CAJ | 학술논문

目的：探讨急性脑出血患者心电图变化特点并研究急性脑出血与心电图改变的关系。方法筛选2010年1月至2014年6月我院收治的急性脑出血患者120例，作为研究对象。患者收治入院后即采用常规十二导联心电图及24h动态心电图进行动态心电图监控，中间监护时间段为入院初期、治疗初期及治疗后的心电图变化，统计所有心电图检查结果并进行统计学分析，研究急性脑出血与心电图改变的关系。结果急性脑出血患者的主要心电图表现即为心律失常或ST-T段改变，与其他心电图表现存在显著差异，P<0.05，具有统计学意义；其中以脑叶、壳核、丘脑、蛛网膜下腔、小脑出血表现心电图变化特异性较高。结论急性脑出血患者出血部位及患者的实际病情是影响心电图变化的主要原因，主要集中在中、重度急性脑出血患者中。
목적：탐토급성뇌출혈환자심전도변화특점병연구급성뇌출혈여심전도개변적관계。방법사선2010년1월지2014년6월아원수치적급성뇌출혈환자120례，작위연구대상。환자수치입원후즉채용상규십이도련심전도급24h동태심전도진행동태심전도감공，중간감호시간단위입원초기、치료초기급치료후적심전도변화，통계소유심전도검사결과병진행통계학분석，연구급성뇌출혈여심전도개변적관계。결과급성뇌출혈환자적주요심전도표현즉위심률실상혹ST-T단개변，여기타심전도표현존재현저차이，P<0.05，구유통계학의의；기중이뇌협、각핵、구뇌、주망막하강、소뇌출혈표현심전도변화특이성교고。결론급성뇌출혈환자출혈부위급환자적실제병정시영향심전도변화적주요원인，주요집중재중、중도급성뇌출혈환자중。
?Objective?To?investigate?the?characteristics?of?ECG?changes?in?patients?with?acute?cerebral?hemorrhage?and?to?study?the?relationship?between?acute?cerebral?hemorrhage?and?electrocardiographic?changes.?Methods?Screened?120?patients?with?acute?cerebral?hemorrhage??in?our?hospital?for?admission?from?January?2010?to?June?2014?for?the?study.?Patients?were?used?a?conventional?12-lead?ECG?Holter?monitoring?after?admitted?to?hospital,?intermediate?care?period?for?ECG?changes?in?the?initial?hospitalization,?the?initial?treatment?and?post-treatment,?statistics?of?all?ECG?results?were?statistically?analyzed,?studied?the?relationship?between?acute?cerebral?hemorrhage?and?electrocardiographic?changes.?Results?The?main?ECG?in?patients?with?acute?cerebral?hemorrhage?was?arrhythmia?or?ST-T?segment?changes,?there?were?significant?differences?with?other?ECG,?P<0.05,?there?was?statistically?significant;?Among?lobe,?putamen, thalamus, arachnoid lower chamber, cerebellar hemorrhage of ECG changes were high speciifcity. Conclusion?The?bleeding?site?and?the?actual?disease?in?patients?with?acute?cerebral?hemorrhage?is?the?main?reason?impacting?of?the?patient's?electrocardiogram?changes,?mainly?in?moderate?to?severe?acute?cerebral?hemorrhage?patients.