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目的探讨反映植物性神经功能受损的昼夜血压变化节律在糖尿病合并神经炎病人中的情况。方法收集糖尿病病人60例按WHO的诊断标准,分为合并有神经炎症状的32例为DMN组,28例无神经炎表现的NDMN组。以指套式动态血压仪监测24小时动态血压。结果除白天收缩压两组之间无统计学差别外,24小时收缩压和舒张压、夜间收缩压和舒张压、24小时血压负荷、血压昼夜差别值、节律变化率在两组之间都有统计学上的明显差异。结论动脉血压的动态监测对发现糖尿病患者的植物性神经紊乱有实用价值
Objective To investigate the circadian rhythm of diurnal blood pressure reflecting impaired autonomic nerve function in diabetic patients with neuritis. Methods Sixty patients with diabetes mellitus were enrolled in the diagnostic criteria of WHO and divided into DMN group with 32 cases with neuritis symptoms and NDMN group with 28 cases without neuritis. Monitor the 24-hour ambulatory blood pressure with a finger-cuff ambulatory blood pressure monitor. Results In addition to no significant difference between daytime systolic pressure and systolic blood pressure, systolic and diastolic blood pressure at 24 hours, systolic and diastolic blood pressure at night, 24-hour blood pressure load, blood pressure difference between day and night, rate of change of rhythm between the two groups Significant statistical differences. Conclusions The dynamic monitoring of arterial pressure has practical value for finding autonomic nerve disorders in diabetic patients