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目的:探讨直立训练对血管迷走性晕厥患者的疗效及影响因素。方法:对经直立倾斜试验诊断阳性的血管迷走性晕厥患者49例进行至少4周的直立训练,根据随访结果分为复发组和未复发组,对临床资料进行统计学分析。结果:经1年随访,41例(83.7%)患者无晕厥复发,8例(16.3%)患者复发晕厥或晕厥先兆。复发者发作时间均在1年内,超过1年,主观症状好转100%。与未复发组比较,复发组治疗前晕厥发作的次数较少(3︰1,P<0.05)。结论:晕厥发作的频率是影响直立训练疗效的因素,越是发作频繁的患者越需要进行直立训练,年龄和性别不影响直立训练疗效。
Objective: To investigate the effect and influencing factors of upright training on patients with vasovagal syncope. Methods: Forty-nine patients diagnosed as having vasovagal syncope by vertical tilt test were trained for at least 4 weeks. According to the follow-up results, they were divided into recurrent group and non-recurrent group. The clinical data were analyzed statistically. Results: No recurrence of syncope was observed in 41 (83.7%) patients at one year follow-up. Eight (16.3%) patients had recurrent syncope or presyncope. Recurrent episodes were in 1 year, more than 1 year, subjective symptoms improved 100%. Compared with the non-recurrence group, the frequency of syncope in the recurrence group was less (3: 1, P <0.05). Conclusions: The frequency of episodes of syncope is a factor that affects the effectiveness of upright training. The more frequent episodes patients require upright training, the age and gender do not affect the effectiveness of upright training.