CAJ | 학술논문

目的：分析青岛地区妊娠妇女心电图检查结果及其临床意义。方法在安静状态下，采用十二导联心电图工作站对青岛地区9716例妊娠妇女和3218例非孕健康女性进行心电图检查并储存记录，分妊娠早期组、妊娠中晚期组、非妊娠对照组，分析其心电图在妊娠期改变的情况。结果青岛地区妊娠妇女的心电图异常率达17．8％。短P-R间期是最常见异常心电图，早期妊娠组与中晚期妊娠组相比较发生率无显著性差异，χ2＝1．32，P＝3．85＞0．05；两组分别与非妊娠对照组相比，短P-R间期发生率升高，早期妊娠组与非孕对照组比较，χ2＝47．27，P＝0．008＜0．05，中晚期妊娠组与非孕对照组比较，χ2＝49．12，P＝0．007＜0．05。妊娠早期以短P-R间期和ST-T改变异常多见，2～3月后复查，ST-T改变多消失；妊娠中晚期以短P-R间期和窦性心动过速多见。严重的心律失常有心房纤颤和短阵室上性心动过速，分别有4例和5例。心脏彩超确诊9例先天性心脏病。结论心电图检查安全、方便，对早期发现心脏异常，有明确辅助诊断意义，可作为妊娠各个时期的常规检查。
목적：분석청도지구임신부녀심전도검사결과급기림상의의。방법재안정상태하，채용십이도련심전도공작참대청도지구9716례임신부녀화3218례비잉건강녀성진행심전도검사병저존기록，분임신조기조、임신중만기조、비임신대조조，분석기심전도재임신기개변적정황。결과청도지구임신부녀적심전도이상솔체17．8％。단P-R간기시최상견이상심전도，조기임신조여중만기임신조상비교발생솔무현저성차이，χ2＝1．32，P＝3．85＞0．05；량조분별여비임신대조조상비，단P-R간기발생솔승고，조기임신조여비잉대조조비교，χ2＝47．27，P＝0．008＜0．05，중만기임신조여비잉대조조비교，χ2＝49．12，P＝0．007＜0．05。임신조기이단P-R간기화ST-T개변이상다견，2～3월후복사，ST-T개변다소실；임신중만기이단P-R간기화두성심동과속다견。엄중적심률실상유심방섬전화단진실상성심동과속，분별유4례화5례。심장채초학진9례선천성심장병。결론심전도검사안전、방편，대조기발현심장이상，유명학보조진단의의，가작위임신각개시기적상규검사。
Objective To analyze the ECG results of pregnant women in Qingdao and their clinical significance .Methods In a quiet state in 12-lead ECG workstation ECG was performed for 9 716 pregnant women and 3 218 non-pregnant healthy women in Qingdao and the records were stored .They were divided into early pregnancy group , late pregnancy group and non-pregnant control group .ECG changes during pregnancy were analyzed .Results ECG abnormality rate of pregnant women in Qingdao was 17.8%.Short P-R interval was the most common abnormal ECG , and the difference in the incidence between early pregnancy group and late pregnancy group was not significant (χ2 =1.32, P=3.85>0.05).Compared with the control group , the incidence of short P-R interval in two pregnancy groups was significantly higher (χ2 value was 47.27 and 49.12, respectively, both P<0.05).At early pregnancy short P-R interval and ST-T changes were common , and most of ST-T changes disappeared when recheck after 2-3 months.At middle and late pregnancy short P-R interval and sinus tachycardia were common .There were 4 cases with arrhythmia complicating atrial fibrillation and 5 cases with arrhythmia complicating supraventricular tachycardia .Congenital heart disease was confirmed in 9 cases by echocardiography .Conclusion Being safe and convenient , ECG has definite diagnostic value for heart abnormalities at early stage .It can be taken as a routine examination for pregnancy at different periods .