单纯非药物治疗足以预防神经介导性晕厥：一项3年随访研究。
Nonpharmacologic Treatments Alone are Enough to Prevent the Neurally Mediated Syncope: A 3 Years Follow-up Study.
作者信息
Dehghan Bahar, Sabri Mohammad Reza, Mansourian Marjan
机构信息
Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Int J Prev Med. 2019 May 17;10:69. doi: 10.4103/ijpvm.IJPVM_386_17. eCollection 2019.
BACKGROUND
Recurrences are common in neurally mediated syncope. The aim of this study is the evaluation of the effectiveness of nonpharmacologic treatments alone in preventing of syncope relapse.
METHODS
70 patients (age 5-20 years) with neurally mediated syncope were enrolled. Thirty patients received pharmacologic therapies along with nonpharmacological methods, and 40 patients received just nonpharmacological treatments then followed them for 36 months. The incidences of different outcomes were analyzed with descriptive statistics using percentages.
RESULTS
The recurrence rate of syncope was significantly higher in pharmacological group than in nonpharmacological group in each period of the follow-up ( < 0.001).
CONCLUSIONS
Nonpharmacologic treatment is very effective in the prevention of syncope relapses and can be a substitute for pharmacologic drugs in the initiation of treatment and if done correctly.
背景
神经介导性晕厥复发很常见。本研究的目的是评估单纯非药物治疗预防晕厥复发的有效性。
方法
纳入70例年龄在5至20岁的神经介导性晕厥患者。30例患者接受药物治疗及非药物方法，40例患者仅接受非药物治疗，然后对他们进行36个月的随访。采用百分比描述性统计分析不同结局的发生率。
结果
在随访的每个阶段，药物治疗组的晕厥复发率均显著高于非药物治疗组（<0.001）。
结论
非药物治疗在预防晕厥复发方面非常有效，在治疗开始时，如果方法正确，可替代药物治疗。
Zotero 插件