摘要
应用糖尿病心脏自主神经病变的传统检查方法，将４８例糖尿病患者分为３组：心脏自主神经功能正常组（Ⅰ组）１８例，轻度异常组（Ⅱ组）１７例，重度异常组（Ⅲ组）１３例。各组病人及对照组３０名健康人均接受蹲踞试验（ＳｑＴ，包括下蹲试验ＳｑＴｖ及起立试验ＳｑＴｓ）。结果表明，糖尿病患者ＳｑＴｖ值显著高于对照组，Ⅰ、Ⅱ、Ⅲ组依次增高；与此相反，糖尿病患者ＳｑＴｓ值显著低于对照组，Ⅰ、Ⅱ、Ⅲ组依次降低。提示ＳｑＴ可作为糖尿病心脏自主神经检查方法，且该法简单、快捷。
Forty eight patients studied by the traditional method examining diabetic cardiac autonomic neuropathy (DCAN) were classified as three groups:①Group Ⅰ (18 patients) with normal cardiac autonomic function (CAF),②Group Ⅱ (17 patients) with slightly abnormal CAF,③Group Ⅲ (13 patients) with severely abnormal CAF.All patients and 30 normal subjects (the control group) underwent squatting test (SqT) which included SqT vagal (SqTv) and SqT sympathetic (SqTs).The results revealed that SqTv value of the patients was significantly higher than that of the control group,and the value of Group Ⅰ、Ⅱ、Ⅲ,in turn,rose;SqTs value of the patients was significantly lower than that of the control group,and the value of Group Ⅰ、Ⅱ、Ⅲ,in turn,decreased.It is suggested that SqT is a new method in examining DCAN。
