分析妊娠晚期高龄孕妇心电图异常改变情况  

ECG Abnormal Changes Analysis of Advanced Pregnant Women

作　　者：杨柳 陈松[2] YANG Liu;CHEN Song(Ultrasound Department ECG Room,Chongqing Maternal and Child Health Hospital,Chongqing 400021;Ultrasound Department,Chongqing Maternal and Child Health Hospital,Chongqing 400021)

机构地区：[1]重庆市妇幼保健院超声科心电图室,重庆400021 [2]重庆市妇幼保健院超声科,重庆400021

出　　处：《智慧健康》2020年第3期3-4,共2页Smart Healthcare

摘　　要：目的分析妊娠晚期高龄孕妇心电图异常改变情况。方法将2018年1月至2019年3月在本院实施诊治的90例产妇视为调查对象,根据其年龄将其纳入适龄组与高龄组(n=45)。适龄组年龄低于35岁,高领组患者年龄≥35岁。采用12导联心电图仪器对两组产妇实施心电图检查,对比两组产妇的心电图类型、心律失常亚型及不良妊娠结局发生率。结果相较于高龄组产妇,适龄组患者的ST-T转变、心电轴向转变、低电压及P-R间期缩短发生率相对较低,两组间数据对比存在统计学意义(P<0.05)。高龄组产妇的窦性心律过速、窦性心动过缓、室性期前收缩及房性期前收缩发生率均相对较高,与适龄组产妇心律失常亚型发生率对比包含统计学意义(P<0.05)。高龄组产妇的剖宫产率、早产率及低体质量出生儿发生率均相对较高,与适龄组不良妊娠结局发生率比较包含统计学意义(P<0.05)。结论妊娠晚期高龄孕妇心电图异常改变会直接影响产妇的妊娠结局,需要提升妊娠期心电图检查的重视程度,早期发现不良问题且及时予以处理,保证母婴安全。Objective to analyze ECG abnormal changes of advanced pregnant women.Methods treat 90 cases parturients diagnosed and treated in our hospital from January 2018 to March 2019 as investigation objects,divide them into right age group and advance group according to ages(n=45).The right age group was less than 35,and advanced group was more than 35.Examine ECG of two groups with 12 lead electrocardiograph.Compare ECG types,arrhythmia subtypes and incidence of adverse pregnancy outcomes between two groups.Results compared with advanced group,incidence of ST-T transformation,ECG axial transformation,low voltage and P-R interval shortening in right age group was relatively lower,data comparison showed statistical significance between two groups(P<0.05).Incidence of sinus tachycardia,sinus bradycardia,ventricular premature contraction and atrial premature contraction was relatively high in advanced group,data was statistically significant compared with incidence of arrhythmia subtypes in right age group(P<0.05).Incidence of cesarean section,premature delivery and low birth weight in advanced group was relatively higher,data was statistically significant compared with incidence of adverse pregnancy outcome in right age group(P<0.05).Conclusion abnormal changes of ECG in advanced pregnant women may directly affect pregnancy outcome.It is necessary to enhance importance of ECG in pregnancy,find out bad problems at early stage and deal with them in time to ensure safety of mother and baby.

关 键 词：妊娠晚期 高龄孕妇 心电图异常改变 

分 类 号：R714.2[医药卫生—妇产科学] R540.41[医药卫生—临床医学]