CAJ | 학술논문

目的观察分析急性脑梗死患者心电图异常的相关危险因素.方法收集符合条件的急性脑梗死患者(189例)的临床资料[神经功能缺损评分(NIHSS评分)、心电图检查、血脂、血糖、糖化血红蛋白、BMI、同型半胱氨酸、超敏C反应蛋白、空腹血糖、白细胞总数、既往相关病史],采用Logistics回归分析,查找与急性脑梗死患者心电图异常相关的因素.结果 189例急性脑梗死患者心电图正常83例,异常106例,异常率56.09％；心电图异常以ST-T改变最为多见.经过单因素Logistics回归分析,NIHSS评分(t=5.636,P＜0.01)、收缩压(t=2.617,P＜0.05)、总胆固醇(t=2.066,P＜0.05)、血白细胞总数(t =3.034,P＜0.01)等与急性脑梗死患者心电图异常有关；但多因素Logistics回归分析发现仅NIHSS评分、收缩压、血白细胞总数与心电图异常有关(r =1.18,P＜0.01；r=1.02,P＜0.01;r =1.19,P＜0.05).结论脑梗死急性期神经功能缺损评分、收缩压及白细胞总数是心电图异常的危险因素,临床上对神经功能缺损评分较高,白细胞总数增加,收缩压较高的患者应加强心电图的监测,以防心脏并发症导致的病情加重.
목적 관찰분석급성뇌경사환자심전도이상적상관위험인소.방법 수집부합조건적급성뇌경사환자(189례)적림상자료[신경공능결손평분(NIHSS평분)、심전도검사、혈지、혈당、당화혈홍단백、BMI、동형반광안산、초민C반응단백、공복혈당、백세포총수、기왕상관병사],채용Logistics회귀분석,사조여급성뇌경사환자심전도이상상관적인소.결과 189례급성뇌경사환자심전도정상83례,이상106례,이상솔56.09％；심전도이상이ST-T개변최위다견.경과단인소Logistics회귀분석,NIHSS평분(t=5.636,P＜0.01)、수축압(t=2.617,P＜0.05)、총담고순(t=2.066,P＜0.05)、혈백세포총수(t =3.034,P＜0.01)등여급성뇌경사환자심전도이상유관；단다인소Logistics회귀분석발현부NIHSS평분、수축압、혈백세포총수여심전도이상유관(r =1.18,P＜0.01；r=1.02,P＜0.01;r =1.19,P＜0.05).결론 뇌경사급성기신경공능결손평분、수축압급백세포총수시심전도이상적위험인소,림상상대신경공능결손평분교고,백세포총수증가,수축압교고적환자응가강심전도적감측,이방심장병발증도치적병정가중.
Objective To evaluate the risk factors of electrocardiographic abnormality in patients with acute cerebral infarction.Methods The clinical data of patients with acute cerebral infarction were collected,including the National Institutes of Health Stroke Scale (NIHSS),electrocardiogram (ECG),lipid,glucose,glycosylated hemoglobin,body mass index,homocysteine,high-sensitivity C-reactive protein,white blood cells,and medical history.Logistics regression was used to search the risk factors of ECG abnormality in patient with acute cerebral infarction.Results ECGs of 189 cases of patients with acute cerebral infarction were divided into normal (n =83) and abnormal (n =106).The rate of abnormal ECG was 56.09％,and abnormal ECG ST-T change was the most common.NIHSS,systolic blood pressure,total cholesterol,and white blood cells were correlated with the ECG abnormality with the one-way Logistic regression analysis.In addition,NIHSS,systolic blood pressure,and white blood cells were correlated with the ECG abnormality with the multiple Logistic regression analysis (r =1.18,P ＜0.01 ; r =1.02,P ＜0.01 ; r =1.19,P ＜ 0.05).Conclusions NIHSS,systolic blood pressure,and white blood cells were independent risk factors in patients with acute cerebral infarction.ECG monitoring should be performed especially in patients with high NIHSS,systolic blood pressure,and white blood cells count.