直立倾斜试验对不明原因晕厥的应用价值The applied value of head-up tilt test in patients with unexplained syncope
孙朝阳;井艳;闫德祺;张琳;聂连涛;王晶晶;李世锋;
摘要(Abstract):
目的探讨直立倾斜试验对不明原因晕厥的应用价值。方法选取2018-11—2019-11郑州大学第二附属医院门诊和住院收治的晕厥患者170例,行直立倾斜试验。结果 (1)170例患者中阳性98例(57.65%),其中1型60例(61.22%),2型12例(12.24%),3型26例(26.53%);(2)98例阳性患者中女性阳性68例(69.38%),男性阳性30例(30.62%)(χ2=20.129,P<0.001);(3)98例阳性患者中SNHUT阳性88例(51.76%),BHUT阳性10例(5.88%)(χ2=20.129,P<0.001);(3)98例阳性患者中SNHUT阳性88例(51.76%),BHUT阳性10例(5.88%)(χ2=87.222,P<0.001);(4)SNHUT倾斜5分钟内出现阳性症状81例(82.65%),SNHUT倾斜5 min后出现阳性症状17例(17.35%)(χ2=87.222,P<0.001);(4)SNHUT倾斜5分钟内出现阳性症状81例(82.65%),SNHUT倾斜5 min后出现阳性症状17例(17.35%)(χ2=58.722,P<0.001)。结论直立倾斜试验可以对不明原因晕厥进行初步晕厥筛查,在临床诊断血管迷走性晕厥方面具有明显优势,因此,具有重要的临床诊断与治疗价值。
关键词(KeyWords): 直立倾斜试验;不明原因晕厥;血管迷走性晕厥;基础试验;硝酸甘油诱发试验
基金项目(Foundation): 2018河南省科技攻关项目(编号:182102310526)
作者(Authors): 孙朝阳;井艳;闫德祺;张琳;聂连涛;王晶晶;李世锋;
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