探讨窦性心律震荡现象对急性心肌梗死预后的影响.docVIP

精品论文 参考文献 探讨窦性心律震荡现象对急性心肌梗死预后的影响 许通文 广东省中山市东凤人民医院， 　　【摘 要】目的 对窦性心律震荡现象对急性心肌梗死预后的影响进行分析探讨。方法 选取100例急性心肌梗死的患者定义为观察组，另外选取100例存在窦性心律震荡的非急性心肌梗死患者作为对照组。通过比较两组间的心率震荡（HRT）的震荡初始（TO）和震荡斜率（TS）等情况，进而对窦性心律震荡现象对急性心肌梗死预后的影响进行分析探讨。结果 在观察组与对照组患者TO、TS结果比较，观察组的TO值显著升高。TS显著降低，两组患者的TO、TS值有显著性差异，有统计学意义（plt;0.05）。观察组患者中存活组与死亡组的TO和TS结果比较上，死亡组TO显著升高，TS显著降低，两组有显著性差异，有统计学意义（plt;0.05）。结论 HRT的减弱或消失是急性心肌梗死死亡的预测指标，有一定的临床应用价值。 【关键词】急性心肌梗死；窦性心律震荡；预后；影响 【Abstract】Objective To analyze the effect of heart rate turbulence in patients with acute myocardial infarction. The definition methods in patients with acute myocardial infarction in 100 cases for the observation group, another 100 cases selected in sinus rhythm turbulence than in patients with acute myocardial infarction as control group. Through the comparison between the two groups of heart rate turbulence ( HRT ) turbulence onset (TO) and turbulence slope ( TS ) and so on, and the impact on the heart rate turbulence in patients with acute myocardial infarction were analyzed. Results in the observation group compared with the control group of patients with TO, TS results, the observation group had significantly higher TO. TS significantly reduced, the two groups of patients with TO, TS values were significantly different, with statistical significance ( plt;0.05 ). Comparison of the survival group and death group TO and TS group of patients, the death group TO increased, TS decreased significantly, there was significant difference between two groups, there was statistically significant ( plt;0.05 ). Conclusion HRT decreased or disappeared as predictors of death in patients with acute myocardial infarction, which has certain clinical value. 【Key words】acute myocardial infarction; heart rate turbulence effect; prognosis; 许通文，性别：男，出生年月：1979年12月，职称：主治医师，学历：本科，研究方向：6分钟步行实验与窦性 心率震荡的相关性研究，单位：广东省中山市东凤人民医院，地址：广东省中山市东凤镇沿江路41号 急性心肌梗死患者是发生心脏性猝死的高危人群，其预后的影响是临床医生普遍关注的问题，目前对心肌梗死发生猝死的有效检测为窦性心律震荡，具体的评价指标为震荡初始（TO）和震荡斜率（TS），根据患者的