慢性阻塞性肺疾病患者12导联同步动态心电图的改变.docVIP

精品论文 参考文献 慢性阻塞性肺疾病患者12导联同步动态心电图的改变 马莉 史旭 潘森霞 刘康 杨丹 [摘 要]目的：观察慢性阻塞性肺疾病患者12导联同步动态心电图的改变。 方法：选取2012年8月到2014年6月我院收治的57例COPD患者作为实验组，同期到我院进行健康体检且体检合格的57名患者作为对照组，比较两组入选者的心电图异常，同时对实验组进行组内对比，观察慢性阻塞性肺疾病患者12导联同步动态心电图的改变。结果：实验组患者均出现心律失常（100.0%），前间壁心肌梗塞占40.4%，房性期前收缩占63.2%，室性期前收缩占36.8%，ST-T改变占52.6%；对照组有78.9%的入选者出现心律失常，前间壁心肌梗塞占8.8%，房性期前收缩占56.1%，室性期前收缩占33.3%，ST-T改变占42.1%。其中，两组入选者的心律失常及前间壁心肌梗塞异常率差异显著，具有统计学意义（P＜0.05）。心律失常中男性占50.9%，女性占49.1%，无统计学意义（P＞0.05）；前间壁心肌梗塞中男性占78.3%，女性占21.7%，差异显著，具有统计学意义（P＜0.05）。 结论：COPD患者的12导联同步动态心电图能够准确显示患者心律失常及前间壁心肌梗塞，具有重要的临床价值。 [关键词]慢性阻塞性肺疾病 12导联同步动态心电图 心电图异常 心律失常 DOI:10.3760/cma.j.issn.0376-2491.2014.44.005 作者单位： 213300 江苏溧阳，江苏省溧阳市人民医院功能科主任 Changes of Synchronous Dynamic 12-lead ECG in Patients with Chronic Obstructive Pulmonary Disease Ma Li, Shi Xu, Pan Senxia, Liu Kang, Yang Dan Abstract: Objective To observe the changes of synchronous dynamic 12-lead ECG in patients with chronic obstructive pulmonary disease. Methods 57 COPD patients admitted by the authorsrsquo; hospital from August 2012 to June 2014 were chosen as the experimental group; meanwhile 57 cases coming for physical examination and getting medical clearance were chosen as the control group. The ECG abnormalities between the two groups were compared, and changes of synchronous dynamic 12-lead ECG of the patient with chronic obstructive pulmonary disease within the experimental group were also observed at the same period. Results All patient in the observation group had arrhythmia (100.0%), anteroseptal myocardial infarction accounting for 40.4%, atria contraction accounting for 63.2%, ventricular contraction accounting for 36.8%, ST-T changes accounting for 52.6%; in the control group there are 78.9% of inductees arrhythmia, anteroseptal myocardial infarction accounting for 8.8%, atria contraction accounting for 56.1%, ventricular contraction accounting for 33.3%, ST-T changes accounting for 42.1%. Among them, the differe