血管迷走性暈厥伴有高血壓病患者臨床資料分析.pdf

1、張大風(fēng)血管迷走性暈厥伴有高血壓病患者臨床資料分析1目的：中文摘要(1)觀察伴或不伴有高血壓病的血管迷走性暈厥患者的臨床特點(diǎn)及實(shí)驗(yàn)室指標(biāo)，探索血管迷走性暈厥潛在的病理生理學(xué)機(jī)制。分析兩組患者直立傾斜試驗(yàn)中血壓變化、住院期問用藥方案及治療轉(zhuǎn)歸，探討合并高血壓病的血管迷走性暈厥患者合理的治療方案。(2)比較所有入選血管迷走性暈厥患者服用∥受體阻滯劑情況，分析∥受體阻滯劑在血管迷走性暈厥中的作用。方法：統(tǒng)計(jì)分析出院診斷為血管迷走性暈厥合并高血壓

2、病的30例住院患者與單純?cè)\斷血管迷走性暈厥30例住院患者的臨床特點(diǎn)，與納入的30例健康體檢者比較三組間的～般情況及實(shí)驗(yàn)室指標(biāo)，并通過記錄比較伴或不伴高血壓病的血管迷走性暈厥患者兩組間直立傾斜試驗(yàn)中的血壓變化及治療特點(diǎn)，評(píng)價(jià)合并高血壓病的血管迷走性暈厥患者的臨床特點(diǎn)及合適的治療方案。結(jié)果：(1)伴或不伴高血壓病的血管迷走性暈厥患者與健康對(duì)照組間一般資料、實(shí)驗(yàn)室指標(biāo)差異無統(tǒng)計(jì)學(xué)意義(PO05)。(2)伴高血壓病的血管迷走性暈厥患者平臥位血壓

3、顯著高于不伴高血壓的血管迷走性暈厥患者(PO05)。(3)在降壓藥物應(yīng)用方面，合并高血壓病的血管迷走性暈厥患者有80％堅(jiān)持服用降壓藥物控制血壓。(4)合并高血壓病的WS患者中共有11例(367％)服用∥受體阻滯劑藥物進(jìn)行治療，非高血壓病的WS患者中有4例(13％)服用D受體阻滯劑藥物進(jìn)行治療，兩組|、|jJ指標(biāo)差異有統(tǒng)計(jì)學(xué)意義(P005)。張大鳳血管迷走性暈厥伴有高血壓病患者臨床資料分析Objective：Abstract3一(1)Ob

4、serveclinicalfeaturesandlaboratoryparametersofvasovagalsyncopepatientswithorwithouthypertensionAnalysisthebloodpressurechangesintilttesting，theregimenduringhospitalizationandtreatmentoutcomeofpatientsinbothgroups，Investi

5、gatereasonabletreatmentofvasovagalsyncopepatientswithhypertension(2)Analysistheroleof13blockersinvasovagalsyncopebycomparingallselectedpatientsMethods：Analysistheclinicalfeaturesof30casesofhospitalizedpatientsdiagnosised

6、asvasovagalsyncopepatientswithhypertensionand30casesofhospitalizedpatientsdiagnosisedasvasovagalsyncopepatientswithouthypertensionComparedthegeneralconditionsandlaboratoryparameterswithhealthysubjectsAndcomparedthebloodp

7、ressureandtreatmentcharacteristicsbetweenvasovagalsyncopepatientswithorwithouthypertension，evaluatetheclinicalfeaturesandappropriatetreatmentofvasovagalsyncopepatientswithhypertensionResult：(1)Thedifferenceofthegeneralco

8、nditionsandlaboratoryparametersbetweenvasovagalsyncopepatientswithorwithouthypertensionwasnotstatisticallysignificant(PO05)(2)Thesupinebloodpressurevasovagalsyncopepatientswithhypertensionwassignificantlyhigherthanpatien

9、tswithouthypertension(P005)(3)Intermsoftreatment，80％ofvasovagalsyncopepatientswithhypertensionneedtotakemedicationstocontrolthestabilityofbloodpressure(4)Atotalof11cases(367％)taking13blockerdrugsfortreatmentinpatientsofv