摘要
目的:探讨直立训练对血管迷走性晕厥患者的疗效及影响因素。方法:对经直立倾斜试验诊断阳性的血管迷走性晕厥患者49例进行至少4周的直立训练,根据随访结果分为复发组和未复发组,对临床资料进行统计学分析。结果:经1年随访,41例(83.7%)患者无晕厥复发,8例(16.3%)患者复发晕厥或晕厥先兆。复发者发作时间均在1年内,超过1年,主观症状好转100%。与未复发组比较,复发组治疗前晕厥发作的次数较少(3︰1,P<0.05)。结论:晕厥发作的频率是影响直立训练疗效的因素,越是发作频繁的患者越需要进行直立训练,年龄和性别不影响直立训练疗效。
Objective：To investigate the effective treatment for vasovagal syncope by orthostatic training.Method：We performed a follow-up interview in a cohort of 49 consecutive patients with a history of syncope and a positive head-up tilt test treated with orthostatic training for more than 4 months.We analyzed the difference of the clinical data between the syncope recurring patients and no-syncope recurring patients.Result：One year later we found 8patients（16.3%）reported syncopal or near-syncopal episodes,while the remaining 41patients（83.7%）were symptom free.The patients were recurred in one year later and showed significant improvement in subjective symptoms.Also,the syncope recurring patients exhibited less syncopal spells than no-syncope recurring patients before orthostatie training.Conclusion：Historical number of syncopal spells is related to the effect of orthostatic training,indicating more beneficial effects to the patients with frequent syncopal spell.Age and gender are not related to the effect of orthostatic training.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2016年第3期280-282,共3页
Journal of Clinical Cardiology
基金
乌鲁木齐市科学技术计划(No:Y121310014)
