摘要
目的探讨血管迷走性晕厥的易感因素。方法选择经直立倾斜试验确诊为血管迷走性晕厥的患儿40例为观察组,并设健康体检的儿童40名作为对照组。两组患儿的父母亦均予询问有关晕厥的病史,并做直立倾斜试验。检测两组体质指数、血压、血脂、肌酸激酶(CK)。结果晕厥组22.5%患儿的母亲或父亲有过至少1次晕厥病史,直立倾斜试验中有17.5%的患儿家长为阳性;对照组中5%的家长有晕厥病史,2.5%的家长为直立倾斜试验阳性。晕厥组的阳性家族史明显高于对照组。观察组体质指数为(15.75±1.8)kg/m2,对照组体质指数为(17.97±2.7)kg/m2,两组比较差异有统计学意义(P<0.05);观察组CK值(81.95±33.80)U/L,对照组(165.93±40.62)U/L,两组比较差异有统计学意义(P<0.05)。结论遗传因素、体质指数、低肌酸激酶是血管迷走性晕厥的易感因素。
Objective To explore susceptibe factors of vasovagal syncope（VS） by analyzing family history,body mass index,blood pressure,plasma lipid,serum creatine kinase of patients with VS.Methods Forty patients diagnosed as VS by head-up tilt test,40 gender and age matched healthy subjects were divided into observation group and control group respectively.Body height,weight,blood pressure,plasma lipid and serum creatine kinase were measured.History of syncope was recorded and head-up tilt test were also performed to parents of children in the two groups.Results About 22.5% of parents experienced at least once syncope in observation group,while only 5% in control group.The positive rate of head-up tilt test was 17.5% in parents of the observation group while 2.5% of the control group.The family number of syncope history was much higher in observation group than that of control group.There were significant differences in body mass index（15.75 ± 1.8 kg/m2 vs 17.97 ± 2.7 kg/m2） and serum creatine kinase level（81.95 ± 33.80 U/L vs 165.93 ± 40.62 U/L） between the two groups（both P 0.05）.Conclusions It was found that genetic factors,low body mass index and serum creatine kinase level were susceptibe factors of VS.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2010年第11期1047-1049,共3页
Journal of Clinical Pediatrics
关键词
血管迷走性晕厥
体质指数
肌酸激酶
易感因素
儿童
vasovagal syncope
body mass index
creatine kinase
susceptibe factors
children
