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[1型糖尿病患者应激试验期间的儿茶酚胺与血压变化]

[Catecholamines and changes in blood pressure during stress tests in type 1 diabetics].

作者信息

Pontuch P, Vozár J, Sedlák T, Kasperová V, Kratochvílová H

机构信息

I. interná klinika FN v Bratislave, Slovakia.

出版信息

Bratisl Lek Listy. 1993 Jan;94(1):43-8.

PMID:8353739
Abstract

The influence of metabolic control on catecholamine secretion and blood pressure during upright posture, mental stress and physical exercise was studied in 34 normotensive normoalbuminuric type 1 (insulin-dependent) diabetic patients without autonomic neuropathy. A poor metabolic control did not induce different changes in blood pressure and plasma catecholamines as compared to a good metabolic control, except for an exaggerated rise in plasma adrenaline in patients with asymptomatic hypoglycemia. The lack of correlation between plasma catecholamines and blood pressure suggest that some other factors are also involved in the hemodynamic reaction to mental stress and physical exercise in diabetic patients. (Fig. 2, Tab. 3, Ref. 25.).

摘要

在34名无自主神经病变的血压正常、尿白蛋白正常的1型(胰岛素依赖型)糖尿病患者中,研究了代谢控制对直立姿势、精神应激和体育锻炼期间儿茶酚胺分泌及血压的影响。与良好的代谢控制相比,不良的代谢控制并未引起血压和血浆儿茶酚胺的不同变化,但无症状低血糖患者的血浆肾上腺素会过度升高。血浆儿茶酚胺与血压之间缺乏相关性,这表明糖尿病患者对精神应激和体育锻炼的血流动力学反应还涉及其他一些因素。(图2,表3,参考文献25)

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