摘要
目的探讨儿童青少年体质量指数(BMI)与升旗性晕厥(FS)及排尿性晕厥(MS)的关系。方法选取2003年1月至2017年9月因FS和MS首次在中南大学湘雅二医院儿童晕厥门诊就诊的5~18岁儿童青少年106例(男51例,女55例),其中FS组63例(男21例,女42例),MS组43例(男30例,女13例)。匹配同期在中南大学湘雅二医院儿童保健门诊健康检查的儿童青少年100例(男50例,女50例)为对照(健康对照组)。测量各组儿童身高、体质量,计算BMI,采用SPSS 22.0软件进行统计分析。结果1.BMI比较:FS组体质量及BMI低于MS组[(36.33±9.85) kg比(42.85±12.44) kg;(16.56±2.41) kg/m^2比(18.48±3.04) kg/m2],差异均有统计学意义(F=7.529、12.411,均P<0.05);FS组、MS组与健康对照组身高比较差异无统计学意义[(146.62±12.89) cm比(150.79±12.78) cm比(149.75±16.02) cm,F=1.314,P>0.05]。FS组和MS组不同性别儿童年龄、晕厥频次、身高、体质量及BMI比较差异均无统计学意义(均P>0.05)。2.BMI分类:偏瘦比例在FS组[82.53%(52/63例)]及MS组[58.14%(25/43例)]高于健康对照组[52.00%(52/100例)],差异有统计学意义(χ^2=14.556,P<0.01)。3.直立倾斜试验(HUTT)阳性率:总阳性率为72.64%(77/104例),其中FS组高于MS组[82.53%(52/63例)比58.14%(25/43例)],差异有统计学意义(χ^2=7.656,P<0.01)。结论低BMI儿童青少年易出现FS。
Objective To discuss the relationship between body mass index (BMI) and flag-raising syncope (FS) and micturition syncope (MS) in children and adolescents. Methods One hundred and six children and adolescents with FS or MS diagnosed at the Department of Pediatric Cardiovasology, Children′s Medical Center, the Second Xiangya Hospital, Central South University from January 2003 to September 2017 were studied, including 51 males and 55 females, and their ages ranged from 5 to 18 years.There were 63 cases in the FS group (21 males and 42 females) and 43 cases in the MS group (30 males and 13 females). One hundred healthy children and adolescents including 50 males and 50 females who had routine healthy examinations at the hospital in the same period were selected as control subjects (healthy control group). Body length and body mass were measured, and BMI was calculated.Statistical investigations were conducted with SPSS 22.0 software. Results (1)The body mass and BMI in the FS group were lower than those in the MS group [(36.33±9.85) kg vs.(42.85±12.44) kg;(16.56±2.41) kg/m2vs.(18.48±3.04) kg/m^2], and the differences were statistically significant (F=7.529, 12.411, all P<0.05). There was no difference in body length among the FS group, the MS group and the healthy control group[(146.62±12.89) cm vs.(150.79±12.78) cm vs.(149.75±16.02) cm, F=1.314, P>0.05]. No differences were found in age, frequency, body length, body mass and BMI between the FS syncope group and the MS group with different genders (all P>0.05).(2)The number of BMI-underweight children increased in the FS group (82.53%, 52/63 cases) compared with that of the MS group (58.14%, 25/43 cases) and that of the healthy control group (52.00%, 52/100 cases), and the difference was statistically significant(χ^2=14.556, P<0.01).(3)The positive rate by head-up tilt test(HUTT) was 72.64%(77/104 cases), and HUTT of the FS group was higher than that of the MS group [82.53%(52/63 cases) vs.58.14%(25/43 cases)], and there was a significant difference statistically(χ^2=7.656, P<0.01). Conclusions Low BMI is prone to FS in children and adolescents.
作者
王硕
谭传
秧茂盛
丁异熠
邹润梅
王成
Wang Shuo;Tan Chuanmei;Yang Maosheng;Ding Yiyi;Zou Runmei;Wang Cheng(Jishou University School of Medicine, Jishou 416000, Hunan Province, China;Department of Pediatrics, the First People′s Hospital of Changde City, Changde 415003, Hunan Province, China;Department of Pediatric Cardiovasology, Children′s Medical Center, the Second Xiangya Hospital, Central South University/Institute of Pediatrics, Central South University, Changsha 410011, China)
出处
《中华实用儿科临床杂志》
CSCD
北大核心
2019年第5期355-358,共4页
Chinese Journal of Applied Clinical Pediatrics
基金
湖南省发展改革委员会课题(2015-83)
湖南省自然科学基金课题(2016JJ2167,2018JJ3730).
关键词
升旗性晕厥
排尿性晕厥
体质量指数
儿童
青少年
Flag-raising syncope
Micturition syncope
Body mass index
Child
Adolescent
