直立倾斜试验检查的疾病谱分析

Analysis of disease spectrum of head up tilt table test

目的探讨直立倾斜试验（HuTr）的疾病谱。方法2000-09-2011-07在中南大学湘雅二医院晕厥专科门诊就诊或住院的不明原因晕厥或接近晕厥、头晕、头痛、胸闷等患者2349例，男1099例，女1250例，年龄2-78（18．66±14．45）岁，〈18岁（儿童组）1691例（男865例，女826例），≥18岁（成人组）658例（男234例，女424例）。回顾性分析HurrI、疾病谱。结果①HulTr疾病谱：依次为晕厥59．69％（1402／2349）、头晕20．56％（483／2349）、胸闷8．00％（188／2349）、头痛5．24％（123／2349）、叹气2．45％（58／2349）、心慌2．17％（51／2349）、其他1．87％（44／2349）。②HuTT阳性率：晕厥、胸闷、心慌等症状患者HuTT阳性率均〉50％。结论晕厥是HulYr检查的明确适应证，但对不明原因头晕、胸闷、头痛、叹气、心慌等表现者进行Hu町检查，有助于进一步明确其病因。

To discuss about the spectrum of disease spectrum of head up tilt table test （HUTT）. Methods HUTY were performed in 2349 patients （male 1099 and female 1250） with syncope, dizziness, headache, chest tightness at the Second Xiangya Hospital of Central South University from September 2000 to July 2011. They were 2 to 78 years old [mean age（ 18, 66 ± 14.45） years old] , 1691 cases 〈 18 years old（ children group） including 865 men and 826 women and 658 cases≥18 years old（adult group） including 234 men and 424 women. HUTT disease spectrum was analyzed retrospectively. Results ① Disease spectrum ： syncope 59.69% （ 1402/2349 ）, dizziness 20. 56% （483/2349）, chest tightness 8.00% （188/2349）, headache 5. 24% （ 123/2349）, sigh 2. 45% （58/2349）,palpitation 2.17% （51/2349）,other 1.87% （44/2349）. ②The HUTT positive rate： The HUTT positive rate of syncope, chest tightness and palpitation were more than 50%. Conclusion Syncope is a clear indication of HUTT, but HUTTcan help to further clarify the etiology of unexplained dizziness, headache, sigh, palpitation and others.