支气管哮喘发作期J波变化及病情诱发-加重关系探析.docVIP

支气管哮喘发作期J波变化及病情诱发\加重关系探析[摘要] 目的：探讨支气管哮喘发作期J波变化与诱发、加重的关系及意义。方法：选择新疆昭苏县人民医院2008年1月～2010年1月住院治疗的支气管哮喘急性发作患者，其中选择对象为哈萨克族、维吾尔族2种少数民族患者，而且缓解期通气功能检测PEF＜60%、FEV1＜60%，经12导心电图动态监测记录分析。支气管哮喘急性发作期记录到J波30例，未记录到J波39例，2组对比分析J波与诱发、加重的关系。结果：支气管哮喘有J波组是无J波组诱发加重病情的3.3倍。J波的出现是支气管发作间期加重诱发病情的高危因素。J波改变诱发心律失常，心肌缺血重点防范波型。结论：支气管哮喘急性发作期J波变化与心率变异、自主神经功能异常、呼吸性酸中毒、代谢性酸中毒、电解质紊乱等相关。同时，J波变化是诱发心律失常、心肌缺血的指标。J波呈大、中、小动态变化，J波慢频率依赖性特点，J波发生的导联与心肌缺血的导联基本相同，J波诱发加重支气管哮喘预测价值，需进一步探讨。 [关键词] 支气管哮喘；急性发作期；缓解间期；缓解期；J波；心电图 [中图分类号] R562.2+5 [文献标识码]A[文章编号]1674-4721（2010）11（a）-017-02 Bronchial asthma induced J wave change and disease, exacerbation of relationship WANG Rongqi, SANG Li, LIU Weihua (The People′s Hospital of Zhaosu County, Xinjiang Uygur Autonomous Region, Zhaosu 835600,China) [Abstract] Objective: To investigate the J wave of bronchial asthma induced change and increase the relationship and significance. Methods: Zhaosu County of Xinjiang People′s Hospital from January 2008 to January 2010 hospitalized patients with acute exacerbation of bronchial asthma, in which select objects for the Kazakhs, Uighurs 2 minority patients, and ease of ventilation function tests PEF60%, FEV160%, dynamic monitoring of the 12 lead ECG recording and analysis. Acute exacerbation of asthma to the J wave recorded 30 cases, J wave was not recorded in 39 cases, group 2 compared with the induced J wave, increasing relationship. Results: Bronchial asthma was not J J wave group wave group induced 3.3 times worse. J wave was the emergence of increased bronchial attack induced by the disease among high-risk factors. J wave changes induced arrhythmias, myocardial ischemia, anti-FAN Bo-key type.Conclusion: The acute attack of bronchial asthma and heart rate variability J wave, autonomic nerve dysfunction, respiratory acidosis, metabolic acidosis, electrolyte imbalance and other relevant. Meanwhile, J wave changes induced arrhythmias, myocardial ischemia index. J wave is big, medium and small dynamic change, J wave slowl