Jost W H, Schimrigk K
Neurologische Klinik, Universität Homburg/Saar.
Fortschr Med. 1993 May 20;111(14):239-41.
In the routine diagnosis evaluation of regulatory disorders of the autonomous nervous system, 5 non-invasive procedures have proved both easy to perform and valid: orthostatic and static blood pressure reactions, the ratio of the 30th to the 15th RR interval on changing to an erect posture, variations in the heart rate in response to the Valsalva maneuver and deep respiration. These measures need no special equipment and can be carried out at any hospital or outpatient department. They provide not only qualitative but, in part, also quantitative information about possible disorders of the autonomic nervous system, as well as permitting a certain differentiation to be made between parasympathetic and sympathetic regulation. More complex tests should be employed only for specific problems.
在自主神经系统调节紊乱的常规诊断评估中，有5种非侵入性检查方法已被证明既易于操作又有效：直立位和静息血压反应、改为直立姿势时第30与第15个RR间期的比值、瓦尔萨尔瓦动作和深呼吸时心率的变化。这些检查无需特殊设备，在任何医院或门诊部均可进行。它们不仅能提供关于自主神经系统可能紊乱的定性信息，部分还能提供定量信息，并且能够在副交感神经和交感神经调节之间进行一定程度的区分。只有针对特定问题才应采用更复杂的检查。
