性别对血管迷走神经性晕厥患者晕厥诱发因素频率及前驱症状的影响。

Przeglad lekarski Pub Date : 2017-01-01
Katarzyna Cubera, Piotr J Stryjewski, Agnieszka Kuczaj, Jadwiga Nessler, Ewa Nowalany-Kozielska, Jolanta Pytko-Polończyk
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引用次数: 0

摘要

简介:根据esc指南,晕厥是一种由短暂性、全面性脑灌注不足引起的一过性意识丧失,其特点是起病快、持续时间短、自动恢复。目的:本研究的目的是比较分析血管迷走神经性晕厥患者的诱发因素和前驱症状,并考虑性别因素。材料和方法:我们调查了80例既往诊断为迷走神经性晕厥的患者,年龄18-74岁。特别注意触发因素的频率和前驱症状。结果:研究组女性首次晕厥的平均年龄(23.2±10.7)明显低于男性(30.7±17.4)。女性的晕厥和晕厥前发作的平均总次数(13.3±11.0)明显高于男性。7.8±6.6;26.6±12.9 vs. 13.8±6.9)。在男性组中,晕厥发作在排尿和排便后更为频繁。与晕厥相关的其他情况在女性中更为普遍,但只有走路时晕厥发作的发生具有统计学意义。与男性相比,所有的前驱症状在女性群体中出现的频率更高。分析的体征如全身无力、呼吸困难、心悸、冷汗、冷或热感、视觉障碍、耳鸣、头痛等均有统计学意义。结论:晕厥诱发因素和前驱症状在女性中更为常见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of gender on the frequency of syncope provoking factors and prodromal signs in patients with vasovagal syncope.

Introduction: According to the ESC guidelines, syncope is a transient loss of consciousness caused by transient, general cerebral hypoperfusion, characterized by rapid onset, short duration and spontaneous recovery.

Objectives: The aim of the study was a comparative analysis of syncope provoking factors and prodromal signs in patients with vasovagal syncope with consideration given to gender.

Materials and methods: We investigated 80 patients, aged 18-74 years with previously diagnosed vasovagal cause of syncope. Special attention was paid to the frequency of triggering factors and prodromal signs.

Results: In the studied group the mean age at first syncope was significantly lower in women (23.2±10.7) as compared to men (30.7±17.4). The mean total number of syncopal and presyncopal episodes was significantly higher in women (13.3±11.0 vs. 7.8±6.6; 26.6±12.9 vs. 13.8±6.9). In the group of men syncopal episodes were more frequent after urination and defecation. The remaining circumstances related to syncope were more prevalent in women, but only the occurrence of a syncopal episode during walking achieved statistical significance. All the prodromal signs that were analysed occurred more frequently in the group of women compared to men. Statistical significance was achieved for the analysed signs such as generalized weakness, dyspnea, heart palpitations, cold sweats, feeling of cold or heat, visual disturbances, tinnitus, headache.

Conclusions: Syncope provoking factors and prodromal signs occur more frequently in women.

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