中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2009年
5期
32-33,35
,共3页
基础倾斜试验%血管迷走性晕厥%倾斜时间%体位性心动过速%体位性低血压
基礎傾斜試驗%血管迷走性暈厥%傾斜時間%體位性心動過速%體位性低血壓
기출경사시험%혈관미주성훈궐%경사시간%체위성심동과속%체위성저혈압
Base tilt table test%Vasovagalsyncope%Tilting time%Postural orthostatic tachycardia%Postural orthostatic hypotension
目的 探讨基础倾斜试验阳性患者试验过程中的心率变化和倾斜时间与发病年龄的关系.方法 回顾性分析基础倾斜试验阳性患者116例,按年龄分为少儿组(A组)37例、青年组(B组)30例、中年组(C组)38例、老年组(D组)11例,比较各组间平卧位心率、倾斜位最快心率、症状发作时心率以及倾斜时间与年龄的相关性.结果 平卧位心率:A组明显快于其他组,P＜0.01;其他组间比较差异无统计学意义,P＞0.05.倾斜位最快心率:C、D两组问差异无统计学意义,P＞0.05;其余各组间比较差异有统计学意叉,P＜0.01.症状发作时心率:C组明显慢于其他组,P＜0.01;其余各组间差异均无统计学意义,P＞0.05.倾斜时间:各组间差异有统计学意义,P＜0.01.体位性心动过速:A组16例、B组11例、C组8例、D组2例;体位性低血压D组2例.结论 ①平卧位心率和倾斜位最快心率与患者年龄呈反比,倾斜时间与患者年龄呈正比.②有晕厥史的中年人是心脏性猝死的高危人群.③基础倾斜试验阳性的老年患者有一定的假阳性.
目的 探討基礎傾斜試驗暘性患者試驗過程中的心率變化和傾斜時間與髮病年齡的關繫.方法 迴顧性分析基礎傾斜試驗暘性患者116例,按年齡分為少兒組(A組)37例、青年組(B組)30例、中年組(C組)38例、老年組(D組)11例,比較各組間平臥位心率、傾斜位最快心率、癥狀髮作時心率以及傾斜時間與年齡的相關性.結果 平臥位心率:A組明顯快于其他組,P＜0.01;其他組間比較差異無統計學意義,P＞0.05.傾斜位最快心率:C、D兩組問差異無統計學意義,P＞0.05;其餘各組間比較差異有統計學意扠,P＜0.01.癥狀髮作時心率:C組明顯慢于其他組,P＜0.01;其餘各組間差異均無統計學意義,P＞0.05.傾斜時間:各組間差異有統計學意義,P＜0.01.體位性心動過速:A組16例、B組11例、C組8例、D組2例;體位性低血壓D組2例.結論 ①平臥位心率和傾斜位最快心率與患者年齡呈反比,傾斜時間與患者年齡呈正比.②有暈厥史的中年人是心髒性猝死的高危人群.③基礎傾斜試驗暘性的老年患者有一定的假暘性.
목적 탐토기출경사시험양성환자시험과정중적심솔변화화경사시간여발병년령적관계.방법 회고성분석기출경사시험양성환자116례,안년령분위소인조(A조)37례、청년조(B조)30례、중년조(C조)38례、노년조(D조)11례,비교각조간평와위심솔、경사위최쾌심솔、증상발작시심솔이급경사시간여년령적상관성.결과 평와위심솔:A조명현쾌우기타조,P＜0.01;기타조간비교차이무통계학의의,P＞0.05.경사위최쾌심솔:C、D량조문차이무통계학의의,P＞0.05;기여각조간비교차이유통계학의차,P＜0.01.증상발작시심솔:C조명현만우기타조,P＜0.01;기여각조간차이균무통계학의의,P＞0.05.경사시간:각조간차이유통계학의의,P＜0.01.체위성심동과속:A조16례、B조11례、C조8례、D조2례;체위성저혈압D조2례.결론 ①평와위심솔화경사위최쾌심솔여환자년령정반비,경사시간여환자년령정정비.②유훈궐사적중년인시심장성졸사적고위인군.③기출경사시험양성적노년환자유일정적가양성.
Objective To explore the relationship of heaa rate change,tilting times and age of base tilt table test(B1Trr)positive patients in test processes.Methods Analyzed retrospectively BTTT positive patients 116 eases.According to age,they were divided into early youth group(group A)37 cases,youth group(group B)30 cases,middle age group(group C)38 eases,old age group(group D)11 cases.Compared with each group heart rate in lying position,tilting position,when symptom was broken and tilting time were related to age.Results Heart rate in lying position:group A was the fastest than others,P＜0.01;There was no significant difference among others,P＞0.05.The fastest heart rate in tilting position:there were no significant difference in group C and D,P＞0.05;There were significant difference among others,P＜0.01.When symptom was broken:the heart rate of group C Was slowest among groups,P＜0.0l;There were no significant difference among other groups,P＞0.05.Tilting time:there was significant difference in each group,P＜0.01.Postural orthostatic tachycardia(POT):group A 16 cases,group B 11 cases,group C 8 cases,group D 2 cases.Postural orthostatic hypotension(POH):there were 2 cases in group D.Conclusions①Heart rate in lying position and tilting position are inverse ratio to age,tilting time is direct ratio to age;②Middle age with syncope history is higher danger group of heart sudden death;③part of base tilt table test positive response in aged patient is false positive.
