山东省济宁市第一人民医院
纸质出版:2019
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[1]张贺,王彦梅.更年期人群直立倾斜试验结果的分析与研究[J].临床心电学杂志,2019,28(02):109-111+114.
Zhang he, Wang yanmei. Analysis of the upright tilt test results in menopause crowd[J]. 2019, 28(2): 109-111+114.
目的分析更年期人群直立倾斜试验的特点
了解其自主神经功能状况
明确患者不适原因。方法筛选到我科就诊临床初步诊断更年期综合征40~65岁患者500例
排除器质性心脏病及脑血管其他疾病后
行直立倾斜试验476例
统计分析倾斜试验的特点
明确患者不适原因。结果更年期人群直立倾斜试验阳性率为53.6%
女性患者阳性率明显大于男性
差异有统计学意义(62.7%vs. 37.3%
p<0.05)。在直立倾斜试验阳性患者中
主要为血管迷走性晕厥(80.4%)
其次为直立性低血压(14.5%)、直立性心动过速(2.7%)、直立性高血压(2.4%)。女性患者血管迷走性晕厥阳性率明显高于男性
差异有统计学意义(70.7%vs. 29.3%
p<0.05)。男性直立性低血压阳性率高于女性
差异有统计学意义(78.4%vs. 21.6%
p<0.05)。结论直立倾斜试验明确了更年期人群自主神经功能状况及分布类型
明确了不适原因
有助于临床诊疗。
Objective To analyze the characteristics of upright tilt test in the menopausal crowd
in order to knowing the function of The Autonomic Nervous System
and confirm the cause of patient discomfort. Methods Among 500 patiens that climacteric syndrome in Preliminary clinical diagnosis in our department from 40 to 65 years old. whom eliminate organic heart disease and Cerebrovascular diseaseand other diseases
select 476 cases doing upright tilt test. Analyze the characteristics of tilt test results
evaluate the autonomic nerve abnormality and confirm the cause of patient discomfort. Results The upright tilt test positive rate was 53.6%
the middle-aged and old female patients were greater significantly with men(62.7% vs. 37.3 %
p< 0.05). In upright tilt test positive patients
mainly for the vasovagal dizzy(80.4%)
followed by orthostatic hypotension(14.5%) and orthostatic tachycardia(2.7%)
orthostatic hypertension(2.4%). Female patients with vasovagal syncope were significantly higher than Male patients and were statistically significant(70.7% vs. 29.3%
p<0.05). Male orthostatic hypotension positive rate obvious difference with woman and statistically significant than women
(78.4% vs. 21.6 %
p<0.05). Conclusions Upright tilt testing has been clear about the menopause crowd autonomic nervous function state and distribution types
confirms the cause of patient discomfort discomfort
helps clinical diagnosis and treatment.
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男性更年期综合征 [J]. 郭应禄,李宏军. 中华男科学杂志 . 2004(08)
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