糖尿病并阵发性心房颤动患者P波离散度的临床研究  

Clinical Study on P Wave Dispersion and Paroxysmal Strial Fibrillation in TypeⅡ Diabetes Patients

作　　者：罗劲华[1] 任军华[1] 

机构地区：[1]广州市东山区人民医院,广东广州510080

出　　处：《实用医技杂志》2004年第6期748-750,共3页Journal of Practical Medical Techniques

摘　　要：目的:探讨P波离散度(Pd)能否预测糖尿病患者伴发的阵发性心房颤动的发生。方法:观察42例有阵发性心房颤动病史的糖尿病患者(A组)的最大P波时限(Pmax)、最小P波时限(Pmin)、P波离散度(Pd)及左房内径(LAI))并与42例无阵发性心房颤动病史的糖尿病患者(B组)比较。结果:Pmax及Pd A组显著高于B组;Pmin、LAD无统计学差异。Pmax>110 ms、Pd>40ms时,预测心房颤动敏感性较高;Pmax>110ms+Pd>40ms时,预测心房颤动的特异性明显增高。结论:Pd增高可预测糖尿病患者伴发的阵发性心房颤动的发生,Pmax>110 ms+Pd>40 ms联用时可提高预测心房颤动的特异性。Objective To explore whether patient with Type Ⅱ Diabetes at risk of paroxysmal atrial fibrillation (PAF) can be identified by measurements of P wave dispersion. Methods We measured and contrasted 42 patients with history PAF (Group A) and 42 patients without history PAF (Group B) on the maximum P wave duration (Pmax), the minimum P wave duration (Pmin), P wave dispersion (Pd) and Left atrial dimension (LAD). Result Pmax and Pd were found to be significantly higher in group A than group Bi Pmin. LAD have no...

关 键 词：糖尿病 心房颤动 P波离散度 

分 类 号：R587.1[医药卫生—内分泌]