Türk H
I. Medizinische Abteilung, Landeskrankenhaus, Klagenfurt.
Wien Med Wochenschr. 1991;141(3):60-2.
In 48 patients suffering from diabetes I and diabetes II cardiovascular reflexes were tested in order to detect autonomic nervous system lesions of the heart. We measured the beat to beat variation in heart rate during deep breathing and the response of heart rate to change in posture (30:15 ratio). These tests were performed to prove the parasympathic function. To detect sympathic lesions the blood pressure changes were observed as response to change in posture (Schellong-Test). The patients under investigation showed a high prevalence of autonomic dysfunction depending on duration of diabetes and manifestations of other diabetic lesions. More often and earlier destructions of the parasympathic system were observed. Autonomic nervous lesions were correlated to the peripheral neuropathy. The diabetic polyneuropathy is a common complication of long term diabetes mellitus.
对48例I型和II型糖尿病患者进行了心血管反射测试，以检测心脏自主神经系统病变。我们测量了深呼吸时心率的逐搏变化以及心率对姿势改变的反应（30:15比值）。进行这些测试是为了证明副交感神经功能。为了检测交感神经病变，观察了血压对姿势改变的反应（谢隆试验）。根据糖尿病病程和其他糖尿病病变的表现，受调查患者的自主神经功能障碍患病率较高。副交感神经系统的破坏更频繁且更早出现。自主神经病变与周围神经病变相关。糖尿病性多发性神经病是长期糖尿病的常见并发症。
