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目的探讨血管迷走性晕厥(VVS)儿童的心理因素。方法选取2007年6-11月在中南大学湘雅二医院儿童晕厥专科门诊就诊或住院的不明原因晕厥或先兆晕厥儿童84例(VVS组)。男47例,女37例;年龄7～16岁[(11.01±2.00)岁]。将VVS儿童分为直立倾斜试验(HUTT)阳性组(n=43)和HUTT阴性组(n=41)。受试儿童均完成儿童抑郁障碍自评量表与儿童焦虑性情绪障碍筛查表,采用SPSS11.0软件进行分析。结果1.儿童抑郁障碍自评量表得分,VVS组儿童睡得很香、吃东西香及爱与家人交谈等项目得分显著低于全国常模组(Pa<0.05,0.01),VVS组患儿总是想哭、肚子痛、感到孤单、感到悲哀、感到烦恼得分及抑郁总分高于全国常模组(Pa<0.05,0.01)。HUTT阳性组患儿盼望美好事物和容易高兴起来得分高于HUTT阴性组(Pa<0.01),HUTT阴性组患儿生活没有意思得分高于HUTT阳性组(P<0.05)。2.儿童焦虑性情绪障碍筛查表得分,躯体化/惊恐、广泛性焦虑、分离性焦虑、社交恐怖、学校恐怖、焦虑量表总分与简明焦虑量表等得分VVS组显著高于全国常模组(Pa<0.01)。HUTT阴性组与HUTT阳性组焦虑得分比较差异无统计学意义(Pa>0.05)。结论心理因素如抑郁和焦虑等与儿童VVS密切相关,可能在儿童VVS发生、发展、治疗及预后中起重要作用。
Objective To investigate the psychological factors of children with vasovagal syncope (VVS). Methods 84 cases (VVS group) of unexplained syncope or threatened syncope were selected from June 2007 to June 2007 in the Second Xiangya Hospital of Central South University. There were 47 males and 37 females, aged from 7 to 16 years [(11.01 ± 2.00) years]. VVS children were divided into two groups: positive tilt test (HUTT) positive group (n = 43) and negative HUTT group (n = 41). Subject children completed the children’s depression self-rating scale and children’s anxiety disorders screening table, using SPSS11.0 software for analysis. Results 1. Children’s depression self-rating scale score, VVS group children slept very good, eating incense and love talk with family members and other items was significantly lower than the national norm (Pa <0.05,0.01), VVS children Always want to cry, stomach pain, feel lonely, feel sad, feel the trouble score and depression score higher than the national norm (Pa <0.05,0.01). Children in HUTT positive group had higher scores than those in HUTT negative group (P <0.01), while those in HUTT negative group had no meaning higher scores than HUTT positive group (P <0.05). Scores of children with anxiety disorders, somatization / panic, generalized anxiety, disengagement anxiety, social terror, school horror, anxiety scale total score and concise anxiety scale score VVS group was significantly higher than the national regular Module (Pa <0.01). There was no significant difference in anxiety scores between HUTT negative group and HUTT positive group (P> 0.05). Conclusions Psychological factors such as depression and anxiety are closely related to VVS in children and may play an important role in the occurrence, development, treatment and prognosis of children with VVS.