额面P波电轴和肺气肿慢性阻塞性肺疾病关系分析.docVIP

额面P波电轴和肺气肿慢性阻塞性肺疾病关系分析 　　[摘要] 目的 分析心电图额面P波电轴与肺气肿/慢性阻塞性肺疾病的关系。 方法 回顾性分析该院2014年1月―2015年1月同期行胸部DR/CT、心电图与肺功能检查的住院患者的病史，筛选出符合条件者2 891人，将其分为肺气肿/慢性阻塞性肺疾病组与非肺气肿/慢性阻塞性肺疾病组，其中前者1 145人，后者1 746人，比较两组心电图额面P波电轴。 结果 肺气肿/慢性阻塞性肺疾病患者额面P波电轴大于非肺气肿/慢性阻塞性肺疾病患者，并且与FEV1/预计值呈负相关，相关系数r=-0.308，以α=0.05，P0.05，差异有统计学意义。 结论 额面P波电轴对肺气肿/慢性阻塞性肺疾病诊断有临床价值，并可用于评估其严重程度。 　　[关键词] 额面P波电轴；肺功能；肺气肿/慢性阻塞性肺疾病 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0187-03 　　Analysis of Correlation between P Wave Electrical Axis of Electrocardiogram Frontal Surface and Pneumonectasis/Chronic Obstructive Pulmonary Disease 　　HUANG Ya-hui， ZHOU Lu， WANG Jian-hui， LI Fang， TIAN Wen-xian， WANG Jing 　　Second department of Respiratory and Critical disease， The First Affiliated Hospital of Zhengzhou University， Zhengzhou，Henan Province，450052 China 　　[Abstract] Objective To analyze the correlation between P wave electrical axis of frontal surface and pneumonectasis/ chronic obstructive pulmonary disease. Methods The disease history of inpatients receiving chest DR/CT， electrocardiogram and pulmonary function examination in our hospital from January 2014 to January 2015 were retrospectively analyzed， 2 891 cases meeting the requirements were selected and divided into the pneumonectasis/chronic obstructive pulmonary disease group with 1 145 cases and the non- pneumonectasis/ chronic obstructive pulmonary disease group with 1 746 cases， the P wave electrical axis of electrocardiogram frontal surface of the two groups was compared. Results The P wave electrical axis in patients with pneumonectasis/ chronic obstructive pulmonary disease was higher than that in patients with non- pneumonectasis/ chronic obstructive pulmonary disease， and it was negatively correlated with FEV1/predicated value， correlation coefficient r=-0.308， α=0.05，P0.05， the difference was statistically significant. Conclusion P wave electrical axis of frontal surface in diagnosis of pneumonectasis/chronic obstructive pulmonary disease has a clinical v