中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2013年
6期
431-434
,共4页
高民%陈伟%巩尊科%韩良%张丽
高民%陳偉%鞏尊科%韓良%張麗
고민%진위%공존과%한량%장려
糖尿病,2型%代谢综合征%运动平板试验%心脏变时功能%代谢当量
糖尿病,2型%代謝綜閤徵%運動平闆試驗%心髒變時功能%代謝噹量
당뇨병,2형%대사종합정%운동평판시험%심장변시공능%대사당량
Type 2 diabetes mellitus%Metabolic syndrome%Electrocardiographic exercise testing%Chronotropic incompetence%Metabolic equivalents
目的 了解2型糖尿病合并代谢综合征(MS)患者心脏变时功能及最大代谢当量水平及其关系.方法 对66例合并MS门诊2型糖尿病患者行症状限制性心电运动平板试验,观察心脏变时功能不全指标,包括运动最高心率与预测最大心率值之比(rHR)、心率储备率(HRR)、运动能力中的最大代谢当量(maxMETs),以54例不合并MS的2型糖尿病患者为对照.结果 2型糖尿病合并MS患者rHR为0.77±0.04,HRR为0.62 ±0.05,maxMETs为8.8±1.1,均低于不合并MS者[rHR为0.81±0.06,HRR为0.70±0.07,maxMETs为9.7±1.2],差异有统计学意义(t值分别为3.41、5.96和0.16,均P＜0.05).所有受试者的maxMETs与rHR、HRR均有相关性(r值分别为0.81和0.78,均P＜0.05).结论 2型糖尿病合并MS患者的心脏变时功能不全指标及maxMETs水平比不合并MS者低；心脏变时功能不全与maxMETs呈正相关,可与代谢当量或自感劳累等级共同作为运动量监测指标.
目的 瞭解2型糖尿病閤併代謝綜閤徵(MS)患者心髒變時功能及最大代謝噹量水平及其關繫.方法 對66例閤併MS門診2型糖尿病患者行癥狀限製性心電運動平闆試驗,觀察心髒變時功能不全指標,包括運動最高心率與預測最大心率值之比(rHR)、心率儲備率(HRR)、運動能力中的最大代謝噹量(maxMETs),以54例不閤併MS的2型糖尿病患者為對照.結果 2型糖尿病閤併MS患者rHR為0.77±0.04,HRR為0.62 ±0.05,maxMETs為8.8±1.1,均低于不閤併MS者[rHR為0.81±0.06,HRR為0.70±0.07,maxMETs為9.7±1.2],差異有統計學意義(t值分彆為3.41、5.96和0.16,均P＜0.05).所有受試者的maxMETs與rHR、HRR均有相關性(r值分彆為0.81和0.78,均P＜0.05).結論 2型糖尿病閤併MS患者的心髒變時功能不全指標及maxMETs水平比不閤併MS者低；心髒變時功能不全與maxMETs呈正相關,可與代謝噹量或自感勞纍等級共同作為運動量鑑測指標.
목적 료해2형당뇨병합병대사종합정(MS)환자심장변시공능급최대대사당량수평급기관계.방법 대66례합병MS문진2형당뇨병환자행증상한제성심전운동평판시험,관찰심장변시공능불전지표,포괄운동최고심솔여예측최대심솔치지비(rHR)、심솔저비솔(HRR)、운동능력중적최대대사당량(maxMETs),이54례불합병MS적2형당뇨병환자위대조.결과 2형당뇨병합병MS환자rHR위0.77±0.04,HRR위0.62 ±0.05,maxMETs위8.8±1.1,균저우불합병MS자[rHR위0.81±0.06,HRR위0.70±0.07,maxMETs위9.7±1.2],차이유통계학의의(t치분별위3.41、5.96화0.16,균P＜0.05).소유수시자적maxMETs여rHR、HRR균유상관성(r치분별위0.81화0.78,균P＜0.05).결론 2형당뇨병합병MS환자적심장변시공능불전지표급maxMETs수평비불합병MS자저；심장변시공능불전여maxMETs정정상관,가여대사당량혹자감로루등급공동작위운동량감측지표.
Objective To investigate the association between chronotropic incompetence (CI)and motor ability in type 2 diabetic mellitus (T2DM) patients complicated with metabolic syndrome (MS).Methods One hundred and twenty patients with T2DM were enrolled in the study,including 66 cases with MS (MS group) and 54 without MS (non-MS group).The electrocardiographic exercise test was performed,the CI indexes including ratio of heart rate (rHR),heart rate reserve (HRR)were measured and the max metabolic equivalents(maxMETs) were calculated.Result The rHR(0.77 ±0.04 vs.0.81 ±0.06,t =3.41,P ＜ 0.05),HRR (0.62 ± 0.05 vs.0.70 ± 0.07,t =5.96,P ＜ 0.05) and maxMETs (8.8 ± 1.1 vs.9.7 ± 1.2,t =0.16,P ＜ 0.05) in patients of MS group all lower than those in non-MS group.The maxMETs were positively correlated with rHR (r =0.81,P ＜ 0.05) and HRR (r =0.78,P ＜ 0.05).Conclusion The results indicate that CI as well as maxMETs and rating of perceived exertion can be used as monitoring index in type 2 diabetic patients complicated with metabolic syndrome.
