直立训练对血管迷走性晕厥患者疗效的影响因素  

Clinical factors related to the efficacy of orthostatic training in the treatment of vasovagal syncope

作　　者：曾辉[1] 张慰伦[1] 葛堪忆[1] 

机构地区：[1]北京大学第三医院心内科,北京100083

出　　处：《中国心脏起搏与心电生理杂志》2007年第4期336-338,共3页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的探讨直立训练对血管迷走性晕厥疗效的影响因素。方法对46例直立倾斜试验阳性的血管迷走性晕厥患者进行至少4周的直立训练,根据随访结果,将其分为复发组和未复发组,对相关临床资料进行统计学分析。结果经1年随访,34例(74%)患者无晕厥复发,12例(26%)患者复发晕厥或晕厥先兆,复发组年龄较高(51±17岁vs32±11岁,P<0.05),治疗前晕厥发作的次数较少[1(1～2)次vs3(1～4)次,P<0.05]。结论年龄和晕厥发作的频率是影响直立训练疗效的因素,年轻和发作频繁的晕厥患者进行直立训练获益更大。Objective To study an effective treatment for vasovagal syncope by orthostatic training. Methods We performed a follow-up interview in a cohort of 46 consecutive patients with a history of syncope and a positive head-up tilt test treated with orthostatic training more than 4 months. We analyzed the difference of the clinical data between the syncope recurring patients and no-syncope recurring patients. Results One year later we found the 12 patients （26%） reported syncopal or near-syncopal episodes,while the remaining 34 patients （74%）were symptom free. The recurring patients were older（51 ± 17 years old vs 32 ± 11 years old,P 〈0.05）, and the syncopal spells in the last year were more few than the patients with no syncope（ 1 time vs 3 times ,P 〈 0.05 ）. Conclusion It is concluded that age and historical number of syneopal spells are related to the effect of orthostatic training, this kind of therapy is more beneficial to the patients who are younger or with frequent syncopal spell.

关 键 词：心血管病学 血管迷走性晕厥 直立倾斜试验 直立训练 

分 类 号：R544.2[医药卫生—心血管疾病]