CAJ | 학술논문

目的了解不同年龄段获得性免疫缺陷综合征(AIDS)患者的心电图变化规律.方法回顾性分析400例不同年龄段AIDS患者的心电图.结果 ①AIDS患者心电图异常率比较:46～50岁组高于11～15岁组(P=0.008)、21～25岁组(P=0.041)、31～35岁组(P=0.022)、41～45岁组(P=0.001)、51～55岁组(P=0.047),差异均有统计学意义(P均＜0.05).②缓慢心律失常发生率:46～50岁组高于31～35岁组(U=2.44)、36～40岁组(U=2.18)和41～45岁组(U=2.57),差异均有统计学意义(P均＜0.05).③左房室肥大发生率:11～15岁组小于46～50岁组(U=2.53)、56～60岁组(U=1.97)、60岁以上组(U=2.94),＞60岁组大于36～40岁组(U=2.22)、41～45岁组(U=2.48)和51～55岁组(U=2.04),差异均有统计学意义(P均＜0.05).结论不同年龄段AIDS患者均可出现心电图异常,但与年龄呈正相关.
목적 료해불동년령단획득성면역결함종합정(AIDS)환자적심전도변화규률.방법 회고성분석400례불동년령단AIDS환자적심전도.결과 ①AIDS환자심전도이상솔비교:46～50세조고우11～15세조(P=0.008)、21～25세조(P=0.041)、31～35세조(P=0.022)、41～45세조(P=0.001)、51～55세조(P=0.047),차이균유통계학의의(P균＜0.05).②완만심률실상발생솔:46～50세조고우31～35세조(U=2.44)、36～40세조(U=2.18)화41～45세조(U=2.57),차이균유통계학의의(P균＜0.05).③좌방실비대발생솔:11～15세조소우46～50세조(U=2.53)、56～60세조(U=1.97)、60세이상조(U=2.94),＞60세조대우36～40세조(U=2.22)、41～45세조(U=2.48)화51～55세조(U=2.04),차이균유통계학의의(P균＜0.05).결론 불동년령단AIDS환자균가출현심전도이상,단여년령정정상관.
Objective To study the Electrocardiogram (ECG) changes in AIDS patients at different age grades. Methods The ECG of 400 AIDS patients at different age were analyzed retrospectively. Results (①)The rate of abnormal ECG in the age group of 46 ～50 years was significantly higher than 11 ～ 15(P =0. 008) ,21 ～25( P = 0. 041 ),31 ～ 35 ( P = 0. 022 ),41 ～ 45 ( P = 0. 001 ) and 51 ～ 55 ( P = 0. 047 ) years groups respectively. (②)The rate of bradyarrhythmia in the age group of 46 ～ 50 years was significantly higher than 31 ～ 35 (U = 2. 44) ,36 -40( U = 2. 18 ) ,41 ～ 45 ( U = 2. 57 ) years groups ( P ＜ 0. 05 respectively. (③)The rate of left atrial and ventricular hypertrophy in 11 ～ 15 years group was significantly lower than the age groups older than 46 (except for 51 ～ 55years group) ;those aged ＞60 had higher atrial and ventricular hypertrophy rate than 36 ～40,41 ～45 and 51 ～55years groups ( P ＜ 0. 05 respectively). Conclusions AIDS patients at all ages may present abnormal ECG, which is positively correlated with age.