Katsumi T, Murayama K
Hinyokika Kiyo. 1986 Jun;32(6):819-22.
Urodynamic investigations and the measurement of the R-R interval on ECG have been applied to assess the extent of autonomic and peripheral neuropathy in 12 patients with diabetes mellitus. Objective evidence of neuropathic bladder dysfunction was detected in 6 patients (50%) and these cases were included under 2% of the coefficient of R-R interval variation. The commonest abnormality was hypotonic, large bladder and marked residual urine, which was usually asymptomatic. It is concluded that in diabetic patients this simple autonomic function test is a good guide to vesical function.
尿动力学检查以及心电图上R-R间期的测量已被用于评估12例糖尿病患者自主神经和周围神经病变的程度。在6例患者（50%）中检测到神经源性膀胱功能障碍的客观证据，这些病例的R-R间期变异系数低于2%。最常见的异常是低张性大膀胱和明显的残余尿，通常无症状。结论是，在糖尿病患者中，这项简单的自主神经功能测试是膀胱功能的良好指导。
