Research The Efficacy Of Health Education Combined Oral Rehydration Salt On The Treatment Of Orthostatic Hypotension In Children

Objective Research the efficacy of health education combined oral rehydration salt on the treatment of orthostatic hypotension (OH) and head-up tilt test (HUTT) check.Methods Fifty-one OH children age from7to16years old (mean10.62±2.71years) who came from specialist syncope out-patient department or in-patient department of the Second Xiangya Hospital, Central South University in October2009～January2009diagnosed by HUTT. After health education and oral rehydration salts(ORS), they performed the HUTT thirty days later. These datas were statistical analyzed by SPSS16.0software and t test.Results After30days, the reviewed cases included only11OH children. The remaining cases contacted by telephone cannot adhere to treatment programs or unable to review in time. So these statistics were removed. The datas of reviewed HUTT of the11cases:①SBPO (supine systolic blood pressure):There was no significant difference between before treatment and after treatment (106.27±10.82mmHg vs103.27±8.91mmHg, t=0.710, P>0.05).②The SBP3min (systolic blood pressure of standing3min):after treatment significantly increased than that before treatment (104.91±9.92mmHg vs90.55±18.06mmHg, t=-2.311, P<0.05).③DBP0(supine diastolic blood pressure):There was no significant difference between before treatment and after treatment (70.45±.89mmHg vs67.27±11.79mmHg,t=0.715, P>0.05).④DBP3min (diastolic blood pressure of standing3min):after treatment significantly increased than that before treatment (70.00±6.15mmHg vs55.18±12.77mmHg, t=-3.469, P<0.05)⑤△ASBP=SBP0-SBP3min(the decreased value of systolic blood pressure in HUTT3min):after treatment, the decrease value of SBP was reduced significantly compared with that of pre-treatment (-1.64±6.23mmHg vs15.73±15.10mmHg, t=3.525, P<0.05)。⑥△DBP=DBP0-DBP3min (the decreased value of diastolic blood pressure in HUTT3min):the decrease value of DBP was reduced significantly compared with that of pre-treatment (-2.73±11.10mmHgvs15.27±11.24mmHg, t=3.778, P<0.05)。⑦HRO (supine heart rate):There was no significant difference between before treatment and after treatment (84.73±14.46b/min vs85.73±9.65b/min, t=-0.191, P>0.05); HR3min (heart rate of standing3min):There was no significant difference between before treatment and after treatment (94.27±15.96b/min vs105.18±6.69b/min, t=-2.090, P>0.05)。⑧The DBP、SBP、DBP3min、SBP3min、△SBP、△DBP、 HRO、HR3min of different gender before treatment:There was no significant difference between male and female(P>0.05).⑨The DBP、 SBP、DBP3min、SBP3min、△SBP、△DBP、HRO、HR3min of different gender after treatment:There was no significant difference between male and female on the DBP、SBP、DBP3min、SBP3min、△DBP、HR0、 HR3min (P>0.05); the decrease value of SBP of male was reduced significantly compared with that of female (-6.00±2.24mmHg vs2.00±6.23mmHg, t=-2.709, P<0.05)Conclusion Health education combined ORS has a significant effect on OH, which can improve the upright intolerance.