中国实用内科杂志2011，Vol.31Issue(5)：349-351,3.
中国人直立不耐受的性别和年龄差异研究
The gender and age differences in Chinese people with orthostatic intolerance
摘要
Abstract
Objective To explore the differences in gender and age among Chinese people with orthostatic intolerance (OI).Methods Between January 2004 and June 2006,1069 patients with unexphained syncope, dizziness,chest distress,chest pain or palpitation were diagnosed or registered to Syncope Clinic of Second Xiangya Hospital, Central South University.These patients comprised 506 males and 563 females ( aged 3 ～ 72 years old,mean:19.22 ±14.80).Notably,children group included 728 cases( ＜ 18 y) and adult group 341 cases (≥18 y).All patients underwent routine checkup to exclude organic heart diseases and other conditions and then received head-up tilt test (HUTT) for a definite diagnosis.Results (1) The positive rate of OI was 60.99％ in all patients, among whom females had a higher positive rate than males.There was no significant difference in positive rate of OI between the adult and children groups ( P ＞ 0.05 ).(2) Vasovagal syncope (VVS) was the most common type of OI,followed by POTS and orthostatic hypotension (OH).Females were higher than males in proportion of mixed type VVS (P ＜ 0.05 ).There was no difference between children and adult groups in proportion of cardioinhibitory and OH types( P ＞ 0.05 ).Compared with each other, adult group had higher proportions of the blood vasodepressor and mixed types (P ＜ 0.05 ), and children group had higher proportion of POTS ( P ＜ 0.01 ).(3) For female patients, children group had lower proportion of vasodepressor type VVS ( P ＜ 0.05 ), and adult group had lower proportion of mixed type VVS(P ＜ 0.01 ).In addition, children group had higher proportion of the POTS than adult group (P ＜0.01 ).Conclusion No difference of age was found in the positive rate of OI,but the positive rate of OI among females was higher than that among males.There were certain age and gender differences in distribution of OI types.关键词
直立不耐受/倾斜试验/年龄/性别分类
医药卫生引用本文复制引用
张学军,胡春艳,王成,吴礼嘉,李雯,林萍,李芳,谢振武..中国人直立不耐受的性别和年龄差异研究[J].中国实用内科杂志,2011,31(5):349-351,3.基金项目
湖南省科技厅资助项目(2008SK3111) （2008SK3111）
中南大学研究生学位论文创新基金项目(2009ssxt143) （2009ssxt143）
