特发性震颤患者心脏自主神经功能的研究

H. Yaşar, Mutlu Büyüklü
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引用次数: 1

摘要

特发性震颤是一种神经系统疾病,引起不自觉的颤抖。本研究的目的是检查特发性震颤患者的心脏自主神经功能,因为之前的研究在特发性震颤患者的心脏自主神经功能是否受到影响的研究结果存在差异。患者和方法:本研究包括32例特发性震颤患者和26例无其他疾病的对照组。原发性震颤的诊断采用一致的标准。临床评定量表用于测量特发性震颤的特征和程度。根据这个量表,患者被分为轻度、中度、明显或严重残疾。震颤组和对照组都进行了跑步机运动测试。用变时指数评价交感神经系统,计算静息心率指数评价副交感神经系统。在跑步机试验后1、2、3、4和5分钟计算心率恢复值。结果:震颤的描述性特征与对照组相似。震颤组和对照组的变时指数值有统计学差异,震颤组的变时指数值明显降低。这被评价为同情无能。静息心率指数值在1分钟或2分钟时,震颤组和对照组之间没有显著差异,但在3分钟、4分钟和5分钟时,震颤组的静息心率指数值明显较高。后期发现副交感神经活动不足。结论:特发性震颤患者的心脏自主神经功能可能受到影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigation of the Cardiac Autonomic Functions in Patients with Essential Tremor
Introduction: Essential tremor is a neurological disorder that causes involuntary shaking. The aim of this study was to examine cardiac autonomic functions in patients diagnosed with essential tremor, as previous studies have differed in their findings regarding whether cardiac autonomic functions are affected in essential tremor patients. Patients and Methods: The study included 32 patients diagnosed with essential tremor and 26 individuals without any diseases as the control group. Consensus criteria were used for the diagnosis of essential tremor. A clinical rating scale was utilized to measure the characteristics and degree of essential tremor. Based on this scale, patients were classified as having a mild, moderate, marked, or severe disability. An exercise treadmill test was performed in both the tremor and control groups. Chronotropic index values were used to evaluate the sympathetic system, and resting heart rate index values were calculated to evaluate the parasympathetic system. Heart rate recovery values were calculated at one, two, three, four, and five minutes after the exercise treadmill test. Results: The descriptive characteristics of the tremor and control groups were similar. The Chronotropic index values were statistically different between the tremor and control groups, as they were significantly decreased in the tremor group. This was evaluated as sympathetic incompetence. The resting heart rate index values did not differ significantly between the tremor and control groups at minutes one or two, but they were significantly higher in the tremor group at minutes three, four, and five. The parasympathetic activity was found to be insufficient in the later period. Conclusion: The findings suggest that cardiac autonomic functions may be affected in patients with essential tremor.
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