浙江医学
浙江醫學
절강의학
ZHEJIANG MEDICAL JOURNAL
2012年
20期
1638-1639
,共2页
急性脑卒中%T波峰末间期%Q-TC间期%跨室壁复极离散度
急性腦卒中%T波峰末間期%Q-TC間期%跨室壁複極離散度
급성뇌졸중%T파봉말간기%Q-TC간기%과실벽복겁리산도
Acute stroke%Tpeak-Tend interval%Corrected QT interval%Transmural dispersion of repolarization
目的探讨急性脑卒中患者T波峰末间期(Tp-e)及Q-TC间期变化及其临床意义.方法选择急性脑卒中患者147例,按脑卒中类型分为脑梗死组(98例)、脑出血组(49例),同时选择65例无脑卒中患者作为对照组.比较各组的Tp-e、Tp-eC、Q-TC间期.结果 Tp-e、Tp-eC、Q-TC间期脑出血组为(115.51±19.03)、(133.31±26.91)、(418.82±44.60)ms,脑梗死组为(110.28±15.08)、(123.38±21.32)、(417.85±24.93)ms,显著大于对照组(103.94±15.06)、(112.71±16.90)、(398.23±47.98)ms,差异有统计学意义(P<0.05或0.01);脑出血组与脑梗死组比较Tp-e间期、Q-TC间期略延长,差异无统计学意义(P>0.05), Tp-eC间期明显延长,差异有统计学意义(P<0.01).右侧脑梗死者Tp-e、Tp-eC、Q-TC间期为(109.30±16.88)、(124.45±22.84)、(417.43±27.11)ms,较左侧脑梗死者[(107.04±13.32)、(117.11±19.23)、(412.99±29.47)]略延长,差异均无统计学意义(均P>0.05).结论脑卒中急性期Tp-e、Tp-eC、Q-TC间期明显延长,易发生恶性室性心律失常,脑卒中急性期应加强心电图监测.
目的探討急性腦卒中患者T波峰末間期(Tp-e)及Q-TC間期變化及其臨床意義.方法選擇急性腦卒中患者147例,按腦卒中類型分為腦梗死組(98例)、腦齣血組(49例),同時選擇65例無腦卒中患者作為對照組.比較各組的Tp-e、Tp-eC、Q-TC間期.結果 Tp-e、Tp-eC、Q-TC間期腦齣血組為(115.51±19.03)、(133.31±26.91)、(418.82±44.60)ms,腦梗死組為(110.28±15.08)、(123.38±21.32)、(417.85±24.93)ms,顯著大于對照組(103.94±15.06)、(112.71±16.90)、(398.23±47.98)ms,差異有統計學意義(P<0.05或0.01);腦齣血組與腦梗死組比較Tp-e間期、Q-TC間期略延長,差異無統計學意義(P>0.05), Tp-eC間期明顯延長,差異有統計學意義(P<0.01).右側腦梗死者Tp-e、Tp-eC、Q-TC間期為(109.30±16.88)、(124.45±22.84)、(417.43±27.11)ms,較左側腦梗死者[(107.04±13.32)、(117.11±19.23)、(412.99±29.47)]略延長,差異均無統計學意義(均P>0.05).結論腦卒中急性期Tp-e、Tp-eC、Q-TC間期明顯延長,易髮生噁性室性心律失常,腦卒中急性期應加彊心電圖鑑測.
목적탐토급성뇌졸중환자T파봉말간기(Tp-e)급Q-TC간기변화급기림상의의.방법선택급성뇌졸중환자147례,안뇌졸중류형분위뇌경사조(98례)、뇌출혈조(49례),동시선택65례무뇌졸중환자작위대조조.비교각조적Tp-e、Tp-eC、Q-TC간기.결과 Tp-e、Tp-eC、Q-TC간기뇌출혈조위(115.51±19.03)、(133.31±26.91)、(418.82±44.60)ms,뇌경사조위(110.28±15.08)、(123.38±21.32)、(417.85±24.93)ms,현저대우대조조(103.94±15.06)、(112.71±16.90)、(398.23±47.98)ms,차이유통계학의의(P<0.05혹0.01);뇌출혈조여뇌경사조비교Tp-e간기、Q-TC간기략연장,차이무통계학의의(P>0.05), Tp-eC간기명현연장,차이유통계학의의(P<0.01).우측뇌경사자Tp-e、Tp-eC、Q-TC간기위(109.30±16.88)、(124.45±22.84)、(417.43±27.11)ms,교좌측뇌경사자[(107.04±13.32)、(117.11±19.23)、(412.99±29.47)]략연장,차이균무통계학의의(균P>0.05).결론뇌졸중급성기Tp-e、Tp-eC、Q-TC간기명현연장,역발생악성실성심률실상,뇌졸중급성기응가강심전도감측.
Objective To investigate the changes of Tpeak-end interval (Tp-e) and corrected Q-T interval (Q-TC) in electrocardiogram (ECG ) of patients with acute stroke. Methods One hundred and forty seven patients with acute stroke, in-cluding 49 cases with cerebral hemorrhage and 98 cases with cerebral infarction, were enrol ed in the study;65 age-matched subjects free of acute stroke served as controls. Simultaneous 12-lead electrocardiograms (ECGs) were recorded within the first 24h from stroke onset. Tp-e,Tp-eC and Q-TC were assessed both manual y and automatical y by assessors blinded to the clinical data. Tp-e,Tp-eC and Q-TC were compared between different groups. Results Tp-e,Tp-eC and Q-TC were significantly greater in cerebral hemorrhage group (115.51±19.03ms,133.31±26.91ms, 418.82±44.60ms) and cerebral infarction group (110.28± 15.08ms, 123.38 ±21.32 ms, 417.85 ±24.93ms)than those in control group (103.94 ±15.06ms, 112.71 ±16.90ms, 398.23 ± 47.98ms) (P<0.05 or 0.01).Tp-eC was significantly greater in cerebral hemorrhage group than that in cerebral infarction group(P<0.01),Tp-e and Q-TC were longer in cerebral hemorrhage group than cerebral infarction group, but the difference was no signifi-cant (P>0.05). Tp-e,Tp-eC and Q-TC were longer in the right cerebral infarction group than the left cerebral infarction group. but the difference was no significant (P>0.05). Conclusion The incidence of malignant ventricular arrhythmia may increase with prolonged Tp-e,Tp-eCor Q-TC in patients with acute stroke. Electrocardiogram should be monitored in patients with acute stroke.
