能下降,心率逐渐减低,心血管事件的发生较非糖尿病患者机率增高。
Objective Through to the deceleration capacity of heart rate and the heart rate variability analysis in elderly patients with diabetes and normal france, explore the deceleration capacity of heart rate for predicting the change nrle of elderly patients with diabetes cardiovascular events. Methods Select normal group： 50-70 years old, 100 cases of patients without diabetes, diabetes group： 50-70 years old, 100 cases of patients without cardiovascular events occurred＇s diabetes. All done 24h Holter monitoring, collecting deceleration capacity of heart rate （DC）, acceleration capacity of heart rate （AC）, low frequency （LF） and high frequency （HIP） of heart rate variability, SDNN, resting heart rate （RHR）, average heart rate （AHR）, night heart rate （NHR） for statistical analysis. Results Comparing the diabetes group with normal group： the mean of DC, AC, LF, HF, and SDNN were significantly reduced. Conclusions Diabetic patients with cardiac autonomic nerve function drops, the heart rate gradually decreases, the occurrence of cardiovascular events than non-diabetic patients increased risk.
出处
《临床心电学杂志》
2015年第6期429-430,434,共3页
Journal of Clinical Electrocardiology
关键词
心率减速力
心脏自主神经
糖尿病
deceleration capacity of heart rate
cardiac autonomic nervous
diabetes
