直立不耐受的诊疗进展  

Progress in diagnosis and treatment of orthostatic intolerance

作　　者：李晨[1] 何文[1] Li Chen;He Wen(Department of Geriatrics,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院老年医学科,广州510080

出　　处：《中华老年医学杂志》2023年第6期750-753,共4页Chinese Journal of Geriatrics

基　　金：广州市科技计划民生项目(202002020011)。

摘　　要：直立不耐受是由直立位引发的一系列症状组成的综合征,患者表现为失去维持直立状态的能力。直立不耐受可分为直立性低血压、直立性心动过速综合征、血管迷走性晕厥。有学者认为直立性高血压亦属于此范畴。直立不耐受的最大危害在于引发跌倒,造成躯体损伤和心理问题。现对直立不耐受的诊疗进展进行综述,期望有助于提高临床诊断的规范性和治疗的有效性。Orthostatic intolerance is a syndrome characterized by a series of symptoms that occur when standing upright,resulting in the loss of ability to maintain an upright position.This condition can be further classified into orthostatic hypotension,postural orthostatic tachycardia syndrome,and vasovagal syncope.Some scholars suggest that orthostatic hypertension may also be considered a part of this syndrome.The most significant risk associated with orthostatic intolerance is falls,which can lead to physical injury and psychological distress.This article aims to review the advancements made in the diagnosis and treatment of orthostatic intolerance,so as to enhance the standardization of clinical diagnosis and improve the effectiveness of treatment.

关 键 词：直立不耐受 低血压 直立性 晕厥 血管迷走神经性 

分 类 号：R54[医药卫生—心血管疾病]