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为观察非胰岛素依赖型糖尿病(NIDDM)患者动态血压的改变及其与尿白蛋白排泄率(UAE)、自主神经病变的关系,我们对57例血压正常的NIDDM患者进行了24小时动态血压监测(ABPM)。结果发现,NIDDM患者白天血压和24小时血压无明显改变,但夜间血压升高,昼夜血压差值明显降低,该改变与自主神经病变计分、UAE、偶测收缩压、夜间收缩压和夜间舒张压呈显著负相关。
To investigate the relationship between ambulatory blood pressure and urinary albumin excretion rate (UAE) and autonomic neuropathy in patients with non-insulin dependent diabetes mellitus (NIDDM), we performed ambulatory blood pressure monitoring in 57 patients with normotensive NIDDM ABPM). The results showed that there was no significant change in daytime blood pressure and 24 hour blood pressure in NIDDM patients, but the nocturnal rise in blood pressure and the difference in diurnal blood pressure were significantly lower than those in patients with NIDDM. The changes were related to the score of autonomic neuropathy, UAE, even systolic pressure, nocturnal systolic pressure and nocturnal diastolic Pressure was significantly negative correlation.