健康体检中早期复极综合征的临床意义探讨  

Study of clinical meaning of early repolarization syndrome in examination of healthy people

作　　者：田雪芬[1] 魏云[1] 侯金花[1] 马路[1] 张艳玲[1] 

机构地区：[1]深圳市第二人民医院

出　　处：《临床医药实践》2009年第8期573-575,共3页Proceeding of Clinical Medicine

摘　　要：目的：了解早期复极综合征（ERS）的发生率与性别、年龄、心率、机体有氧活动量的关系，探讨其临床意义。方法：采用整群抽样原则对10000例年龄在20-60岁的健康体检者的心电图进行分析。结果：共检出ERS338例，发生率3．38％，其中男320例，女18例。随着年龄的增加及心率的增快ERS的发生率逐渐降低。轻度劳动强度者发生率2．31％，中度以上劳动强度者发生率4．18％。结论：ERS多见于青壮年劳动强度较高男性，发病机制多认为与迷走神经张力增加有关，其心电图特点不具有指证心血管病变的临床意义。Objective：To study the relationship between incidence of early repolarization syndrome （ERS） and sex, age, heart rate as well as aerobic exercise, so as to discuss the clinical meaning of ERS. Methods：Electrocardiograms（ECG） of 10 000 people aged between 20 and 60 were analyzed according to cluster sampling rule. Results： Of 338 cases were found to show ERS in their ECG,with the incidence of 3.38% ,among which 320 were males and 18 were females. The rate of ERS decreased with age and heart rate increasing. ERS incidence of people with mild intensity of labor was 2.31% ,while that of people with moderate intensity of labor or above was 4.18%. Conclusion：ERS was often seen in male people at the age between 20 and 50. Its mechanism may be related to hypervagatonus. ERS cannot be considered as a sign of clinical cardiovascular disease.

关 键 词：健康体检 心电图 早期复极综合征 临床意义 

分 类 号：R541.9[医药卫生—心血管疾病]