CAJ | 학술논문

目的：分析HIV/AIDS患者心电图的临床特征。方法：对131例HIV/AIDS患者及120例健康体检者的常规心电图(ECG)进行对比分析，并按CD4+T淋巴细胞计数的高低将131例HIV/AIDS患者分为Ⅰ、Ⅱ、Ⅲ级，对各级患者的心电图做出分析。结果：HIV/AIDS患者心电图正常者54例、异常者77例，异常心电图中以ST-T改变、快心律失常、QRS波低电压伴T波改变多见；健康体检者心电图正常者93例、异常者27例，异常心电图中以窦性心动过缓、ST-T改变多见。HIV/AIDS患者组与健康体检组比较，心电图异常率、快心律失常、ST-T改变、QRS波低电压伴随T波改变方面差异均有统计学意义(P<0.05)。其中，Ⅲ级患者较Ⅰ级患者心电图异常率与快心律失常方面差异有统计学意义(P<0.05)。结论：HIV/AIDS患者易出现心脏受损，且心电图改变与CD4+T淋巴细胞计数有关。
목적：분석HIV/AIDS환자심전도적림상특정。방법：대131례HIV/AIDS환자급120례건강체검자적상규심전도(ECG)진행대비분석，병안CD4+T림파세포계수적고저장131례HIV/AIDS환자분위Ⅰ、Ⅱ、Ⅲ급，대각급환자적심전도주출분석。결과：HIV/AIDS환자심전도정상자54례、이상자77례，이상심전도중이ST-T개변、쾌심률실상、QRS파저전압반T파개변다견；건강체검자심전도정상자93례、이상자27례，이상심전도중이두성심동과완、ST-T개변다견。HIV/AIDS환자조여건강체검조비교，심전도이상솔、쾌심률실상、ST-T개변、QRS파저전압반수T파개변방면차이균유통계학의의(P<0.05)。기중，Ⅲ급환자교Ⅰ급환자심전도이상솔여쾌심률실상방면차이유통계학의의(P<0.05)。결론：HIV/AIDS환자역출현심장수손，차심전도개변여CD4+T림파세포계수유관。
Objective:To explore the clinical features of electrocardiogram in HIV/AIDS patients.Method:The electrocardiograms of 131 HIV/AIDS patients and 120 healthy subjects were evaluated,the HIV/AIDS patients were grouped into classⅠ,ⅡandⅢ,according to the number of CD4+T lymphocytes. Result:54 cases of normal and 77 cases of abnormal subjects were identified in HIV/AIDS patients,with high frequencies of fast arrhythmia,ST-T change and QRS T wave changes.Meanwhile,93 cases of normal and 27 cases of abnormal subjects were identified in healthy groups,with high frequencies of Sinus bradycardia and ST-T changes.Statistical analysis indicated that HIV/AIDS patients exhibited a significant high rate of abnormal electrocardiograms with fast arrhythmia,ST-T changes and QRS T wave Changes(P<0.05).Class Ⅲ patients exhibited a significant general abnormal rate in electrocardiograms with fast arrhythmia than class Ⅰ patients(P<0.05).Conclusion:HIV/AIDS patients are vulnerable in their heart,which is associated with the number of CD4+T lymphocytes.