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福建医药杂志 1992年第4期14卷 61-61页

作者：陈剑平谢逸雅漳州市芗城医院福建省七建公司卫生所

晕厥临床很常见,大多可以查明病因,但有的虽经各种检查而病因仍不明,称不明原因晕厥,是临床心电生理检查的适应症之一。本文探讨经食管心房调搏对不明原因晕厥的诊断价值及局限性。一、病例选择 1986年3月～1991年2月行食道调搏检查的病... 详细信息

晕厥临床很常见,大多可以查明病因,但有的虽经各种检查而病因仍不明,称不明原因晕厥,是临床心电生理检查的适应症之一。本文探讨经食管心房调搏对不明原因晕厥的诊断价值及局限性。一、病例选择 1986年3月～1991年2月行食道调搏检查的病人,男20例,女16例;年龄12～58岁,平均41岁。均曾有两次以上晕厥史,病程最长15年。临床诊断心动过缓4例,心动过速2例,排尿晕厥1例,余29例原因不明。电生理检查前均经心电图、卧立位血压测定等检查。部分患者进行血糖、脑电图及CT等检查,排除血管性晕厥、体位性低血压、低血糖及神经系统疾病。电生理检查前,停用抗心律失常药48小时以上。二、检查内容采用FD-1型心脏刺激仪。

关键词：不明原因晕厥电生理检查食管心房调搏食道调搏检查晕厥史血压测定抗心律失常药心动过速排尿晕厥心动过缓

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维普期刊数据库

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问卷调查是验证降压治疗依从性的可靠方法吗?一项欧洲中部的国际研究

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世界核心医学期刊文摘（心脏病学分册） 2005年第11期1卷 62-62页

作者： Fodor G. J. Kotrec M. Bacskai K. 代喆 Prevention and Rehabilitation Centre University of Ottawa Heart Institute 40 Ruskin Street Ottawa Ont. K1Y 4W7 Canada Dr.

Background: Non-compliance with prescribed antihypertensive medication is an important contributor to the failure of antihypertensive therapy. Objective: To assess the validity of a short questionnaire in the identification of non-compliant patients. Methods: In three central-European countries, work-site screening for hypertension was conducted. Blood pressure was measured using an automatic electronic blood pressure measuring device(BpTRU). Respondents were interviewed by trained personnel and a short questionnaire focused on blood pressure awareness and treatment compliance was completed. Results: A total of 2812 persons were screened: 841(29.9%) respondents were hypertensive, and out of these the total number of treated hypertensive subjects was 359(42.6%). Mean systolic blood pressure and diastolic blood pressure were significantly lower in the compliant group than the non-compliant group(systolic blood pressure, 139.4 and 146.2 mmHg, respectively, P=0.002; and diastolic blood pressure, 89.2 and 92.3 mmHg, respectively, P< 0.01). The non-compliant group was younger than the compliant group(mean age, 46.7 versus 48.9 years, respectively, P=0.01). Females, patients on combined therapy and non-smokers were more compliant than males, those on mono-therapy and smokers(P=0.01, P=0.004 and P=0.005, respectively). Conclusion: Patients reporting strict compliance with prescribed drug therapy have significantly lower systolic blood pressure and diastolic blood pressure than those who admit even an occasional lapse in taking medication. A properly formulated questionnaire can identify non-compliant patients.

关键词：依从性平均收缩压平均舒张压血压测定欧洲中部问卷调查处方药物受测者

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