中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
8期
850-852
,共3页
孙文琴%付信娟%张玲%刘泳%孙方利
孫文琴%付信娟%張玲%劉泳%孫方利
손문금%부신연%장령%류영%손방리
电子结肠镜%冠心病%心电图
電子結腸鏡%冠心病%心電圖
전자결장경%관심병%심전도
Electronic colonoscopy%Coronary heart disease%Electrocardiogram
目的 通过动态心电图观察在电子结肠镜检查过程中冠心病患者心电图的变化,评估冠心病患者行结肠镜检查的安全性.方法 选择2012年6月至2013年6月行结肠镜检查的患者60例,确诊冠心病患者30例为试验组,另30例为对照组.通过动态心电图比较两组患者电子结肠镜检查前、检查中心电图的变化情况.结果 两组患者在结肠镜检查前心率差异无统计学意义(t=0.537,P＞0.05).检查过程中均有不同程度的心率增快,但试验组增快程度[(73.20±7.91)次/min增加到(88.67 ±7.79)次/min],相对于对照组[(73.40±6.44)次/min增加到(74.88±7.82)次/min]更加明显,两组比较差异有统计学意义(t=4.462,P＜0.05).结肠镜检查中试验组、对照组心律失常发生率分别为46.67％(14/30)、20.00％(6/30),差异有统计学意义(x2=4.8,P＜0.05);结肠镜检查过程中试验组、对照组ST-T改变发生率分别为26.7％(8/30)、10.0％ (3/30)(x2=45.72,P＜0.05);两组患者在结肠镜检查过程中均有出现主观不适,两组发生率分别为40％、30％,(x2=0.659,P＞0.05).结论 冠心病患者较无冠心病患者在结肠镜检查过程中更易出现心率加快、心律失常、ST-T改变,但未见严重心电学改变冠心病患者行结肠镜检查相对安全.
目的 通過動態心電圖觀察在電子結腸鏡檢查過程中冠心病患者心電圖的變化,評估冠心病患者行結腸鏡檢查的安全性.方法 選擇2012年6月至2013年6月行結腸鏡檢查的患者60例,確診冠心病患者30例為試驗組,另30例為對照組.通過動態心電圖比較兩組患者電子結腸鏡檢查前、檢查中心電圖的變化情況.結果 兩組患者在結腸鏡檢查前心率差異無統計學意義(t=0.537,P＞0.05).檢查過程中均有不同程度的心率增快,但試驗組增快程度[(73.20±7.91)次/min增加到(88.67 ±7.79)次/min],相對于對照組[(73.40±6.44)次/min增加到(74.88±7.82)次/min]更加明顯,兩組比較差異有統計學意義(t=4.462,P＜0.05).結腸鏡檢查中試驗組、對照組心律失常髮生率分彆為46.67％(14/30)、20.00％(6/30),差異有統計學意義(x2=4.8,P＜0.05);結腸鏡檢查過程中試驗組、對照組ST-T改變髮生率分彆為26.7％(8/30)、10.0％ (3/30)(x2=45.72,P＜0.05);兩組患者在結腸鏡檢查過程中均有齣現主觀不適,兩組髮生率分彆為40％、30％,(x2=0.659,P＞0.05).結論 冠心病患者較無冠心病患者在結腸鏡檢查過程中更易齣現心率加快、心律失常、ST-T改變,但未見嚴重心電學改變冠心病患者行結腸鏡檢查相對安全.
목적 통과동태심전도관찰재전자결장경검사과정중관심병환자심전도적변화,평고관심병환자행결장경검사적안전성.방법 선택2012년6월지2013년6월행결장경검사적환자60례,학진관심병환자30례위시험조,령30례위대조조.통과동태심전도비교량조환자전자결장경검사전、검사중심전도적변화정황.결과 량조환자재결장경검사전심솔차이무통계학의의(t=0.537,P＞0.05).검사과정중균유불동정도적심솔증쾌,단시험조증쾌정도[(73.20±7.91)차/min증가도(88.67 ±7.79)차/min],상대우대조조[(73.40±6.44)차/min증가도(74.88±7.82)차/min]경가명현,량조비교차이유통계학의의(t=4.462,P＜0.05).결장경검사중시험조、대조조심률실상발생솔분별위46.67％(14/30)、20.00％(6/30),차이유통계학의의(x2=4.8,P＜0.05);결장경검사과정중시험조、대조조ST-T개변발생솔분별위26.7％(8/30)、10.0％ (3/30)(x2=45.72,P＜0.05);량조환자재결장경검사과정중균유출현주관불괄,량조발생솔분별위40％、30％,(x2=0.659,P＞0.05).결론 관심병환자교무관심병환자재결장경검사과정중경역출현심솔가쾌、심률실상、ST-T개변,단미견엄중심전학개변관심병환자행결장경검사상대안전.
Objective To investigate the electrocardiogram analysis of electronic colonoscopy on patients with coronary artery heart disease,and to evaluate the safety of colonoscopy on patients with coronary artery heart disease.Methods Sixty patients who underwent colonoscopy from Jun.2012 to Jun.2013 were divided into experimental group (patients with coronary artery heart disease,Heart function class Ⅰ-Ⅲ) and control group (patients without coronary artery heart disease).The changes of electrocardiography during colonoscopy and before performance were compared between two groups through dynamic electrocardiogram.Results Heart rate of the two groups were no statistically significant difference before colonoscopy process (t =0.537,P ＞ 0.05).During the inspection process,there was heart rate increase at different degree in two groups.The heart rate in patients of experiments group was increased from (73.20 ± 7.91) times/min to (88.67 ± 7.79) times/min,which waas more than that in control group (from (73.40 ±6.44) times/min to (74.88 ±7.82) times/min),and the difference between the two groups was significant(t =4.462,P ＜ 0.05).During colonoscopy inspection,the arrhythmia rate arrhythmia in experiment and control group were 46.67％ (14/30),20.00％ (6/30),and the difference was statistically significant (x2 =4.8,P ＜0.05).Meanwhile,ST-T change rates in experimental group and control group were 26.7％ (8/30) and 10.0％ (3/30) (x2 =45.72,P ＜ 0.05).The rate of subjective discomfort the two groups were 40％,30％ (x2 =0.659,P ＞ 0.05).Conclusion During the inspection process of colonoscopy,patients with coronary heart disease are more susceptible to increase heart rate,cardiac arrhythmia,ST-T change than those without coronary heart disease.However,no serious electrocardiographic changes.It is relatively safe to get colonoscopy in patients with coronary heart disease.
