儿童血管迷走性晕厥诊治进展
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摘要
血管迷走性晕厥主要是指患儿的迷走神经和副交感神经由于受到过度刺激,导致心跳突然减慢和周边血管扩张,促使患儿血压降低、脑部缺氧,进而出现意识短暂丧失的一种综合征。血管迷走性晕厥严重影响患儿的健康发育,对患儿的正常生活学习均会造成严重的干扰,因此对于儿童血管迷走性晕厥的临床诊断和治疗在医学界受到越来越多的重视。很多专家和学者针对儿童血管迷走性晕厥开展了大量的理论和临床研究工作,并且取得了明显的成果。基于此,本文主要是针对近些年关于儿童血管迷走性晕厥的诊断以及治疗研究进展进行综述,以期能够为临床诊治提供参照。
Vasovagal syncope mainly refers to a syndrome in which the vagus and parasympathetic nerves of children suffer from excessive stimulation,resulting in sudden slowdown of heart rate and peripheral vascular dilatation,resulting in decreased blood pressure,cerebral hypoxia and transient loss of consciousness. Vasovagal syncope seriously affects the healthy development of children,and will cause serious interference to the normal life and learning. Therefore,more and more attention has been paid to the clinical diagnosis and treatment of vasovagal syncope in children. Many experts and scholars have carried out a lot of theoretical and clinical research on vasovagal syncope in children,and have achieved remarkable results. Based on this,this article mainly reviews the research progress in the diagnosis and treatment of vasovagal syncope in children in recent years,in order to provide a reference for clinical diagnosis and treatment.
Vasovagal syncope mainly refers to a syndrome in which the vagus and parasympathetic nerves of children suffer from excessive stimulation,resulting in sudden slowdown of heart rate and peripheral vascular dilatation,resulting in decreased blood pressure,cerebral hypoxia and transient loss of consciousness. Vasovagal syncope seriously affects the healthy development of children,and will cause serious interference to the normal life and learning. Therefore,more and more attention has been paid to the clinical diagnosis and treatment of vasovagal syncope in children. Many experts and scholars have carried out a lot of theoretical and clinical research on vasovagal syncope in children,and have achieved remarkable results. Based on this,this article mainly reviews the research progress in the diagnosis and treatment of vasovagal syncope in children in recent years,in order to provide a reference for clinical diagnosis and treatment.
引文
[1]廖莹,张清友,李红霞,等.儿童血管迷走性晕厥和体位性心动过速综合征共患过敏性疾病的临床特征分析[J].北京大学学报(医学版),2017,49(5):783-788.
[2]梁敏,刘晓燕.儿童血管迷走神经性晕厥的发病机制及治疗[J].儿科药学杂志,2017(6):59-62.
[3]李红霞,廖莹,憨贞慧,等.患儿血管迷走性晕厥直立倾斜试验血浆C型钠尿肽变化及其意义[J].中国实用儿科杂志,2017(2):133-136.
[4]张文华,邹润梅,许毅,等.不同口服补液盐治疗神经介导性晕厥儿童疗效及血清电解质的比较[J].中南大学学报(医学版),2018,43(5):537-543.
[5]杨静,朱明军,李彬.中医药治疗血管迷走性晕厥研究进展[J].中华中医药杂志,2018(3):1011-1013.
[6]宋婧媛,李红霞,李雪迎,等.血常规参数与血管迷走性晕厥患儿晕厥复发的相关性研究[J].中华儿科杂志,2017,55(1):59-63.
[7]高原,耿捷,杨长斌,等.倾斜训练对血管迷走性晕厥患者的治疗作用[J].心脏杂志,2017(1):98-101.
[8]张维龙,徐金义.硝酸甘油直立倾斜试验诊断血管迷走性晕厥的价值[J].中华实用诊断与治疗杂志,2017,31(3):287-288.
[9]Lin J,Wang Y,Ochs T,et al.Tilt angles and positive response of head-up tilt test in children with orthostatic intolerance[J].Cardiol Young,2015,25(1):76-80.
