病窦综合症患者动态心电图指标与脑电图改变的关系  

RELATIONSHIP BETWEEN SICK SINUS SYNDROME PATIENTS' DCG INDEX AND ECG CHANGJING

作　　者：崔丽峰[1] 

机构地区：[1]临沂市人民医院心电图室,山东临沂276000

出　　处：《牡丹江医学院学报》2008年第6期30-32,共3页Journal of Mudanjiang Medical University

摘　　要：目的:探讨病窦综合征(SSS)患者的动态心电图(AECG)与脑电图(EEG)的关系。方法:100例SSS患者分别记录EEG和AECG,其中46例接受起搏治疗的患者在安装起搏器后复查EEG。30例正常人在同期做EEG检查作比较。结果:100例SSS患者EEG异常率为37.2%,显著高于正常人(x2=12.8144,P<0.001)。晕厥组EEG异常率为44.4%,显著高于非晕厥组(x2=5.8778,P<0.05)。46例授受起搏治疗的患者在起搏治疗后,EEG异常率显著下降(x2=18.00,P<0.001)。EEG异常程度与AECG最低心率呈明显的负相关(r=-0.7099,P<0.001),与长间歇时间呈正相关(r=0.5401,P<0.001)。结论:SSS患者EEG异常程度与AECG最低心率及长间歇时间存在密切相关性。EEG检查对SSS患者病情及脑功能评估具有重要价值。Objective： To explore the relationship of sick sinus syndrome （SSS）patients＇ DCG and ECG. Methods： EEGs and AECGs were recorded in 100 patients with SSS. EEGs were recorded again after being treated by pacemaker in 46 patients. Thirty nornal subjects were served as controls. Results ：The abnormality rate of EEG in 102 patients with SSS was 37.2%. It was significantly higher than in the normal subjeets（x^2 = 12. 8144 ,P 〈0. 001 ） o The abnormality rate of EEG in patients with syncope was 44. 4% ,which was significantly higher than in patients without syncope（ x^2 = 5. 8778, P 〈 0. 05 ） o The abnormality rate of EEG was significantly decreased in 46 patients after being treated by pace maker. The abnormality level of EEG shows significantly negative correlation with slowest heart rate in AECG（ r = - 0. 7099, P 〈 0. 001 ）, and positive correlation with sinus pause in AECG （ r = 0. 5401, P 〈 0. 001 ） o Conclusion ：The abnormality degree of EEG might have a close correlativity with showest heart rate and sinus pause in AECG. EEG might be of an important value in evaluating the clinical conditions and the brain function in patients with SSS.

关 键 词：病窦综合征 脑电图 动态心电图 

分 类 号：R54[医药卫生—心血管疾病]