Hülper B, Willms B
Horm Metab Res Suppl. 1980;9:77-80.
One-hundred and nine patients consecutively admitted to our hospital underwent a standardized sustained hand grip test, the Valsalva maneuver, and the Schellong test in a study of autonomic diabetic neuropathy of the cardiovascular system. The correlation between autonomic diabetic neuropathy of the cardiovascular system and the duration of diabetes, the age of the diabetic patient, the forms of treatment, and other neuropathic or vascular complications of diabetes was studied. Autonomic diabetic neuropathy of the cardiovascular system is a complication of long-term insulin-dependent diabetes and is dependent on the duration of the disease. The responses to the Valsalva maneuver in 17 poorly controlled diabetics before and after establishing good control of the diabetes showed no change in the Valsalva ratio. Short-term changes in diabetic control seem to have no effect on the Valsalva ratio as an indicator of autonomous nervous system involvement. The so-called "10 second Valsalva ratio" is a simple and reproducible method of evaluating the Valsalva maneuver.
在一项关于心血管系统自主神经病变型糖尿病神经病变的研究中，连续109例入住我院的患者接受了标准化持续握力试验、瓦尔萨尔瓦动作和谢隆试验。研究了心血管系统自主神经病变型糖尿病神经病变与糖尿病病程、糖尿病患者年龄、治疗方式以及糖尿病的其他神经病变或血管并发症之间的相关性。心血管系统自主神经病变型糖尿病神经病变是长期胰岛素依赖型糖尿病的并发症，且取决于疾病病程。17例血糖控制不佳的糖尿病患者在血糖得到良好控制前后进行瓦尔萨尔瓦动作测试，结果显示瓦尔萨尔瓦比值无变化。作为自主神经系统受累指标的瓦尔萨尔瓦比值，糖尿病控制的短期变化似乎对其没有影响。所谓的“10秒瓦尔萨尔瓦比值”是一种评估瓦尔萨尔瓦动作的简单且可重复的方法。
