ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (3): 274-277.doi: 10.3969/j.issn.1674-3865.2021.03.025

• 调查研究 • 上一篇    

内蒙古地区儿童直立不耐受临床特征分析

常鑫, 陈丽清
  

  1. 014040 内蒙古 包头，内蒙古科技大学包头医学院2018级儿科学专业研究生（常鑫）；010050 内蒙古 呼和浩特，内蒙古自治区妇幼保健院（常鑫，陈丽清）
  • 收稿日期:2020-12-24 出版日期:2021-06-25 上线日期:2021-06-25
  • 通讯作者: 陈丽清，E-mail：130095002163@163.com
  • 作者简介:常鑫（1995-），女，内蒙古科技大学包头医学院2018级硕士研究生在读。研究方向：儿童心血管疾病的诊治

Analysis of clinical characteristics of children with orthostatic intolerance in Inner Mongolia

CHANG Xin, CHEN Liqing   

  1. Baotou Medical College，Baotou 014040，China
  • Received:2020-12-24 Published:2021-06-25 Online:2021-06-25
  • Contact: CHEN Liqing，E-mail：130095002163@163.com

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摘要： 目的: 探究儿童直立不耐受的临床特征，加强对直立不耐受的认识，提高直立不耐受的诊治水平。方法: 回顾性分析2018年1月2019年12月于内蒙古自治区妇幼保健院就诊的具有直立不耐受症状患儿102例，其中经直立倾斜试验阳性确诊的直立不耐受患儿62例作为观察组，直立倾斜试验阴性的40例患儿作为对照组，探究直立不耐受的临床特征。结果: 本研究62例直立不耐受患儿中，血管迷走性晕厥43例（69.4%），体位性心动过速综合征17例（27.4%），直立性高血压2例（3.2%）。62例直立不耐受患儿中55例（88.7%）存在诱发因素，其中以长时间站立20例（32.2%）、体位改变17例（27.4%）、剧烈运动14例（22.6%）等为主。62例直立不耐受患儿中52例（83.8%）在直立倾斜试验中有先兆表现，常见表现主要有头晕33例（53.2%）、胸闷24例（38.7%）、心悸23例（37.1%）、面色改变23例（37.1%）等。62例直立不耐受患儿均出现心律失常，主要表现为窦性心动过速55例（88.7%）及窦性心动过缓13例（21.0%）等。结论: 儿童直立不耐受诱发因素主要有持久站立、体位改变等，先兆表现主要有头晕、胸痛、心悸等。 

关键词: 直立不耐受, 临床特征, 儿童

Abstract: Objective: To explore the clinical characteristics of children with orthostatic intolerance(OI), strengthen the understanding of OI, and improve the level of diagnosis and treatment of OI.Methods: A retrospectiveanalysis of 102 cases of orthostatic intolerance was conducted, who were treated from January 2018 to December 2019 in the Maternal and Child Health Hospital of Inner Mongolia Autonomous Region to explore the clinical characteristics of orthostatic intolerance. Among them, 62 children with orthostatic intolerance confirmed by HUTT were included as the observation group, and 40 children with negative HUTT were included as the control group.Results: In 62 cases of OI, 43 cases (69.4%) were VVS, 17 cases(27.4%) were POTS and 2 cases(3.2%) were OHT. Among the 62 cases, 55 cases(88.7%) had induced factors, including 20 cases(32.2%) of longterm standing, 17 cases(27.4%) of posture change, 14 cases(22.6%) of strenuous exercise. Among the 62 cases,52 cases(83.8%) had precursory symptoms in head-up tilt test(HUTT). The common manifestations were dizziness in 33 cases(53.2%), chest tightness in 24 cases(38.7%), palpitation in 23 cases(37.1%), and color change in 23 cases(37.1%). Arrhythmias were found in all OI children, including 55 cases(88.7%) of sinus tachycardia and 13 cases(21.0%) of sinus bradycardia.Conclusion: The main inducing factors of OI are standing for a long time, body position change, etc., and the main precursory manifestations are dizziness, chest pain, palpitation, etc.

Key words: Orthostatic intolerance, Clinical characteristics, Children