中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2009年
23期
2148-2150
,共3页
何平%何芝香%王成%李茗香%林萍%谢振武
何平%何芝香%王成%李茗香%林萍%謝振武
하평%하지향%왕성%리명향%림평%사진무
直立倾斜试验%年龄%性别%护理
直立傾斜試驗%年齡%性彆%護理
직립경사시험%년령%성별%호리
Head-up tilt test%Age%Gender%Nursing
目的 探讨直立倾斜试验(HUTT)的年龄和性别差异并制定护理对策.方法 选择2001年1月-2008年3月在中南大学湘雅二医院晕厥专科门诊就诊或住院的不明原因头晕、晕厥、头痛、胸闷受检者760例,男318例,女442例,年龄3.1~70.0岁,平均(21.7±15.7)岁,其中<18岁464例(儿童组),≥18岁296例(成人组),分别进行HUTT检查并制定护理对策.结果 (1)不同年龄、性别HUTT阳性率:760例HUTT受检者,HUTT阳性397例,阳性率为52.24%.成人组HUTT阳性率低于儿童组,差异有统计学意义(P<0.05),儿童组男性低于女性,差异有统计学意义(P<0.05),成人组未见性别差异(P>0.05).(2)不同年龄、性别出现HUTT阳性反应时间:在基础直立倾斜试验(BHUT)儿童组出现HUTT阳性反应时间小于成人组,差异有统计学意义[(21.8±10.4)min vs. (26.3±13.0)min,P<0.05);在SNHUT儿童组与成人组差异无统计学意义(P>0.05).(3)晕厥发作时血流动力学明显变化出现率:晕厥发作时心率≤40次/min者22例(2.89%),血压测不到者67例(8.82%).(4)药物诱导副作用:舌下含化硝酸甘油496例,未见明显的不良反应.结论 HUTT存在一定的年龄和性别差异,诱导晕厥发作存在一定风险,但密切观察HUTT阳性表现时的生命体征变化并及时采取有效护理措施是安全的,强调应重视儿童和女性HUTT表现快速多变的特点.
目的 探討直立傾斜試驗(HUTT)的年齡和性彆差異併製定護理對策.方法 選擇2001年1月-2008年3月在中南大學湘雅二醫院暈厥專科門診就診或住院的不明原因頭暈、暈厥、頭痛、胸悶受檢者760例,男318例,女442例,年齡3.1~70.0歲,平均(21.7±15.7)歲,其中<18歲464例(兒童組),≥18歲296例(成人組),分彆進行HUTT檢查併製定護理對策.結果 (1)不同年齡、性彆HUTT暘性率:760例HUTT受檢者,HUTT暘性397例,暘性率為52.24%.成人組HUTT暘性率低于兒童組,差異有統計學意義(P<0.05),兒童組男性低于女性,差異有統計學意義(P<0.05),成人組未見性彆差異(P>0.05).(2)不同年齡、性彆齣現HUTT暘性反應時間:在基礎直立傾斜試驗(BHUT)兒童組齣現HUTT暘性反應時間小于成人組,差異有統計學意義[(21.8±10.4)min vs. (26.3±13.0)min,P<0.05);在SNHUT兒童組與成人組差異無統計學意義(P>0.05).(3)暈厥髮作時血流動力學明顯變化齣現率:暈厥髮作時心率≤40次/min者22例(2.89%),血壓測不到者67例(8.82%).(4)藥物誘導副作用:舌下含化硝痠甘油496例,未見明顯的不良反應.結論 HUTT存在一定的年齡和性彆差異,誘導暈厥髮作存在一定風險,但密切觀察HUTT暘性錶現時的生命體徵變化併及時採取有效護理措施是安全的,彊調應重視兒童和女性HUTT錶現快速多變的特點.
목적 탐토직립경사시험(HUTT)적년령화성별차이병제정호리대책.방법 선택2001년1월-2008년3월재중남대학상아이의원훈궐전과문진취진혹주원적불명원인두훈、훈궐、두통、흉민수검자760례,남318례,녀442례,년령3.1~70.0세,평균(21.7±15.7)세,기중<18세464례(인동조),≥18세296례(성인조),분별진행HUTT검사병제정호리대책.결과 (1)불동년령、성별HUTT양성솔:760례HUTT수검자,HUTT양성397례,양성솔위52.24%.성인조HUTT양성솔저우인동조,차이유통계학의의(P<0.05),인동조남성저우녀성,차이유통계학의의(P<0.05),성인조미견성별차이(P>0.05).(2)불동년령、성별출현HUTT양성반응시간:재기출직립경사시험(BHUT)인동조출현HUTT양성반응시간소우성인조,차이유통계학의의[(21.8±10.4)min vs. (26.3±13.0)min,P<0.05);재SNHUT인동조여성인조차이무통계학의의(P>0.05).(3)훈궐발작시혈류동역학명현변화출현솔:훈궐발작시심솔≤40차/min자22례(2.89%),혈압측불도자67례(8.82%).(4)약물유도부작용:설하함화초산감유496례,미견명현적불량반응.결론 HUTT존재일정적년령화성별차이,유도훈궐발작존재일정풍험,단밀절관찰HUTT양성표현시적생명체정변화병급시채취유효호리조시시안전적,강조응중시인동화녀성HUTT표현쾌속다변적특점.
Objective To explore the age and gender differences of head-up tilt test (HUTT) and institute strategy of nursing. Methods Some 760 patients with unexplained dizziness, syncope, headache or chest distress, 318 males, 442 females, aged 3.1-70.0 with an average of (21.7±15.7), were enrolled in this study, of which 464 were younger than 18 years old (children group ), 295 were 18 years old or above (adult group). HUTT was performed in all patients and the strategy of nursing was instituted for each. Results (1)Among all the 760 patients, HUTT was found to be positive in 397 (52.24%). The positive rate was lower in adult group than in children group (P<0.05), and lower in males than in females in children group((P<0.05);No gender differences was found in adult group (P>0.05). (2)The time of HUTT positive reaction in children group was significantly shorter than that in adult group [(21.8±10.4)min vs. (26.3±13.0)min] (P<0.05). There's no statistical differences between two groups in sublingual nitroglycerin head-up tilt table test (SNHUT) stage (P>0.05). (3)There were 22 (2.89%) patients whose heart rate ≤40/min and 67 (8.82%) whose blood pressure can not be measured. (4)Among 247 patients who took sublingual nitroglycerin administration, no significant adverse effect was found. Conclusion There were certain age and gender differences in HUTT. Some risk existed during inducing episode of syncope, but it was safe to observe vital sign change in HUTT-positive response and take up promptly effective nursing intervention. It should be emphasized to focus on the fast changing characteristics of HUTT performance in children and females.