中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
36期
11-14
,共4页
晕厥,血管迷走神经性%直立倾斜试验%危险因素
暈厥,血管迷走神經性%直立傾斜試驗%危險因素
훈궐,혈관미주신경성%직립경사시험%위험인소
Syncope,vasovagal%Risk factors%Head up tilt test
目的 总结影响儿童直立倾斜试验(HUTT)的危险因素,为血管迷走性晕厥的诊疗提供理论参考.方法 340例晕厥头痛患儿,进行HUTT检查,包括基础倾斜试验及舌下含化硝酸甘油试验,并根据结果分为HUTT阳性患儿和HUTT阴性患儿,分析两者的临床信息,进行多元Logistic回归,分析危险因素.结果 HUTT阳性患儿晕厥次数(2.3±1.1)次,显著高于HUTT阴性患儿的(0.7±0.2)次,出现视物模糊、胸闷的比率显著高于HUTT阴性患儿(84/186,48/186比34/154,23/154),单因素分析结果显示,年龄＞12岁、性别女、视物模糊、有晕厥病史、有晕厥家族史、晕厥次数多、胸闷乏力为HUTT结果阳性的相关因素,多元Logistic回归分析结果显示,年龄＞12岁、性别女、有晕厥病史、有晕厥家族史为HUTT阳性的独立危险因素(β值分别为0.744,1.126,1.312,0.514,95％CI分别为1.132～5.968,1.985～5.040,1.366～9.677,1.683～6.532).结论 年龄、性别、有晕厥家族史、有晕厥病史对于HUTT结果的预测具有重要的意义.
目的 總結影響兒童直立傾斜試驗(HUTT)的危險因素,為血管迷走性暈厥的診療提供理論參攷.方法 340例暈厥頭痛患兒,進行HUTT檢查,包括基礎傾斜試驗及舌下含化硝痠甘油試驗,併根據結果分為HUTT暘性患兒和HUTT陰性患兒,分析兩者的臨床信息,進行多元Logistic迴歸,分析危險因素.結果 HUTT暘性患兒暈厥次數(2.3±1.1)次,顯著高于HUTT陰性患兒的(0.7±0.2)次,齣現視物模糊、胸悶的比率顯著高于HUTT陰性患兒(84/186,48/186比34/154,23/154),單因素分析結果顯示,年齡＞12歲、性彆女、視物模糊、有暈厥病史、有暈厥傢族史、暈厥次數多、胸悶乏力為HUTT結果暘性的相關因素,多元Logistic迴歸分析結果顯示,年齡＞12歲、性彆女、有暈厥病史、有暈厥傢族史為HUTT暘性的獨立危險因素(β值分彆為0.744,1.126,1.312,0.514,95％CI分彆為1.132～5.968,1.985～5.040,1.366～9.677,1.683～6.532).結論 年齡、性彆、有暈厥傢族史、有暈厥病史對于HUTT結果的預測具有重要的意義.
목적 총결영향인동직립경사시험(HUTT)적위험인소,위혈관미주성훈궐적진료제공이론삼고.방법 340례훈궐두통환인,진행HUTT검사,포괄기출경사시험급설하함화초산감유시험,병근거결과분위HUTT양성환인화HUTT음성환인,분석량자적림상신식,진행다원Logistic회귀,분석위험인소.결과 HUTT양성환인훈궐차수(2.3±1.1)차,현저고우HUTT음성환인적(0.7±0.2)차,출현시물모호、흉민적비솔현저고우HUTT음성환인(84/186,48/186비34/154,23/154),단인소분석결과현시,년령＞12세、성별녀、시물모호、유훈궐병사、유훈궐가족사、훈궐차수다、흉민핍력위HUTT결과양성적상관인소,다원Logistic회귀분석결과현시,년령＞12세、성별녀、유훈궐병사、유훈궐가족사위HUTT양성적독립위험인소(β치분별위0.744,1.126,1.312,0.514,95％CI분별위1.132～5.968,1.985～5.040,1.366～9.677,1.683～6.532).결론 년령、성별、유훈궐가족사、유훈궐병사대우HUTT결과적예측구유중요적의의.
Objective To summarize the risk factors of head up tilt test (HUTT) in children with vasovagal syncope,and provide theoretical reference for the diagnosis of vasovagal syncope.Methods The total of 340 children with headache and syncope were included in the study,all the cases received HUTT,including basic tilt table test and sublingual nitroglycerin test.And they were divided into HUTT positive group and HUTT negative group according to the results.The clinical information of two groups was analyzed by multivariate Logistic regression to summarize risk factors.Results The frequency of syncope in HUTT positive group was 2.3 ± 1.1,significantly higher than that in HUTT negative group (0.7 ±0.2),chest tightness and blurred vision ratios were significandy higher than those in HUTT negative group (84/186,48/186 vs.34/154,23/154).Single factor analysis showed,older than 12 years old,female,blurred vision,with history and genetic history of syncope,numerous of syncope,chest tightness,fatigue were related factors as positive results for HUTT.Multivariate Logistic regression analysis showed,older than 12 years old,female,with history and genetic history of syncope were independent risk factors of positive HUTF.β was 0.744,1.126,1.312,0.514 respectively,95％ CI was 1.132-5.968,1.985-5.040,1.366-9.677,1.683-6.532 respectively.Conclusion Age,gender,family history,history of syncope have important significance to predict HUTT results.
