口服氨酰心安和依那普利治疗血管迷走性晕厥的疗效观察A study on the effect of oral atenolol or enalaprol for vasovagal syncope
林文华,任自文,丁燕生,杨俊娟,周菁,童琳
摘要(Abstract):
目的 观察口服氨酰心安和依那普利治疗血管迷走性晕厥的疗效。方法 对 48例直立倾斜试验 (head uptilttesting ,HUT)阳性的晕厥患者随机分三组治疗 :A组口服氨酰心安 ;B组口服依那普利 ;C组不给药物治疗 ,30天后复查HUT ,中短期随访晕厥复发率。结果 服药后HUT转阴率 :A组为 75 % ,B组为 5 6 3% ,C组为 18 8%。经 χ2 检验 ,A组与C组比较P <0 0 1,差异有显著性 ,而A组与B组和B组与C组比较P >0 0 5 ,差异无显著性。随访 1~ 14(7 4± 3 9)个月 ,三组晕厥复发率差异无显著性 ,A组耐受性好。结论 口服氨酰心安治疗血管迷走性晕厥 ,重复HUT转阴率高于依那普利 ,推测该药是防治血管迷走性晕厥的有效方法。但中短期治疗随访观察未见对晕厥复发率产生影响。
关键词(KeyWords): 血管迷走性晕厥;倾斜试验;氨酰心安;依那普利
基金项目(Foundation):
作者(Author): 林文华,任自文,丁燕生,杨俊娟,周菁,童琳
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