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长沙2至18岁儿童及青少年晕厥发病率调查

Investigation on the Incidence of Syncope in Children and Adolescents Aged 2-18 Years in Changsha.

作者信息

Hu Erlin, Liu Xiaoyan, Chen Qianqian, Wang Cheng

机构信息

Department of Pediatric, Changsha Maternal and Child Health Hospital, Hunan Normal University, Changsha, China.

Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.

出版信息

Front Pediatr. 2021 Mar 22;9:638394. doi: 10.3389/fped.2021.638394. eCollection 2021.

Abstract

Syncope is a common clinical symptom, while there are less relevant literature and targeted research on childhood morbidity. This article makes a cross-section survey on the incidence of syncope in children and adolescents aged 2-18 years in Changsha. There were 4,352 children and adolescents aged 2-18 years randomly selected from six primary and secondary schools and three kindergartens in Changsha from March 2018 to November 2018. There were 4,916 standardized questionnaires issued, and 4,352 (88.53%) valid questionnaires were recovered. (1) Incidence: 17.37% of children and adolescents aged 2-18 years who had at least more than one syncope; the incidence in the adolescence (28.85%) was higher than that in the school age (8.32%) and in the preschool age (2.71%) ( < 0.01). (2) Age at onset: 13.9 ± 3.1 years old, with a peak age of 16 years. (3) Gender difference: The incidence in adolescent females was higher than that in males (31.72 vs. 26.25%, < 0.05). In inducements, females had higher rates than males in sweltering environment ( < 0.01), whereas males had higher rates than females in urination ( < 0.05). Dizziness, nausea, sweating, and facial pallor were higher in females than in males in presyncope ( < 0.05). The incidence of syncope in children and adolescents aged 2-18 years in Changsha is 17.37%. The incidence of syncope is different between males and females in different age groups; there are gender differences in syncope inducements and presyncope.

摘要

晕厥是一种常见的临床症状,而关于儿童发病率的相关文献和针对性研究较少。本文对长沙市2 - 18岁儿童及青少年晕厥的发病率进行了横断面调查。2018年3月至2018年11月,从长沙市6所中小学和3所幼儿园中随机选取了4352名2 - 18岁的儿童及青少年。共发放4916份标准化问卷,回收有效问卷4352份(88.53%)。(1)发病率:2 - 18岁儿童及青少年中至少有过一次以上晕厥的发生率为17.37%;青少年期(28.85%)的发病率高于学龄期(8.32%)和学龄前(2.71%)(P < 0.01)。(2)发病年龄:13.9 ± 3.1岁,发病高峰年龄为16岁。(3)性别差异:青少年女性的发病率高于男性(31.72%对26.25%,P < 0.05)。在诱因方面,女性在闷热环境中的发生率高于男性(P < 0.01),而男性在排尿时的发生率高于女性(P < 0.05)。晕厥前期女性出现头晕、恶心、出汗及面色苍白的比例高于男性(P < 0.05)。长沙市2 - 18岁儿童及青少年晕厥的发病率为17.37%。不同年龄组的晕厥发病率在男性和女性之间存在差异;晕厥诱因及晕厥前期存在性别差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23c9/8019745/48e1718ba497/fped-09-638394-g0001.jpg

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