Abstract：Objective: To analyze the results of vertical tilt test (HUTT) and its correlation with related factors in children with vasovagal syncope(VVS). Methods: 140 cases of suspected VVS diagnosed from June 2016 to March 2017 in our hospital were selected as the subjects and HUTT examination was carried out. According to the results, the children were divided into HUTT positive group and HUTT negative group. The clinical information was analyzed by regression analysis to determine the independent risk factors of HUTT positive. Results: There were 75 cases of HUTT positive children and 65 cases of negative children. The average number of syncope in HUTT positive group was (2.34 + 1.18) times, while those in HUTT negative group were (0.74 + 0.18) times. The difference between two groups was statistically significant (t=10.818, P<0.001).The proportion of chest tightness in the HUTT positive group was 44% and the negative group of HUTT was 26.15%. The difference between the two groups was statistically significant (x 2=4.83, P=0.028); the results of univariate analysis showed that female gender (P<0.001), aged >12 years (P<0.001), number of syncope(χ2=22.918,P=<0.001)、a history of syncope pathogenesis (P=0.014), (P<0.001), family history of syncope the chest is weak (P=0.041) related factors for positive results for HUTT; Multiple factor Logistic regression analysis showed that Over 12 years of age, history of syncope, family history of syncope, number of syncope, chest tightness, fatiguewere independent risk factors for HUTT positive. Conclusion: The value of these features for the clinical diagnosis of VVS should be paid attention to in the HUTT examination, which is over 12 years old, sex female, syncope history, syncope family history and chest depression.
薛莹, 安新江. 基础直立倾斜试验阳性患儿晕厥的相关危险因素分析[J]. 河北医学, 2018, 24(8): 1376-1379.
XUE Ying, AN Xinjiang. Analysis of Risk Factors for Syncope in Children with Basal Erect Tilt Test. HeBei Med, 2018, 24(8): 1376-1379.
[1] 黄美媚,胡允兆,黎宏庄,等.血管紧张素Ⅱ受体拮抗剂治疗血管迷走性晕厥回顾性临床疗效分析[J].河北医学,2017,23(1):54~57. [2] 王继宏.心血管神经性晕厥的心率变异性分析[J].蚌埠医学院学报,2015,40(2):236~237. [3] 董湘玉,王远飞.直立倾斜试验在儿童晕厥诊断中的价值[J].中华实用儿科临床杂志,2016,31(1):2~6. [4] 夏晓莉,张雪莲,路航,等.直立倾斜试验诊断不明原因晕厥的价值[J].中华实用诊断与治疗杂志,2014,28(1):43~45. [5] 张莉,李想,吕剑锋,等.直立倾斜试验对血管迷走性晕厥的诊断价值[J].宁夏医科大学学报,2013,35(9):1040~1042. [6] 姜雪,刘悦,刘俊,等.年龄和性别对直立倾斜试验诊断血管迷走性晕厥结果的影响[J].中国循环杂志,2014(9):10. [7] 刘燕,郭培,姬晋芳.基础直立倾斜试验与舌下含服硝酸甘油直立倾斜试验诊断血管迷走性晕厥的价值[J].心血管康复医学杂志,2015(1):73~76. [8] Forleo C, Guida P, Iacoviello M, et al. Head-up tilt testing for diagnosing vasovagal syncope: a meta-analysis[J]. International journal of cardiology, 2013, 168(1):27~35. [9] Fenton A M, Hammill S C, Rea R F, et al. Vasovagal syncope[J]. Annals of Internal Medicine, 2000, 133(9):714. [10] 徐萌, 黄敏,沈捷,等.儿童血管迷走性晕厥反复发作相关因素分析[J].临床儿科杂志,2016,34(3):192~196. [11] Alboni P. The different clinical presentations of vasovagal syncope[J]. Heart, 2015, 101(9):674.
2018, Vol. 24 
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