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糖尿病性自主神经病变——第二部分。RR 间期变异性及瓦尔萨尔瓦动作试验的变异系数

Diabetic autonomic neuropathy--Part II. Coefficient of variation of RR-variation and Valsalva maneuver tests.

作者信息

Schumer M, Miller-Crain G, Pfeifer M A

机构信息

University of Louisville Department of Medicine, Kentucky.

出版信息

Am J Med. 1988 Nov 28;85(5A):144-6. doi: 10.1016/0002-9343(88)90407-x.

DOI:10.1016/0002-9343(88)90407-x
PMID:3195597
Abstract

To confirm the reliability and validity of cardiovascular autonomic nervous system tests, RR-variation and Valsalva maneuver, coefficient of variation for triplicate tests was calculated. The testing data were collected from patients participating in the Statil Neuropathy Trial. Triplicate testing was done within a three-week period at three different time points: baseline, 12 months, and 18 months. BMDP Statistical Software was used in the analysis. There is no significant difference between the coefficients of variation between clinics for either RR-variation or Valsalva maneuver tests. The coefficient of variation of pooled data was not significantly different from the coefficient of variation of individual clinics. Furthermore, there was no evidence that there was a significant worsening of coefficient of variation with time. Thus, RR-variation and Valsalva maneuver provide reliable and reproducible results that do not vary in consistency over time.

摘要

为了确认心血管自主神经系统测试、RR 变异性和瓦尔萨尔瓦动作的可靠性和有效性,计算了三次测试的变异系数。测试数据收集自参与 Statil 神经病变试验的患者。在三周内的三个不同时间点(基线、12 个月和 18 个月)进行了三次测试。分析使用了 BMDP 统计软件。RR 变异性或瓦尔萨尔瓦动作测试在各诊所之间的变异系数没有显著差异。汇总数据的变异系数与各诊所的变异系数没有显著差异。此外,没有证据表明变异系数会随时间显著恶化。因此,RR 变异性和瓦尔萨尔瓦动作提供了可靠且可重复的结果,其一致性不会随时间而变化。

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Diabetic autonomic neuropathy--Part II. Coefficient of variation of RR-variation and Valsalva maneuver tests.糖尿病性自主神经病变——第二部分。RR 间期变异性及瓦尔萨尔瓦动作试验的变异系数
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引用本文的文献

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The effect of intensive diabetes therapy on measures of autonomic nervous system function in the Diabetes Control and Complications Trial (DCCT).糖尿病控制与并发症试验(DCCT)中强化糖尿病治疗对自主神经系统功能指标的影响。
Diabetologia. 1998 Apr;41(4):416-23. doi: 10.1007/s001250050924.
2
Diabetic autonomic neuropathy.糖尿病性自主神经病变
BMJ. 1990 Sep 22;301(6752):565-7. doi: 10.1136/bmj.301.6752.565.
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Short- and long-term reproducibility of cardiovascular tests of autonomic function in normal subjects.正常受试者自主神经功能心血管测试的短期和长期可重复性。
Clin Auton Res. 1991 Jun;1(2):115-8. doi: 10.1007/BF01826206.
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Changes in cholinergic sweat gland activation in diabetic neuropathy identified by computerised sweatspot analysis.
Diabetologia. 1991 Nov;34(11):807-12. doi: 10.1007/BF00408355.
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Portable infrared pupillometry using Pupilscan: relation to somatic and autonomic nerve function in diabetes mellitus.使用Pupilscan的便携式红外瞳孔测量法:与糖尿病患者躯体和自主神经功能的关系
Clin Auton Res. 1992 Oct;2(5):335-41. doi: 10.1007/BF01824304.