[10]蒋黎,黄志.儿童晕厥的常见病因及临床研究进展[J].儿科药学杂志,2017(8):56-60.
[11]吴欣蓉,翁智远.血管迷走性晕厥的物理训练疗法[J].中华高血压杂志,2017(9):884-887.
[12]Tugba B,Zubeyir K,Nevzat U,et al.Cerebral blood flow of children with vasovagal syncope[J].Cardiol Young,2015,25(2):267-273.
[13]Zeng H,Ge K,Zhang W,et al.The effect of orthostatic training in the prevention of vasovagal syncope and its influencing factors[J].Int Heart J,2008,49(6):707-712.
[14]周一鸣,袁瑾辉,吕佳明,等.血管迷走性晕厥的治疗进展[J].现代生物医学进展,2017,17(12):2386-2389.
[15]肖军,王琳,朱超英,等.脑电超慢涨落图分析血管迷走性晕厥患者脑内神经递质功能的变化[J].中国康复理论与实践,2017,23(3):349-351.
[16]董童,牛少敏,刘亚红,等.美托洛尔和米多君治疗血管迷走性晕厥meta分析[J].中国实用儿科杂志,2018,33(5):353-359.
[2]梁敏,刘晓燕.儿童血管迷走神经性晕厥的发病机制及治疗[J].儿科药学杂志,2017(6):59-62.
[3]李红霞,廖莹,憨贞慧,等.患儿血管迷走性晕厥直立倾斜试验血浆C型钠尿肽变化及其意义[J].中国实用儿科杂志,2017(2):133-136.
[4]张文华,邹润梅,许毅,等.不同口服补液盐治疗神经介导性晕厥儿童疗效及血清电解质的比较[J].中南大学学报(医学版),2018,43(5):537-543.
[5]杨静,朱明军,李彬.中医药治疗血管迷走性晕厥研究进展[J].中华中医药杂志,2018(3):1011-1013.
[6]宋婧媛,李红霞,李雪迎,等.血常规参数与血管迷走性晕厥患儿晕厥复发的相关性研究[J].中华儿科杂志,2017,55(1):59-63.
[7]高原,耿捷,杨长斌,等.倾斜训练对血管迷走性晕厥患者的治疗作用[J].心脏杂志,2017(1):98-101.
[8]张维龙,徐金义.硝酸甘油直立倾斜试验诊断血管迷走性晕厥的价值[J].中华实用诊断与治疗杂志,2017,31(3):287-288.
[9]Lin J,Wang Y,Ochs T,et al.Tilt angles and positive response of head-up tilt test in children with orthostatic intolerance[J].Cardiol Young,2015,25(1):76-80.
[10]蒋黎,黄志.儿童晕厥的常见病因及临床研究进展[J].儿科药学杂志,2017(8):56-60.
[11]吴欣蓉,翁智远.血管迷走性晕厥的物理训练疗法[J].中华高血压杂志,2017(9):884-887.
[12]Tugba B,Zubeyir K,Nevzat U,et al.Cerebral blood flow of children with vasovagal syncope[J].Cardiol Young,2015,25(2):267-273.
[13]Zeng H,Ge K,Zhang W,et al.The effect of orthostatic training in the prevention of vasovagal syncope and its influencing factors[J].Int Heart J,2008,49(6):707-712.
[14]周一鸣,袁瑾辉,吕佳明,等.血管迷走性晕厥的治疗进展[J].现代生物医学进展,2017,17(12):2386-2389.
[15]肖军,王琳,朱超英,等.脑电超慢涨落图分析血管迷走性晕厥患者脑内神经递质功能的变化[J].中国康复理论与实践,2017,23(3):349-351.
[16]董童,牛少敏,刘亚红,等.美托洛尔和米多君治疗血管迷走性晕厥meta分析[J].中国实用儿科杂志,2018,33(5):353-359.