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目的探讨儿童神经介导性晕厥(NMS)非药物治疗的效果。方法 2000年9月至2013年2月在中南大学湘雅二医院儿童医学中心儿童晕厥专科门诊就诊的不明原因晕厥、头痛、头晕患儿1986例,其中男1044例、女942例,年龄2.0~18.0(平均10.83±3.10)岁。经直立倾斜试验(HUTT)诊断为NMS。NMS儿童接受以非药物治疗(健康教育、增加水盐摄入、直立训练等)为主的干预措施后,对随访265例中资料完整且HUTT阳性的178例患儿干预效果进行评估。结果 (1)复诊率13.34%;(2)复诊情况:6个月内复诊153例(85.96%),其中复诊2次者134例(75.29%);(3)效果评价:主观症状均获得明显改善(100%),复诊HUTT治愈或好转率72.47%(129/178);(4)依从性:98.88%(176/178)具有良好的依从性。结论儿童NMS非药物治疗措施安全有效。
Objective To investigate the effect of non-drug treatment for children with neurological mediated syncope (NMS). Methods From September 2000 to February 2013, 1986 patients with syncope, headache and dizziness were enrolled in this study. There were 1044 males and 942 females, aged 2.0 ~ 18.0 (average 10.83 ± 3.10) years old. The upright tilt test (HUTT) diagnosed as NMS. After receiving interventions based on non-drug therapy (health education, increasing intake of salt and water, upright training, etc.), NMS children were evaluated on the intervention effect of 178 children with a complete HUTT positive result in 265 follow-up visits. Results (1) The rate of referral was 13.34%. (2) The number of referral was 153 cases (85.96%) within 6 months, of which 134 cases (75.29%) were referred for 2 times. (3) Evaluation of effect: (100%), the cure or improvement rate of referral HUTT was 72.47% (129/178); (4) Compliance: 98.88% (176/178) had good compliance. Conclusion NMS non-drug treatment of children safe and effective.