頁籤選單縮合
題 名 | 不明原因暈厥病人經傾斜床試驗後之病程演變=Evolution of Patients with Syncope of Unknown Origin after Tilt Table Testing |
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作 者 | 周銘霆; 鄭成泉; 陳志成; 黃崔源; | 書刊名 | 內科學誌 |
卷 期 | 8:2 1997.06[民86.06] |
頁 次 | 頁84-87 |
分類號 | 415.31 |
關鍵詞 | 傾斜床試驗; 不明原因暈厥; Tilt table test; Syncope of unknown origin; |
語 文 | 中文(Chinese) |
中文摘要 | 傾斜床試驗已成為診斷血管神經性暈厥的重要工具。但是在接 受試驗後病人的變化結果並不很清楚。為明瞭不明原因暈厥病人在接受傾斜 床試驗後之臨床演變,我們前瞻性的利用電話詢問或於門診追蹤160位病 人或其親近的家屬。平均追蹤期長達11.8±5.8個月(範圍3至23個月)。 64位病人(佔40%)屬傾斜床試驗陽性。26位病人有復發 (佔16.3%)。傾 斜試驗陽性病人復發率 (13/64) (佔20.3%) 稍高於傾斜試驗陰性病人 (13/96)(佔13.5%),但未達統計學上意義(P=0.12)。估計一年後復發 的危險性為10%,20個月後的危險性則為17%。24位病人(佔15%)接受長 期 Beta blockers藥物治療,其中有16.6%復發。在追蹤期間並沒有病 人發生重大疾病或死亡。總之,對存活率而言,不明原因暈厥病人經傾斜床 試驗後的預後是極佳的。不論是有無接受藥物治療的病人在接受傾斜床試驗 後復發情形並不常見。 o情形並不常見。 |
英文摘要 | Tilt table test (TTT)has become a valuable tool for diagnosis of vasovagal syncope. But the outcome of patients after this test is not very clear. To evaluate clinical evolution of patients with syncope of unknown origin after receiving TTT. We followed 160 patients prospectively by telephone inquiry or clinic interview of patients or their close relatives. The mean follow-up period lasted 11.8 �� 5.8months (range 3 to 23). 64 of them (40%) were TTT positive. Recurrences were found in 26(16.3%) patients Recurrent rate in TTT positive patients (13/64) (20.3%) was higer than TTT negative patients (13/96)(13.5%) But not attain statistical significance (P=0.12). The risk of recurrence was 10% after 1 year and 17% after 20 months. 24 patients received long-term beta blockers therapy.4 of them (16.6%)experienced recurrence. No major morbidity or mortality was found during folow-up period. The prognosis of patients with syncope of unknown origin after TTT was excellent as far as survival was concemed. Recurrence of episodes with or without specific treatment were uncommon after diagnosis with TTT. (J Inter Med Taiwan 1997;8:84-87) |
本系統中英文摘要資訊取自各篇刊載內容。