Hague R, Scarpello J, Sladen G, Cullen D
Diabete Metab. 1978 Dec;4(4):227-31.
Five tests of autonomic function were evaluated in a group of twenty-five diabetics. The Valsalva ratio proved to be the most valuable single indicator of generalised autonomic dysfunction, whilst the blood pressure response to sustained handgrip, the pupillary response to a dilute solution of methacholine and the fall in blood pressure on standing, all proved to be less valuable as indices of autonomic neuropathy either when considered individually or when taken together. The cold pressor test was shown to be of no value in the assessment of patients with autonomic neuropathy. It is suggested that of those examined the Valsalva procedure is the most valuable simple outpatient test for autonomic neuropathy.
对一组25名糖尿病患者进行了五项自主神经功能测试。结果表明，瓦尔萨尔瓦比率是全身性自主神经功能障碍最有价值的单一指标，而持续握力时的血压反应、对乙酰甲胆碱稀释溶液的瞳孔反应以及站立时的血压下降，无论单独考虑还是综合考虑，作为自主神经病变的指标都价值较小。冷加压试验在评估自主神经病变患者时毫无价值。建议在这些检查项目中，瓦尔萨尔瓦试验是评估自主神经病变最有价值的简单门诊检查。
