中国当代儿科杂志2013，Vol.15Issue(6)：458-461,4.DOI:10.7499/j.issn.1008-8830.2013.06.015
24小时血压监测评价儿童神经介导性晕厥治疗效果
Investigation of 24-hour blood pressure monitoring for evaluating treatment outcome of nerve-mediated syncope in children
摘要
Abstract
Objective To investigate the clinical significance of 24-hour blood pressure monitoring (ABPM) for evaluating the treatment outcome of nerve-mediated syncope (NMS) in children.Methods Twenty-eight children with NMS confirmed by a head-up tilt table test (HUTT) (12 males and 16 females,aged 6-13 years) and with a chief complaint of unexplained syncope or pre-syncope between February 2010 and August 2012,were included in the study.These children received health education combined with therapy using oral rehydration salts solution and were then reexamined for clinical symptoms as well as HUTT and ABPM results.Results Of 28 NMS cases,22 were vasodepressive type,5 were mixed type,and 1 was cardioinhibitory type.The follow-up showed that 27 (96％) of all cases had improved clinical symptoms,and 18 (64％) had improved HUTT results.The ABPM follow-up revealed no significant changes in 24-hour mean systolic pressure,24-hour mean diastolic pressure,daytime mean systolic pressure,daytime mean diastolic pressure,nighttime mean systolic pressure,nighttime mean diastolic pressure,day-night difference of systolic pressure,and day-night difference of diastolic pressure after treatment (P ＞ 0.05).The percentage of children with a dipper blood pressure pattern increased from 29％ (8/28) before treatment to 50％ (14/28) after treatment ; the percentage of children with a non-dipper blood pressure pattern decreased from 71％ (20/28) before treatment to 50％ (14/28) after treatment.Conclusions As an effective,objective and non-invasive monitoring means,ABPM is of some clinical significance for evaluating the treatment outcome of NMS in children.关键词
神经介导性晕厥/24h血压监测/倾斜试验/随访/儿童Key words
Nerve-mediated syncope/ 24-hour blood pressure monitoring/ Head-up tilt test/ Follow-up/ Child引用本文复制引用
许毅,林萍,王成,吴礼嘉,康美华,祝立平,李芳,李云利,储卫红..24小时血压监测评价儿童神经介导性晕厥治疗效果[J].中国当代儿科杂志,2013,15(6):458-461,4.基金项目
"十二五"国家科技支撑计划(2012BAI03B03) （2012BAI03B03）
湖南省科技厅资助项目(2012FJ3127). （2012FJ3127）
