中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
15期
2072-2073
,共2页
冠状动脉疾病%血管成形术,经腔,经皮冠状动脉%心电描记术
冠狀動脈疾病%血管成形術,經腔,經皮冠狀動脈%心電描記術
관상동맥질병%혈관성형술,경강,경피관상동맥%심전묘기술
Coronary disease%Angioplasty,transluminal,percutaneous coronary%Electrocardiography
目的 探讨冠心病冠状动脉内支架术( PCI)后心电图动态变化。方法 分析比较38例冠心病PCI后1周、3周、2个月、3个月后不同时间段12导联心电图变化规律。结果 与术前心电图比较，T波低平、双向发生在术后第1周明显增多并持续至2～3周后(5.0％，9.6％比2.6％，P＜0.05)。ST段抬高在术后第1周增多(P＜0.05)，而后逐渐回落。ST段下移＞1.0 mm和T波倒置在PCI术后第3周，第2月显著增多(5.0％和5.7％比2.6％;18.0％和25.2％比16.2％，均P＜0.05)，继而ST段下移者减少到PCI术前水平；T 倒显著减少(P＜0.0l)。结论 冠心病患者PCI术后，常伴出现早期一过性异常Q波、T波改变(倒或低平、双向)ST段下移等变化。心肌梗死患者冠脉再通后一过性ST段抬高。而后，上述改变时间逐渐恢复至术前水平。
目的 探討冠心病冠狀動脈內支架術( PCI)後心電圖動態變化。方法 分析比較38例冠心病PCI後1週、3週、2箇月、3箇月後不同時間段12導聯心電圖變化規律。結果 與術前心電圖比較，T波低平、雙嚮髮生在術後第1週明顯增多併持續至2～3週後(5.0％，9.6％比2.6％，P＜0.05)。ST段抬高在術後第1週增多(P＜0.05)，而後逐漸迴落。ST段下移＞1.0 mm和T波倒置在PCI術後第3週，第2月顯著增多(5.0％和5.7％比2.6％;18.0％和25.2％比16.2％，均P＜0.05)，繼而ST段下移者減少到PCI術前水平；T 倒顯著減少(P＜0.0l)。結論 冠心病患者PCI術後，常伴齣現早期一過性異常Q波、T波改變(倒或低平、雙嚮)ST段下移等變化。心肌梗死患者冠脈再通後一過性ST段抬高。而後，上述改變時間逐漸恢複至術前水平。
목적 탐토관심병관상동맥내지가술( PCI)후심전도동태변화。방법 분석비교38례관심병PCI후1주、3주、2개월、3개월후불동시간단12도련심전도변화규률。결과 여술전심전도비교，T파저평、쌍향발생재술후제1주명현증다병지속지2～3주후(5.0％，9.6％비2.6％，P＜0.05)。ST단태고재술후제1주증다(P＜0.05)，이후축점회락。ST단하이＞1.0 mm화T파도치재PCI술후제3주，제2월현저증다(5.0％화5.7％비2.6％;18.0％화25.2％비16.2％，균P＜0.05)，계이ST단하이자감소도PCI술전수평；T 도현저감소(P＜0.0l)。결론 관심병환자PCI술후，상반출현조기일과성이상Q파、T파개변(도혹저평、쌍향)ST단하이등변화。심기경사환자관맥재통후일과성ST단태고。이후，상술개변시간축점회복지술전수평。
Objective To explore the dynamic changes of electrocardiography (ECG) in patients with coronary heart disease(CHD) after the percutaneous coronary intervention(PCI). Methods To compare and analyze the regularity of the changes of 12-lead ECG on 38 cases in times,including one week,three weeks,one month,two and three months after the PCI. Results Compared with the ECG before the operation, the occurrences of the low-lying or the bidirectional T-wave were significantly increased,and lasting to 2 ～ 3 weeks after tie operation(5.0％ and 9.6％va2.6％ ,P ＜ 0.05). The ST segment depression( ＞ 1.0mm) and inverted T-wave in the 3 weeks and 2 months after the operation were significantly increased(5.0％ ,5.7％ vs 2.6％ ,P ＜ 0.05 ; 18.0％ and 25.2％ vs 16.2％ ,P ＜0.01 ). After that,the cases of ST segment depression were reduced to the level before PCI,and there was a significant reduction in the cases of the inverted T-wave ( P ＜ 0.01 ). Conclusions In the ECG of the patients with CHD after PCI, there were always early one-off abnormal Q-wave, changes of T-wave (inverted or low-lying, bidirectional)and ST segment depressions,etc. After that ,the changes above would turn back to the level before the operation.
