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Clinical study on the differential effects of ischemic stroke localization on autonomic function in 103 inhabitants living near the coast
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1009-6906.2004.03.007
- Key Word:
- 脑梗死;心率变异性;自主神经功能;局部定位
Abstract： 目的观察脑梗死患者不同局部定位对反映心脏自主神经功能的心率变异性(heart rate variability, HRV)各测值的影响.方法对经CT和MRI证实的103例脑梗死患者和68例健康对照组HRV各测值进行分析.结果 (1) 脑梗死组的HRV各参数与对照组比较均显著降低(P＜0.05).(2) 半球梗死组中,右侧半球组各参数在半球中最低.(3) 脑干梗死组中,延髓各指标均低于对照组,SDNN、RMSSD、PNN50降低显著;桥脑和中脑的SDANN、SDNNindex显著降低.结论脑梗死患者局部定位对心脏自主神经功能具有不同的影响.右侧半球及脑干(尤其延髓)梗死患者的HRV下降对预测心血管事件有着十分重要的价值.
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