中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
12期
20-21
,共2页
急性脑血管病%心电图%预后%意识障碍
急性腦血管病%心電圖%預後%意識障礙
급성뇌혈관병%심전도%예후%의식장애
Acute Cerebrovascular Disease%Electrocardiogram%Prognosis%Unconsciousness
目的：观察103例急性脑血管病患者的心电图改变情况，分析其与预后的关系。方法对我院2014‐01—10收治的103例急性脑血管病患者的临床资料进行回顾性分析，所有患者均经头颅C T和（或）磁共振成像（M RI ）检查确诊为急性脑血管病患者，对比心电图检查结果。结果103例患者中心电图异常62例，异常率60.2％；其中49例脑梗死患者心电图异常25例（51.0％），46例脑出血患者心电图异常30例（65.2％），8例蛛网膜下腔出血患者心电图异常7例（87.5％），蛛网膜下腔出血患者心电图异常率明显高于脑梗死和脑出血患者（P＜0.05）；心电图异常主要表现为ST‐T 改变、Q‐T间期延长、心律失常、心肌缺血、T波改变、异常Q波、明显U波等。心电图异常与病变部位有关，病变位于丘脑患者心电图异常率显著高于其他部位（P＜0.05）；心电图异常患者死亡8例（12.9％），心电图正常患者死亡2例（4.9％），差异有统计学意义（P＜0.05）。出现意识障碍36例，心电图异常率83.33％（30／36），无意识障碍患者的心电图异常率47.76％（32／67），差异有统计学意义（ P＜0.01）。结论急性脑血管病的心电图异常率较高，且异常类型较多，心电图变化可作为判断病情及估计预后的重要指标之一，临床救治脑血管病患者时，应加强心电图异常的认识，采取有效综合治疗措施，改善脑血管病预后。
目的：觀察103例急性腦血管病患者的心電圖改變情況，分析其與預後的關繫。方法對我院2014‐01—10收治的103例急性腦血管病患者的臨床資料進行迴顧性分析，所有患者均經頭顱C T和（或）磁共振成像（M RI ）檢查確診為急性腦血管病患者，對比心電圖檢查結果。結果103例患者中心電圖異常62例，異常率60.2％；其中49例腦梗死患者心電圖異常25例（51.0％），46例腦齣血患者心電圖異常30例（65.2％），8例蛛網膜下腔齣血患者心電圖異常7例（87.5％），蛛網膜下腔齣血患者心電圖異常率明顯高于腦梗死和腦齣血患者（P＜0.05）；心電圖異常主要錶現為ST‐T 改變、Q‐T間期延長、心律失常、心肌缺血、T波改變、異常Q波、明顯U波等。心電圖異常與病變部位有關，病變位于丘腦患者心電圖異常率顯著高于其他部位（P＜0.05）；心電圖異常患者死亡8例（12.9％），心電圖正常患者死亡2例（4.9％），差異有統計學意義（P＜0.05）。齣現意識障礙36例，心電圖異常率83.33％（30／36），無意識障礙患者的心電圖異常率47.76％（32／67），差異有統計學意義（ P＜0.01）。結論急性腦血管病的心電圖異常率較高，且異常類型較多，心電圖變化可作為判斷病情及估計預後的重要指標之一，臨床救治腦血管病患者時，應加彊心電圖異常的認識，採取有效綜閤治療措施，改善腦血管病預後。
목적：관찰103례급성뇌혈관병환자적심전도개변정황，분석기여예후적관계。방법대아원2014‐01—10수치적103례급성뇌혈관병환자적림상자료진행회고성분석，소유환자균경두로C T화（혹）자공진성상（M RI ）검사학진위급성뇌혈관병환자，대비심전도검사결과。결과103례환자중심전도이상62례，이상솔60.2％；기중49례뇌경사환자심전도이상25례（51.0％），46례뇌출혈환자심전도이상30례（65.2％），8례주망막하강출혈환자심전도이상7례（87.5％），주망막하강출혈환자심전도이상솔명현고우뇌경사화뇌출혈환자（P＜0.05）；심전도이상주요표현위ST‐T 개변、Q‐T간기연장、심률실상、심기결혈、T파개변、이상Q파、명현U파등。심전도이상여병변부위유관，병변위우구뇌환자심전도이상솔현저고우기타부위（P＜0.05）；심전도이상환자사망8례（12.9％），심전도정상환자사망2례（4.9％），차이유통계학의의（P＜0.05）。출현의식장애36례，심전도이상솔83.33％（30／36），무의식장애환자적심전도이상솔47.76％（32／67），차이유통계학의의（ P＜0.01）。결론급성뇌혈관병적심전도이상솔교고，차이상류형교다，심전도변화가작위판단병정급고계예후적중요지표지일，림상구치뇌혈관병환자시，응가강심전도이상적인식，채취유효종합치료조시，개선뇌혈관병예후。
Objective To observe changes of electrocardiograms (ECGs) in 103 patients with acute cerebrovascular disease and analyze the relationship with the prognosis.Methods Clinical data of 103 patients with acute cerebrovascular disease trea‐ted in our hospital were analyzed retrospectively ,all patients were definitely diagnosed by head CT and/or magnetic resonance imaging (MRI). We analyzed examination results of ECGs comparatively.Results 62 cases (60.2% ) had abnormal ECGs ,25 cases(51.0% ) with abnormal ECGs among 49 cerebral infarction patients;there were 46 patients with cerebral hemorrhage , and among who 30 cases(65.2% ) has abnormal ECGs ;and 8 patients suffered subarachnoid hemorrhage with 7 cases having abnormal ECGs ;the abnormal rate of ECGs in patients with subarachnoid hemorrhage patients was significantly higher than that with cerebral infarction and cerebral hemorrhage (P<0.05). Major demonstrations of abnormal ECGs included the chan‐ges in ST‐T ,extension of Q‐T duration ,arrhythmia ,myocardial ischemia ,changes in T wave ,abnormal Q wave ,obvious U wave ,etc. Abnormal ECGs were associated with lesion positions. The abnormal rate of ECGs in patients with lesions at thala‐mus was significantly higher than that at other places (P<0.05). 8 patients with normal ECGs died (12.9% ) ,and 2 patients with abnormal ECGs died (4.9% ) ,the difference was statistically significant (P< 0.05). 30 cases had abnormal ECGs (83.33% ) among 36 patients suffered from unconsciousness ,the rate of abnormal ECGs in patients with consciousness was 47.76% (32/67) ,with significant difference(P<0.01).Conclusion Patients with acute cerebrovascular disease have higher rate of abnormal ECGs and have various types of abnormality ,the changes in ECGs can be considered as one of important inde‐xes to judge condition and prognosis. We should strengthen the acknowledge of abnormal ECG and take comprehensive meas‐ures to improve the prognosis of cerebrovascular disease.
