对 57例糖尿病患者进行食管运动功能测定 ,同时进行心血管植物神经功能检查 ,并与 52例健康人对照。结果表明 ,糖尿病组的食管测压异常主要表现为食管体部运动功能失调 ,其发生率显著高于对照组 (P <0 .0 1) ,这些异常与患者的空腹血糖、病程、年龄、性别等无关 ;糖尿病患者的食管测压结果与心血管植物神经功能测定结果有相关性 (χ2 =14.4 7,P <0 .0 1)。结果提示食管测压对糖尿病植物神经病变的较早诊断有重要的临床价值。 Esophageal motility test was performed in 57 diabetic patients and cardiovascular autonomic nerve function tests were performed at the same time, which were compared with 52 healthy people. The results showed that the esophageal manometry abnormalities in diabetic group mainly manifested motor dysfunction of the esophagus and the incidence was significantly higher than that of the control group (P0.01). These abnormalities were related to the fasting blood glucose, duration of disease, age, gender , Etc .; diabetic esophageal manometry results and cardiovascular autonomic nerve function test results were related (χ2 = 14.47, P <0.01). The results suggest that esophageal manometry has an important clinical value in the early diagnosis of diabetic autonomic neuropathy.