儿童神经介导性晕厥非药物治疗效果分析

Analysis of the Effect of Non Drug Treatment for Children with Neural Mediated Syncope

目的研究儿童神经介导性晕厥（NMS）应用非药物治疗的临床效果。方法我院选择2012年9月~2014年9月间诊治的356例儿童神经介导性晕厥患者,所有患儿经过直立倾斜试验最终诊断为神经介导性晕厥。所选的患儿均采用非药物治疗,具体包括直立训练、健康教育、增加水盐摄入等干预措施,对这些患者的干预效果进行评估。结果所选的患儿经过治疗,主观症状均出现明显的好转,好转率达到100%;复诊达到治愈或者好转的患者为258例,占72.47%;98.88%的患者具有良好的依从性。结论儿童神经介导性晕厥运用非药物治疗的干预措施,具有很好的依从性,主观冠绝临床症状好转,HUTT说明直立耐受时间有所增加,说明以非药物治疗为主的干预措施是对儿童NMS治疗的加好方法,这种方法经济、简便,具有良好的依从性,而且对患儿来说安全性高,能够有效提升NMS患儿的直立不耐受能力,值得在临床上推广应用。

Objective To study the clinical effect of non drug therapy for the treatment of children with neural mediated syncope（NMS）. Methods We chose 356 cases of pediatric patients with pediatric nerve mediated syncope in September 2012 ~ September 2014 and all the children were treated with nerve mediated syncope. The selected patients were treated with non drug treatment, including the intervention measures such as vertical training, health education, increasing water and salt intake. Results Selected patients after treatment, the subjective symptoms appeared a marked improvement, improvement rate reached 100%; referral patients reached cured or improved for 258 cases, accounting 72.47% and 98.88% of patients with good compliance. Conclusion Children nerve media guide syncope with non drug treatment interventions, with good compliance, subjective Guanjue the improvement of clinical symptoms, Hutt that orthostatic tolerance time increased, indicating that non- drug therapy based interventions is on the treatment of children with NMS and good methods, this method is economical, simple and with good compliance, but also for children with high safety, can effectively enhance the NMS in children with orthostatic intolerance ability. It is worthy to be popularized and applied in clinic.