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钱肇仁,方幼安,钟学礼,朱禧星.针刺治疗对糖尿病心脏植物神经病变的影响[J].,1988,(2):81-83,68
针刺治疗对糖尿病心脏植物神经病变的影响
Effect of Acupuncture in Diabetic Cardiovascular Autonomous Neuropathy
  
DOI:
中文关键词:  心脏植物神经功能  糖尿病心脏植物神经病变  控制血糖  针刺治疗  高血糖  异常项目  卧位  心率差  试验  患者
英文关键词:
基金项目:
Author NameAffiliation
Qian Zhaoren 上海医科大学华山医院 
Fang Youan 上海医科大学华山医院 
Zhong Xueli 上海医科大学华山医院 
朱禧星 上海医科大学华山医院 
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中文摘要:
      27例Ⅱ型糖尿病心脏植物神经病变患者随机分为两组,单控制血糖组和控制血糖加针刺组。经过一阶段治疗后发现单控制血糖组患者随着血糖,HbA1的下降,心脏植物神经功能试验各项指标都明显改善。控制血糖加针刺治疗一个月后虽血糖、HbA1无显著变化,但对心脏植物神经功能试验有改善作用。
英文摘要:
      The resting heart rate,difference of heart rates between deep expiration and inspiration as well as between supine and upright positions,ratio of 30th R-R interval to 15th R-R interval in upright position(30/15),Valsalva maneuver response index and systolic blood pressure difference in the supine and upright positions,abnormality index number,fasting plasma glucose(FPG)and glycosylated hemoglobin A1(HbAl)in a group of 14 diabetic Ⅱ type patients before and after strict control of diabetes were studied.Besides strict control of diabetes,the therapeutic effect of acupunc- ture for the above indices in a group of 13 diabetic patients(Ⅱ type)was investigated.Levels of HbAl were positively correlated with abnormality index ntunber of cardiac function tests.FPG and HbAl significantly reduced after treatment for 1,5,10 months.The Valsalva index and abnormality index numbers were improved after treatment for 5 and 10 months.Difference in heart rates between deep inspiration and expiration as well as between upright and supine positions,and 30/15 were improved after treatment for 10 months following the decreasing of FPG and HbAl.In the acupuncture therapy group although FPG and HbAI did not reduce,difference in heart rates in upright and supine positions,30/15,abnormality index numbers were improved after acupuncture for 1 mouth,P<0.05. Therefore the cardiovascular autonomous neurological function test would improve after aoupunc- ture treatment.
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